基于互联网和面对面的混合认知行为疗法治疗酒精使用障碍的患者观点:定性研究
Kristine Tarp1,2,3, Regina Christiansen4,5, Randi Bilberg4,5,6
1Research Unit for Digital Psychiatry, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Journal of medical Internet research
|October 23, 2024
概括
对酒精使用障碍 (AUD) 的混合认知行为疗法 (bCBT) 为患者提供了更大的自主权和灵活性. 这种基于互联网和面对面治疗的综合方法增强了自我反思和参与,导致对传统方法的感知益处.
科学领域:
- 心理健康 心理健康
- 行为科学 行为科学
- 数字健康数字健康
背景情况:
- 有害的酒精消费是一个全球性的健康问题,在丹麦,酒精使用障碍 (AUD) 影响了15万人.
- 对AUD寻求治疗的低率归因于个人和系统障碍.
- 基于互联网的认知行为疗法 (iCBT) 显示出解决AUD治疗缺口的希望.
研究的目的:
- 为了研究AUD的混合认知行为疗法 (bCBT) 的用户体验.
- 探索bCBT的感知优点和缺点.
- 了解患者选择bCBT的动机.
主要方法:
- 完成了Blend-A研究的13名患者参加了半结构面试 (电话和面对面).
- 采访探讨了患者的背景,数字技术的使用,治疗动机和项目经验.
- 专题分析用于分析转录的采访数据.
主要成果:
- 患者报告说,由于bCBT的基于互联网的组成部分,匿名性,隐私和灵活性增加了.
- 书面材料和作业促进了知识的获取和自我反思.
- 提醒提醒改善了任务完成和对治疗的参与.
结论:
- bCBT提供了辅助自主性,这种好处是单独通过iCBT或面对面CBT (FtF CBT) 不能完全实现的.
- 结合iCBT和FTF CBT,可以在会议之间进行有价值的自我反思.
- 患者普遍认为bCBT对AUD治疗的好处超过缺点.
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