基于智能手机的自助计划的文化适应对其可接受性和有效性的影响:随机对照试验
Eva Heim1, Sebastian Burchert2, Mirëlinda Shala3
1Institute of Psychology, University of Lausanne, Lausanne, Switzerland.
Clinical psychology in Europe
|August 9, 2024
概括
这项研究比较了阿尔巴尼亚移民中智能手机干预的两种文化适应水平. 无论是深度还是表面的适应都没有改善干预的接受率或完成率,在两组中都有很高的退学率.
科学领域:
- 心理学 心理学 心理学
- 文化精神病学是一种精神病学.
- 数字健康数字健康
背景情况:
- 心理干预的文化适应与更高的有效性有关.
- 不同适应水平的直接比较是有限的.
- 了解适应的影响对于全球心理健康至关重要.
研究的目的:
- 为了比较表面与深层结构,智能手机干预的文化适应.
- 评估适应水平对干预接受度和有效性的影响.
- 评估阿尔巴尼亚移民心理困扰的"一步一步" (Hap-pas-Hapi) 计划.
主要方法:
- 双臂,单盲随机对照试验.
- 包括:说阿尔巴尼亚语的人,年龄大于18岁,心理困扰很高 (凯斯勒尺度大于15).
- 结果:霍普金斯症状检查清单,会议完成,功能,幸福感,PTSD,自我定义的问题.
主要成果:
- 18% (N=222) 完成了后期评估;会议完成率很低,在各组中相似 (5-6%).
- 表面和深度适应组之间接受干预或完成第三次会议没有显著差异.
- 在这两种条件下观察到的高退学率.
结论:
- 与表面适应相比,深层结构的文化适应没有提高接受度或有效性.
- 高退学率对这群人群的数字心理健康干预构成了挑战.
- 未来的研究应该探索影响临床试验招聘和保留的文化因素.
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