实施适应自杀预防治疗的混合方法形成性评估:退伍军人卫生管理局的辩证行为疗法技能组
Suzanne E Decker1,2, Aimee Kroll-Desrosiers3,4, Kristin Mattocks3,4
1VA Connecticut Healthcare System, West Haven, CT, United States.
Frontiers in psychiatry
|December 10, 2024
概括
防止退伍军人自杀至关重要. 辩证行为疗法技能小组 (DBT-SG) 显示出减少退伍军人的情绪失调和自杀企图的希望,但人员短缺带来了实施挑战.
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
- 预防自杀 预防自杀
背景情况:
- 退伍军人自杀是一个关键的公共卫生问题.
- 情绪失调是驱动自杀行为的关键机制.
- 辩证行为疗法技能组 (DBT-SG) 有效地减少情绪失调并提高应对能力.
研究的目的:
- 评估退伍军人卫生管理局 (VHA) 中DBT-SG的实施情况.
- 评估给退伍军人提供DBT-SG的障碍和促进者.
- 为了为混合有效性-实施试验提供信息.
主要方法:
- 在四个VHA医疗中心进行了混合方法的发育形成性评估.
- 卫生服务研究实施综合促进行动 (i-PARIHS) 框架指导了评估.
- 收集和三角化了定量数据 (变化评估的组织原因) 和定性数据.
主要成果:
- VHA工作人员表示强烈支持DBT-SG及其减少退伍军人自杀的潜力.
- 工作人员认识到DBT-SG对退伍军人的广泛适用性.
- 工作人员数量有限被认为是实施的一个重大障碍,尽管领导层的支持.
结论:
- 工作人员对DBT-SG的热情很高,但由于人员限制,实施受到阻碍.
- 解决人员问题对于在VHA成功推出DBT-SG至关重要.
- 下一阶段涉及一项随机对照试验,以评估DBT-SG的有效性.
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