瘤心理健康提供者对基于证据的干预措施的调整:一种混合方法研究
Claire C Conley1, Marlena M Ryba2, Brittany M Brothers3
1Department of Oncology, Georgetown University Medical Center, Washington, District of Columbia, USA.
Psycho-oncology
|January 28, 2024
概括
瘤医疗服务提供者调整干预措施以适应新的环境. 这些调整并没有增加或减少患者在12个月内使用基于证据的干预措施.
科学领域:
- 心理社会瘤学
- 实施科学 实施科学
背景情况:
- 适应对于将基于证据的干预措施 (EBI) 适应到新环境中至关重要,但它们在心理瘤学中的作用尚未得到充分研究.
- 这项研究使用了改进和改进增强报告框架 (FRAME) 来指导调查.
- 研究的重点是瘤心理健康提供者计划适应特定的心理瘤 EBI.
研究的目的:
- 描述瘤心理健康提供者对心理瘤 EBI 进行的计划性适应.
- 检查这些计划适应的特征与EBI的纵向使用之间的关系.
- 了解影响心理瘤学适应决策的因素.
主要方法:
- 对128名瘤心理健康提供者 (社会工作者和心理学家) 采用混合方法方法.
- 提供者制定了"适应计划",详细说明了对生物行为干预 (BBI) 的修改和理由.
- 计划中的定性数据经过了有针对性的内容分析,线性混合模型对12个月的EBI使用情况评估了适应特征.
主要成果:
- 从定性分析中出现了三个主题:内容修改,上下文变化以及适应原因 (设置,提供商,接收者因素).
- 调整包括缩短,凝结,选择,添加或删除干预元素,以及改变组格式.
- 对原始BII的调整的数量和相似性都没有与EBI使用率的增加有关.
结论:
- 这项研究提供了由瘤心理健康提供者计划适应心理瘤 EBI 的第一个特征.
- 计划的调整并没有显著影响EBI的使用,既没有增加也没有减少.
- 适应过程促进了明智的选择,导致成功实施,无论设置限制.
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