从青少年和护理人员那里学习,以提高青少年技能群体的虚拟辩证行为治疗中的接受度和参与度:一项定性研究
Kristina Conroy1,2, Sabrina M Kehrer3, Christopher Georgiadis3,4
1Center for Children and Families, Department of Psychology, Florida International University, Miami, FL, USA. kconr007@fiu.edu.
Child psychiatry and human development
|January 6, 2024
概括
青少年和护理人员发现适应的远程医疗 青少年辩证行为疗法 (DBT-A) 方便但不参与. 他们建议平衡远程医疗与面对面的会议,并集中青少年的声音,以更好地参与和技能泛化.
科学领域:
- 临床心理学 临床心理学
- 青少年心理健康 青少年心理健康
- 远程医疗干预 远程医疗干预
背景情况:
- 青少年心理健康的挑战正在上升,但服务的获取受到结构性障碍的限制.
- 纳入青少年和家庭的观点对于改善心理健康服务的提供至关重要.
- 青少年辩证行为疗法 (DBT-A) 是一种基于证据的治疗方法,但需要适应不同人群和交付方法.
研究的目的:
- 通过适应的远程医疗/混合DBT-A计划来探索青少年和护理人员的经验.
- 收集家庭为中心的关于改进DBT-A服务的接受度和参与度的数据.
- 收集改善远程医疗/混合DBT-A计划的建议.
主要方法:
- 使用聚焦小组与青少年和护理人员 (N=33) 参与了DBT-A技能小组的两个队列.
- 收集关于程序修改可接受性的数据,参与适应的远程医疗/混合DBT-A,以及改进建议.
- 参与者来自不同的社会经济背景,其中很大一部分是LGBTQ+.
主要成果:
- 远程医疗提供了方便,但导致了脱离;面对面的会议改善了群体连接和内容参与.
- 参与者强调平衡多个家庭组与青少年和护理人员的仅限会议.
- 青少年要求在DBT-A计划中更好地集中他们的声音和经验.
- 提出了一些建议,以综合内容,并提高DBT-A技能对现实生活情况的概括性.
结论:
- 调查结果强调了远程医疗在青少年心理健康服务中的双重性质,提供方便,但冒着脱节的风险.
- 均衡不同的小组格式和优先考虑青少年的声音是有效的DBT-A交付的关键.
- 纳入生活经验对于改进和调整像DBT-A.这样的心理服务至关重要.
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