对认知补救疗法的满意度:它对实施的影响和使用认知补救满意度表的结果
Joanne Evans1, Rose Tinch-Taylor1, Emese Csipke1
1Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Schizophrenia (Heidelberg, Germany)
|September 30, 2023
概括
服务用户对认知修复 (CR) 的满意度与参与度有关,而不是实施方法. 虽然满意度提高了参与度,但治疗时间直接影响了CR计划中的恢复结果.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 康复科学 康复科学 康复科学
背景情况:
- 认知修复 (CR) 提高认知和功能,但通过各种方法 (独立,团体,一对一) 提供.
- 服务用户对这些CR实施方法的接受度和满意度以及它们对结果的影响仍然未得到充分研究.
- 了解用户满意度对于优化CR交付和有效性至关重要.
研究的目的:
- 共同开发和心理测量改进一个认知补救满意度表 (CRS).
- 调查CR实施方法,治疗参与,用户满意度和恢复结果之间的关联.
- 评估用户满意度对CR结果的影响.
主要方法:
- 混合参与方法,包括重点小组,用于共同开发CRS.
- 心理测量标准 (克朗巴赫的alpha,项目歧视,测试-重新测试协议) 和因子分析被用于缩量精细化.
- 结构方程联合建模分析了随机对照试验的数据,以评估满意度,实施,参与度和恢复之间的关系.
主要成果:
- 一个31项CRS被改进为一个18项利克尔特级别,附加了二进制和开放式问题,显示出良好的内部一致性 (Alpha=0.814) 和测试-重新测试可靠性 (r=0.763).
- 满意度与CR实施方法无关,但与CR参与有显著联系.
- 治疗时间与康复直接相关,而满意度并没有直接影响结果,尽管它对参与度产生了积极影响.
结论:
- 认知修复满意度 (CRS) 是一个可靠的衡量标准,满意度主要影响参与,而不是直接影响恢复结果.
- CR实施方法不会影响用户的满意度;然而,治疗时间直接有助于恢复.
- 早期测量满意度可能有助于识别有脱离CR风险的个体,促进及时干预,以改善治疗坚持和结果.
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