在日本实施强烈社区待遇 (ACT) 的障碍和促进者:使用实施研究综合框架 (CFIR) 进行定性研究协议
Mina Honyashiki1,2, Masafumi Yamashita3, Jun Iwatani3,4
1Department of Psychiatry, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan h-shiki@tokyo-med.ac.jp.
BMJ open
|November 7, 2024
概括
在日本实施强硬的社区待遇 (ACT) 是有限的. 这项研究调查了影响社区精神卫生机构采用ACT的因素,以改善严重精神疾病的护理.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 实施科学 实施科学
- 精神病学流行病学 精神病学流行病学
背景情况:
- 坚定的社区治疗 (ACT) 是严重精神疾病的经过验证的模式,减少住院治疗和改善功能.
- 尽管有好处,但ACT在日本的实施,始于2000年代末,仍然有限.
- 在日本社区精神卫生机构中,缺乏对ACT采用障碍和促进因素的全面研究.
研究的目的:
- 系统地调查影响日本实施强制性社区待遇 (ACT) 的因素.
- 在社区精神卫生机构中确定ACT采用障碍和促进者的障碍.
- 为更广泛的ACT实施策略提供信息,并改善对严重精神疾病患者的护理.
主要方法:
- 采用半结构化采访与ACT团队中关键利益相关者进行的定性研究.
- 基于采访前问卷评估ACT忠实性和特征的有目的抽样.
- 采访数据的分析使用实施研究综合框架和定性内容分析,重点关注忠实性.
主要成果:
- 当研究完成并可获得结果后,该部分应填写.
- 这项研究旨在确定区分高保真和低保真ACT团队的关键构造.
- 调查结果将阐明阻碍或促进在日本背景下ACT实施的具体因素.
结论:
- 这项研究将为日本实施强硬社区待遇的实施提供关键的见解.
- 了解这些因素对于制定有针对性的战略来克服实施挑战至关重要.
- 这些发现将有助于加强日本严重精神疾病的社区心理健康护理.
更多相关视频
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
1.2K
06:16Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
3.7K
相关概念视频
Community Based Intervention
34
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
34
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Treatment Strategies for Psychological Disorders
97
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
97
SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
Barriers to Effective Communication I
8.7K
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
8.7K
Modeling in Therapy
49
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
49
