在虚拟饮食障碍环境中评估护理人员的自我效能
Nickolas M Jones1,2, Jessica H Baker1, Bek Urban1
1Equip Health, Inc., CA, Carlsbad, USA.
Journal of eating disorders
|September 22, 2023
概括
随着时间的推移,基于家庭的饮食障碍治疗 (FBT) 中护理人员的自我有效性得到了改善. 然而,家长与饮食障碍 (PVED) 尺度与治疗结果的关联性有限,这表明需要一种新的测量工具.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 饮食障碍 研究 研究 研究
背景情况:
- 照顾者的自我效能对于家庭治疗 (FBT) 在饮食障碍中的成功至关重要.
- 之前关于护理人员自我有效性和FBT结果的研究已经产生了混合的结果.
- 家长与厌食症的比例是常用的,但它的有效性是有争议的.
研究的目的:
- 在FBT中调查护理人员自我效能对饮食障碍治疗结果的影响.
- 在FBT过程中检查护理人员自我效能的变化.
- 评估家长与饮食障碍 (PVED) 尺度对治疗进展的预测有效性.
主要方法:
- 使用家长与饮食障碍 (PVED) 尺度来测量1528名护理人员对1051名接受虚拟FBT患者的护理人员的自我有效性.
- 采用多层模型来分析16周内PVED分数的变化及其与饮食障碍症状和体重的关联.
- 研究了初始PVED得分和PVED得分变化与治疗结果之间的关系.
主要成果:
- 在16周的治疗期间,照顾者的自我有效性,以PVED分数衡量,显著增加.
- 较高的初始PVED分数预测了饮食障碍症状的改善,但不是体重.
- 与基线相比,PVED得分的增加与患者体重的降低有关,这种关联随着时间的推移而变化.
结论:
- 虽然在FBT期间,护理人员的自我有效性得到改善,但其与治疗结果,特别是体重的关联并不总是强大.
- PVED尺度的心理测量特性可能会限制其捕捉护理人员自我效能的全部影响的能力.
- 显然需要开发一种新的,在心理测量上健全的测量方法来评估护理人员在饮食障碍治疗中的自我有效性.
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