适应前所未有的时代:社区临床医生在COVID-19期间对亲子互动疗法的修改
B Erika Luis Sanchez1, Corinna C Klein1, Madeleine Tremblay1
1University of California Santa Barbara.
Evidence-based practice in child and adolescent mental health
|November 20, 2023
概括
临床医生在COVID-19之前和期间报告了类似的定量水平,用于增强和减少PCIT的适应. 然而,定性数据显示,在疫情期间,通过互联网交付的PCIT (iPCIT) 进行了许多调整.
科学领域:
- 临床心理学 临床心理学
- 儿童精神病学 儿童精神病学
- 远程医疗研究 远程医疗研究
背景情况:
- 父母与儿童互动疗法 (PCIT) 是一种基于证据的治疗方法,用于破坏性儿童行为和虐待,还可以减少育儿压力.
- 通过互联网提供的PCIT (iPCIT) 在疫情前已经适应了,但在COVID-19期间,远程医疗的广泛实施加速了.
- 了解疫情期间PCIT的临床医生适应对于有效的服务提供至关重要.
研究的目的:
- 通过使用定量和定性方法,评估从COVID-19前到COVID-19大流行早期的PCIT (增加和减少) 的临床医生适应的变化.
- 探索临床医生如何修改互联网交付的PCIT (iPCIT),以应对向远程服务交付的快速转变.
主要方法:
- 一项后续调查 (N=179) 测量了2019年秋季和2020年夏季远程传递的PCIT的定量调整 (增加/减少).
- 一组临床医生 (n=135) 提供了早期COVID-19大流行期间所做的适应的定性描述.
- 劳和其他人. (2017) 增加和减少框架指导了适应的评估.
主要成果:
- 定量分析显示,在疫情前和疫情初期期间,报告的增加或减少适应水平没有显著差异.
- 定性发现显示,临床医生描述了许多增强适应,如延长治疗时间和整合其他治疗实践.
- 临床医生还描述了参与各种减少适应,以应对与流行病有关的挑战.
结论:
- 虽然定量数据表明PCIT适应水平的稳定性,但定性见解突出显示,临床医生在COVID-19大流行期间对iPCIT进行了重大,多样化的修改.
- 这些发现强调了临床医生通过远程医疗维持基于证据的实践的适应能力.
- 进一步的研究应该探索这些多样化的适应对治疗结果的影响和有效性.
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