优化治疗期望和决策通过知情同意心理治疗:一个随机对照试验
Leonie Gerke1, Franz Pauls1, Sönke Ladwig1
1Department of Clinical Psychology and Psychotherapy, Helmut-Schmidt-University/University of the Federal Armed Forces Hamburg.
Journal of consulting and clinical psychology
|November 16, 2023
概括
优化知情同意 (OIC) 咨询显著改善了患者的心理治疗期望,动机和决策能力. 这种简短而无害的干预措施提高了患者对所提供的信息的理解和满意度.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 在知情同意的情况下同意.
背景情况:
- 在道德心理治疗中,知情同意至关重要.
- 优化知情同意流程可能会提高患者参与度和治疗结果.
研究的目的:
- 评估心理治疗的优化知情同意 (OIC) 咨询的有效性和安全性.
- 评估OIC对患者期望,动机,坚持,决策冲突,知识,同意能力和满意度的影响.
主要方法:
- 一项随机控制的在线试验与122名被诊断患有精神障碍的成年人进行.
- 参与者被随机分配到通常的治疗 (TAU) 或TAU加上一次会议OIC.
- 该OIC纳入了期望管理,上下文化,框架和共享决策.
主要成果:
- OIC显著增加了积极的治疗期望 (d = 0.73),动机 (d = 0.74) 和坚持意图 (d = 0.46).
- OIC导致决策冲突大幅减少 (d = 0.91) 和知识增加 (d = 0.93).
- 接受OIC的参与者报告了更高的同意能力 (d = 0.63) 和满意度 (d = 1.34),预期的不良影响没有增加.
结论:
- 一次简短的OIC咨询有效地提高了心理治疗期望和无害的决策.
- 需要进一步的研究来确定这些改善是否转化为更好的长期治疗结果.
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