在急诊室对自杀倾向的干预方式的可接受性和质量的比较:随机可行性试验
Celine Larkin1, Bengisu Tulu2, Soussan Djamasbi2
1Department of Emergency Medicine, University of Massachusetts Chan Medical School, Worcester, MA, United States.
JMIR mental health
|October 24, 2023
概括
在急诊室 (EDs) 中,针对自杀风险的干预措施ReachCare被认为是所有交付方法中高度可接受和适当的. 自主管理为资源有限的ED提供了一个可行的,时间效率高的选择.
科学领域:
- 紧急医疗 紧急医疗
- 数字健康数字健康
- 心理健康干预 心理健康干预
背景情况:
- 紧急诊所 (ED) 经常遇到有自杀风险的患者,这给有效干预的实施带来了挑战.
- ReachCare是一种技术辅助的干预,旨在为ED环境中的自杀患者设计.
- 这项研究评估了ReachCare在三个交付方式中的可接受性,质量和可行性.
研究的目的:
- 试点测试完整的ReachCare干预措施,用于向ED提出自杀倾向的患者.
- 为了比较三个交付方式:通过平板电脑应用程序 (聊天机器人) 自行管理,临床医生亲自管理和远程医疗临床医生管理.
- 评估干预的可行性,可接受性和质量以及由此产生的安全计划.
主要方法:
- 一项涉及47名ED患者的试点研究对自杀风险进行了查,结果呈阳性.
- 随机分配到三个ReachCare交付模式之一:自我管理 (聊天机器人),面对面的临床医生或远程医疗临床医生.
- 测量患者人口统计学,临床特征,干预的可接受性,适当性和安全计划的质量.
主要成果:
- 患者认为ReachCare在所有治疗方式中是非常可接受的 (中位数为4.00/5) 和适当的 (中位数为4.00/5).
- 在这三种交付方法之间,在可接受性或适当性方面没有发现显著差异.
- 自治模式显著更快,并显示出非常高的可用性 (中位数为93.75/100).
- 生成的安全计划在所有模式中都具有高质量.
结论:
- 无论如何,ReachCare对于ED中自杀倾向的患者来说是一个高度可接受和适当的干预措施.
- 在资源有限的ED环境中,自我管理为提供自杀风险干预提供了一个可行的和有效的选择.
- 需要进一步的研究来评估ReachCare的临床结果,包括其ED后组件.
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