修改干预措施以改善双极性障碍青少年和年轻成年人的坚持
Larry F Forthun1, Martha Sajatovic1, Jennifer B Levin1
1Dr. Forthun is with the University of Florida, Gainesville, Florida. Drs. Sajatovic, Levin, and Blixen, Mss. Broadnax and Fuentes-Casiano, and Mr. Appling are with Case Western Reserve University School of Medicine, Cleveland, Ohio, and University Hospitals of Cleveland Medical Center, Cleveland, Ohio. Dr. DelBello and Ms. Cooley are with the University of Cincinnati College of Medicine, Cincinnati, Ohio. Dr. Modi is with Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
JAACAP open
|December 25, 2023
概括
这项研究适应了一种行为干预措施,以改善青少年和年轻成人患有双相情感障碍 (BD) 的药物坚持. 患者的反确保了干预对这个年龄组是相关的和可用的.
科学领域:
- 精神病学是一个精神病学.
- 青少年健康 青少年健康
- 行为科学 行为科学
背景情况:
- 双极性障碍 (BD) 的管理对于青少年和年轻成年人 (AYA) 很困难.
- 对于患有BD的AYA,只有很少的自我管理干预措施.
- 坚持治疗对于管理AYA的BD症状至关重要.
研究的目的:
- 修改自定义的坚持增强 (CAE) 行为干预对AYA与BD.
- 确保干预以患者为中心,相关,并可用于患有BD的AYA.
- 通过修改CAE干预,通过BD改善AYA患者的治疗坚持.
主要方法:
- 与肥胖相关的行为干预试验 (ORBIT) 模型被用于干预开发.
- 第1a 阶段涉及聚焦小组和对AYA与BD,家长和提供者进行访谈,以确定遵守的障碍和促进者.
- 第1b阶段涉及咨询委员会和AYA与BD的可用性测试,以改进干预内容和交付.
主要成果:
- 焦点小组和采访确定了管理BD症状,改善坚持和护理过渡的挑战.
- 来自AYA,家长和提供者的反导致了会议活动,模块交付和课程的修改.
- 可用性测试强调了需要可修改的语言,引人入胜的视觉效果和BD的AYA的突出话题.
结论:
- 该ORBIT方法促进了CAE干预AYA与BD.的调整.
- 修改后的干预更适合改善这一群体的坚持.
- 未来的研究应该包括一个试点随机临床试验,以评估CAE干预对BD的AYA的有效性.
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