选择性沉默症儿童家庭的远程密集群体行为治疗
Natalie Hong1, Aileen Herrera1, Jami M Furr1
1Florida International University, Miami, FL.
Evidence-based practice in child and adolescent mental health
|December 29, 2023
概括
针对选择性无声症 (SM) 的新型远程密集群体行为治疗 (IGBT) 已被证明是可行且可接受的. 这种远程医疗方法显示出有希望的结果,大约一半的儿童对治疗有反应.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 焦虑症 焦虑症 焦虑症
- 远程医疗干预 远程医疗干预
背景情况:
- 选择性沉默 (SM) 是一种儿童焦虑障碍,在特定的社会环境中阻碍了沟通.
- 像曝光疗法和亲子交互疗法这样的传统治疗方法是有效的,但缺乏广泛的可访问性.
- 由于COVID-19的限制,SM的面对面专业护理的机会进一步受到限制.
研究的目的:
- 开发和评估SM小孩远程密集群体行为治疗 (IGBT) 的初步可行性,可接受性和有效性.
- 在COVID-19大流行期间,通过远程医疗适应密集治疗模式,用于远程传递.
主要方法:
- 开发了一个远程IGBT程序,利用视频会议进行护理人员培训,引进会议,每日治疗会议和个人指导.
- 九个有小孩被诊断患有MS的家庭参与了试点研究.
- 关于可行性,可接受性,治疗满意度,负担和治疗反应的数据在多个时间点收集.
主要成果:
- 发现远程IGBT程序是可行的和可接受的,对评估和治疗组件的家庭完成率为100%.
- 护理人员报告了与远程治疗相关的高满意度和低负担.
- 独立评价者在治疗后和4个月的随访中将大约50%的儿童归类为治疗响应者.
结论:
- 通过视频会议提供的远程IGBT是SM儿童家庭的可行和可接受的治疗选择.
- 这种远程医疗方法证明了潜在的有效性,提供了一个可扩展的解决方案,以改善获得专业护理的机会.
- 需要进一步的研究来证实这些试点发现在更大,更多样化的群体中.
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