认知行为疗法培训和激励面试对心理健康从业者行为的影响:系统性审查和元分析
Emma Högberg Ragnarsson1, Gustaf Reinebo1, Sara Ingvarsson1
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, and Stockholm Health Care Services, Stockholm, Sweden.
Clinical psychology & psychotherapy
|June 10, 2024
概括
在认知行为疗法 (CBT) 和动机面试 (MI) 中培训心理健康专业人员可以改善从业者的行为. 将培训与监督相结合比单独培训更有效,在线和面对面的格式之间没有区别.
科学领域:
- 心理健康培训 心理健康培训
- 行为心理学 行为心理学
- 临床心理学 临床心理学
背景情况:
- 有效的培训对于将认知行为疗法 (CBT) 和动机面试 (MI) 等基于证据的实践转化为社区心理健康环境至关重要.
- 关于CBT和MI培训对从业者的行为影响的现有研究产生了不确定的结果.
研究的目的:
- 系统地审查和综合现有关于CBT和MI培训对心理健康从业者的行为结果有效性的文献.
- 评估不同培训模式和支持结构对行为改变的影响.
主要方法:
- 对报告实践者在面对面CBT或MI培训后的定量行为结果的研究进行了系统的文献搜索.
- 116项研究符合审查条件,其中20项被纳入了四个元分析.
- 分析比较了培训效应与没有培训,只进行手动培训,单独培训以及带有监督的培训.
主要成果:
- 与没有培训或阅读手册相比,培训显著改善了从业者的行为.
- 与咨询或监督相结合的培训比单独的培训更有效.
- 在面对面和在线培训交付方法之间没有发现显著差异.
结论:
- 培训,特别是当辅以监督时,在修改CBT和MI的从业者行为方面是有效的.
- 初级研究的方法限制和元分析的异质性需要谨慎地解释研究结果.
- 需要进一步的研究,以建立心理测量对从业者行为的有效措施,并完善培训协议.
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