治疗师指导的远程与面对面的认知行为疗法:随机对照试验的系统审查和元分析
Sara Zandieh1, Seyedeh Maryam Abdollahzadeh1, Behnam Sadeghirad1
1Department of Health Research Methods, Evidence, and Impact (Zandieh, Sadeghirad, Wang, Yao, Pathak, Busse), McMaster University, Hamilton, Ont.; Canadian Agency for Drugs and Technology in Health (Zandieh), Toronto, Ont.; Nutrition Research Center, School of Nutrition and Food Sciences (Abdollahzadeh), Shiraz University of Medical Sciences, Shiraz, Iran; Department of Anesthesia (Sadeghirad, Wang, Busse), McMaster University; The Michael G. DeGroote National Pain Centre (Wang, Torabiardakani, Busse), McMaster University; St. Joseph's Healthcare (McCabe, Bieling); Department of Psychiatry and Behavioural Neurosciences (McCabe, Inness, Bieling), McMaster University, Hamilton, Ont.; Institute for Management and Innovation (Crandon), University of Toronto, Mississauga, Ont.
远程认知行为疗法 (CBT) 在各种疾病中与亲临CBT同样有效. 这一发现支持远程CBT,以增加获得基于证据的心理健康和体质障碍治疗的机会.
科学领域:
- 精神病学和行为科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 认知行为疗法 (CBT) 对精神病和体质疾病有效.
- 传统的亲自交付限制了可访问性.
- 远程CBT交付的有效性仍然不确定.
研究的目的:
- 为了比较治疗师指导的远程CBT与面对面的CBT的有效性.
- 综合来自随机对照试验 (RCT) 的证据.
主要方法:
- 在多个数据库 (MEDLINE,Embase,PsycINFO,CINAHL,Cochrane) 进行系统搜索,截至2023年7月.
- 包括在成人中比较远程和面对面的CBT的RCT.
- 主要结果 (SMD) 的随机效应元分析和GRADE确定性评估.
主要成果:
- 包括54个RCT与5463名患者,涵盖焦虑,抑郁,失眠,疼痛和饮食障碍.
- 中等确定性证据显示,远程和人身CBT之间的有效性没有显著差异 (SMD -0.02,95%CI -0.12至0.07).
结论:
- 治疗师指导的远程CBT表现出与面对面的CBT相似的有效性.
- 远程CBT有可能改善对各种疾病的基于证据的护理的获取.
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