在社区实施的基于证据的实践中与拉丁语护理人员共享决策:联盟的决定因素和关联
Blanche Wright1,2, Lauren Brookman-Frazee3,4, Bryce D McLeod5
1Department of Health Policy and Management, University of California, Los Angeles.
概括
研究了拉丁美洲青年精神卫生服务的共享决策 (SDM). 更大的SDM与行为问题有关,并与治疗联盟积极相关,这表明护理人员参与的好处.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 儿童和青少年精神病学
- 健康心理学 心理健康心理学
背景情况:
- 共享决策 (SDM) 对于有效的心理健康护理至关重要,特别是在拉丁美洲青年等多元人口中.
- 基于证据的实践 (EBP) 在社区心理健康环境中越来越多地实施,需要研究如何优化其交付.
- 了解影响SDM的因素及其对治疗关系的影响对于改善青年心理健康结果至关重要.
研究的目的:
- 在与拉丁美洲青年的会议中,确定与增加SDM相关的治疗师和客户因素.
- 检查SDM与社区治疗师和拉丁语护理人员之间的治疗联盟之间的关系.
- 为文化敏感和有效的心理健康干预措施的发展提供信息.
主要方法:
- 一项观察性研究分析了210次录音治疗会议,涉及62名社区治疗师和109名拉丁美洲青年护理人员.
- 观察患者参与决策 (OPTION) 仪器测量了SDM.
- 治疗过程观察编码系统对儿童心理治疗-联盟规模评估了护理人员-治疗师联盟.
主要成果:
- 与创伤相比,在针对行为问题的会议中,共享决策 (SDM) 的程度更高 (p=.001).
- 一个趋势表明,在英语会议与西班牙语会议之间,SDM在英语会议中更高.
- 全球SDM (p=.03) 和OPTION项目"整合偏好" (p=.03) 与治疗联盟有积极的关联.
结论:
- SDM可以提高拉丁美洲护理人员在EBP中的参与度.
- 建议提供者在SDM方面的培训,考虑到特定的临床背景,用于协作治疗规划.
- 需要进一步的研究才能充分确定SDM在青少年心理治疗中的好处.
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