提供者遵守儿童和青少年模块化认知行为疗法
Anna D Bartuska1, Emma L Eaton2, Precious Akinrimisi2
1Department of Psychology, University of Oregon, Eugene, OR, USA. abartusk@uoregon.edu.
Administration and policy in mental health
|February 9, 2024
概括
社区提供者大多坚持MATCH治疗内容,但在测序和参与者坚持方面遇到了困难. 当客户有并发性精神健康症状时,坚持是最高的,这表明治疗灵活性是关键.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 临床心理学 临床心理学
- 心理治疗研究 心理治疗研究
背景情况:
- 坚持以证据为基础的治疗对于有效的儿童和青少年心理健康服务至关重要.
- 模块化认知行为疗法 (MATCH) 为治疗青少年提供了一种灵活的方法.
- 了解坚持的预测因素对于在社区环境中成功实施至关重要.
研究的目的:
- 探索社区提供商遵守MATCH的预测因素.
- 通过三个不同的标准来检查遵守:内容,内容和序列,内容,序列和参与者.
- 在现实临床实践中识别影响治疗完整性的因素.
主要方法:
- 多级建模用于评估会话,客户端,提供商和组织预测因素.
- 供应商报告的遵守MATCH的标准是通过三个越来越严格的遵守标准来衡量的.
- 该研究涉及社区提供者向儿童和青少年提供MATCH.
主要成果:
- 几乎所有提供商都遵守了与客户目标问题相关的MATCH内容.
- 只有三分之一的提供者遵守了预期的顺序和参与者标准.
- 当客户出现干扰性并发性精神健康症状时,遵守率最高.
结论:
- 细微的依从性测量对于捕获广泛定义所遗漏的实施细节至关重要.
- MATCH的灵活设计可能有助于在处理并发症时的坚持.
- 关于管理会话干扰的进一步提供者指导可以提高治疗完整性.
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