实施互联网提供的接受和承诺治疗慢性疼痛的障碍和潜力:使用质量实施框架进行后期评估
Nina Bendelin1, Björn Gerdle1, Gerhard Andersson2,3,4
1Pain and Rehabilitation Centre, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Scandinavian journal of pain
|October 19, 2023
概括
在慢性疼痛环境中实施互联网交付的接受和承诺疗法 (IACT) 提出了挑战,但也带来了好处. 成功的整合需要灵活性和战略规划,以实施框架为指导.
科学领域:
- 实施科学 实施科学
- 数字健康干预措施 数字健康干预措施
- 慢性疼痛管理 慢性疼痛管理
背景情况:
- 通过互联网提供的心理干预是以证据为基础的,但在慢性疼痛护理中面临着坚持和例行化挑战.
- 通过互联网提供的接受和承诺疗法 (IACT) 对慢性疼痛患者和康复服务有希望.
- 从实施科学的角度来看,IACT与标准医疗保健的整合缺乏描述.
研究的目的:
- 评估在疼痛康复环境中实施IACT的过程.
- 为IACT在慢性疼痛护理中的未来实施倡议提供指导.
- 使用质量改进框架 (QIF) 分析促进者和挑战.
主要方法:
- 在跨学科疼痛康复计划 (IPRP) 内的IACT实施倡议期间采取的行动的回顾性审查.
- 使用质量改进框架 (QIF) 编码相关文件,以评估采用,适当性和可持续性.
- 开发一个逻辑模型来呈现影响因素,假设和关键过程挑战.
主要成果:
- 可持续性通过适应临床需求而得到促进,并受到能力建设问题的挑战.
- 通过将通信与现有基础设施协调,适当性得到增强,但由于需求评估不足而受到挑战.
- 采用得到了员工冠军和适应能力的支持,确定了关键的过程挑战.
结论:
- 可持续的实施需要促进行动的连续性和对利益相关者的需求的灵活性.
- 使用理论,模型和框架 (TMF),以及逻辑模型,有助于实施规划和评估.
- IACT可能适合IPRP,特别是在该计划之前或之后交付时解决精神病相关疾病.
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