揭开虚拟化过程的神秘性:呼吁使用FRAME模型对基于证据的心理治疗进行虚拟修改进行标准报告
Derrecka M Boykin1,2,3, Tracey L Smith2, Barbara Rakel4
1Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
Translational behavioral medicine
|May 22, 2024
概括
快速向视频远程医疗转变,需要更好地记录基于证据的心理治疗 (EBP) 如何被修改为虚拟交付. 使用像FRAME这样的框架可以改善对这些基本适应的理解和报告.
科学领域:
- 提供心理健康护理 提供心理健康护理
- 数字健康干预措施 数字健康干预措施
- 心理治疗研究 心理治疗研究
背景情况:
- 随着COVID-19的流行,视频远程医疗在心理医疗服务中得到了加快的应用.
- 关于有效地修改基于证据的心理治疗 (EBP) 以实现虚拟交付的有限指导,这一过程称为虚拟化.
- 当前的报告往往缺乏关于虚拟化期间EBP修改决策的一致细节.
研究的目的:
- 突出了对EBP进行虚拟交付的修改进行改进的改进文档的必要性.
- 介绍和说明报告调整和修改扩展框架 (FRAME) 的实用性,以捕获EBP虚拟化细节.
- 倡导对EBP虚拟化进行更严格的研究,以告知未来的最佳实践.
主要方法:
- 评论使用框架来详细说明干预修改的性质,过程和结果.
- 介绍了一个为期1天的亲自接受和承诺治疗 (ACT) 团体研讨会的实例,将其调整为虚拟格式.
- 案例例概述了具体的修改,理由,实施和忠实性的考虑.
主要成果:
- 针对虚拟ACT研讨会的调整主要涉及到交付格式,管理程序和内容的变化.
- 框架有助于结构化描述如何,为什么以及谁实施了修改.
- 该案例研究展示了在EBP虚拟化过程中保持忠实性的过程.
结论:
- 加强EBP虚拟化的文档对于理解和优化通过远程医疗提供的心理健康护理至关重要.
- 像FRAME这样的框架为报告干预修改提供了一种标准化的方法,促进透明度和可复制性.
- 对EBP虚拟化过程的进一步研究对于在不断变化的数字精神卫生保健领域中制定强有力的指导方针和最佳实践至关重要.
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