国际专家对获得,参与和实施精神分裂症认知补救的观点:德尔菲研究
Rosalie Ariane Eva Altman1, Eric Josiah Tan1, Susan Lee Rossell1
1Centre for Mental Health and Brain Sciences, School of Health Sciences, Swinburne University of Technology.
认知补救 (CR) 改善了精神分裂症的结果,但面临着糟糕的实施. 专家认为缺乏培训,感知相关性和人员短缺是关键障碍,而治疗联盟和综合服务是关键促进因素.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 神经科学是一个神经科学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 认知补救 (CR) 对精神分裂症有效,但在心理健康服务中面临重大实施挑战.
- 对于CR实施和参与的障碍和促进者仍然不太了解.
研究的目的:
- 评估国际专家对影响CR实施和参与精神分裂症的障碍和促进者的意见.
- 确定与员工,心理健康服务和消费者相关的因素.
主要方法:
- 与37名国际CR专家 (临床医生/研究人员) 进行了三轮Delphi调查.
- 专家们回答了关于实施促进者,CR的重要组成部分和各种障碍的利克尔特级别问题.
主要成果:
- 实施的主要障碍包括缺乏人员培训,认知缺陷和认知障碍的相关性/知识低,以及专业人员不足.
- 消费者参与的障碍包括失败主义信念和可访问性问题.
- 促进者包括强大的治疗联盟,综合康复服务,家庭心理教育,并专注于现实世界的概括.
结论:
- 专家的共识强调了在精神分裂症护理中实施CR的多方面的障碍.
- 解决员工培训,知识差距,服务整合和消费者特定挑战至关重要.
- 需要对CR的成本效益和政策建议进行进一步的研究,以改善服务提供.
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