基于暴露的实施策略,以减少临床医生对实施基于证据的自杀预防实践的焦虑:开发和试点测试的协议 (CALMER项目)
Emily M Becker-Haimes1,2, Megan Brady3, Jesslyn Jamison3
1Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3 Rd floor, Philadelphia, PA, 19104, USA. Emily.haimes@pennmedicine.upenn.edu.
Implementation science communications
|November 24, 2023
概括
这项研究试行了基于暴露的实施策略 (EBIS),以减少临床医生的焦虑,并提高使用自杀预防实践的自我有效性. 结果将为未来的试验提供信息,以改善基于证据的实践实施.
科学领域:
- 实施科学 实施科学
- 心理健康服务研究 心理健康服务研究
- 行为心理学 行为心理学
背景情况:
- 临床医生的焦虑和低自我效能阻碍了基于证据的自杀预防实践的使用.
- 暴露疗法是一种潜在但未经测试的方法来解决这些障碍.
- 该项目设计和试点基于暴露的实施策略 (EBIS),以改善自杀预防EBP的实施.
研究的目的:
- 开发,完善和试点测试一个EBIS以准临床医生的焦虑和提高自我效能.
- 为一项更大的试验做准备,调查EBIS对自杀预防EBP实施的影响.
- 评估EBIS在门诊精神卫生机构的可行性和可接受性.
主要方法:
- 参与式设计方法和快速循环原型设计被用于开发和完善EBIS.
- 一项试点随机试验比较了EBIS加常规实施 (IAU) 与单独的IAU.
- 结果包括EBIS的可接受性,可行性,临床医生的焦虑,自我有效性以及EBP的采用和忠实性.
主要成果:
- 该研究评估了EBIS的可行性和可接受性,通过问卷,采访以及招聘/保留率.
- 二级结局测量了EBIS对临床医生的焦虑,自我有效性以及自杀预防实践的采用和忠实性的影响.
- 混合方法,包括角色扮演观察和图表审查,用于评估有效性.
结论:
- 该研究提供了针对临床医生的焦虑和自我有效性的见解,以改善自杀预防EBP的实施.
- 结果将为更大的混合有效性实施试验提供信息.
- 欧洲自杀预防体系 (EBIS) 显示出增强基于证据的自杀预防护理的承诺.
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