在医疗保健服务中实施互联网交付的认知行为疗法:对利益相关者的经验进行定性探索
Daniel Duffy1,2, Derek Richards1,2, Caroline Earley1
1SilverCloud Science, SilverCloud Health, Dublin, Ireland.
Frontiers in digital health
|October 12, 2023
概括
利益相关者发现互联网交付的认知行为疗法 (iCBT) 实施在强有力的领导和培训下取得了成功. 患者报告了积极的体验,但希望获得更结构化的支持和信息,以便更好地使用ICBT.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 数字健康实施方案
- 定性医疗保健研究研究
背景情况:
- 探索利益相关者的互联网认知行为疗法 (iCBT) 经验.
- 专注于iCBT在英国"改善获得心理治疗的机会"计划中的整合.
- 调查数字心理健康干预的常规服务提供.
研究的目的:
- 质量地探索利益相关者的iCBT实施经验.
- 确定iCBT融入常规精神卫生保健中的促进者和障碍者.
- 了解服务提供商,商业代表和患者的观点.
主要方法:
- 定性描述性-解释性方法.
- 与各种利益相关者团体进行半结构化的电话采访 (n=19).
- 包括服务提供商,商业iCBT代表和患者.
主要成果:
- 服务提供商强调领导力,培训和结构化的工作流程.
- 商业代表强调了临床医生的培训和响应式支持.
- 患者报告了积极的ICBT体验,但希望获得更结构化的指导和支持者互动.
- 障碍包括临床医生的负面态度和技术问题;促进者包括COVID-19的影响和持续使用.
结论:
- 有效的ICBT实施需要强有力的领导,全面的培训和响应式的支持系统.
- 解决患者对结构化信息和互动的需求对于优化iCBT结果至关重要.
- 这项研究独特地包括商业iCBT代表,为实施动态提供了新的见解.
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