测量失眠简短认知行为治疗的准确性:发展,可靠性和有效性
Wendi F Cross1, Janet McCarten2, Jennifer S Funderburk3
1University of Rochester Medical Center, USA; Center of Excellence for Suicide Prevention, USA.
Evaluation and program planning
|December 18, 2024
概括
治疗师坚持对失眠的认知行为疗法 (CBT-I) 显著减少了退伍军人的抑郁症症状. 新的忠诚度指标可靠地评估治疗师的能力和坚持,影响治疗结果.
科学领域:
- 心理学 心理学 心理学
- 临床研究 临床研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 衡量实施忠实性对于项目评估至关重要,它将干预措施的交付方式与其结果联系起来.
- 治疗失眠的认知行为疗法 (CBT-I) 是一种基于证据的治疗方法,简短的变体 (bCBTi) 显示出对失眠和抑郁的有效性.
- 由于缺乏可靠的测量工具,治疗师忠诚度对bCBTi结果的影响仍然不清楚.
研究的目的:
- 开发和验证短期CBT-I (bCBTi) 治疗师忠诚度的测量方法.
- 在一项涉及退伍军人的试点研究中,评估治疗师忠诚度对治疗结果的影响.
主要方法:
- 从23名退伍军人接受bCBTi的音频录音中编码了治疗师的坚持和能力.
- 对于忠诚度指标,确定了评价者之间的可靠性和内部一致性.
- 分析了忠诚度指标与治疗结果 (抑郁症) 之间的关联.
主要成果:
- 开发了可靠的治疗师坚持 (ICC = .73-.80) 和能力 (ICC = .57,alpha = .75) 的可靠措施.
- 坚持和能力显示出较低的共享差异 (10%).
- 治疗师的坚持与抑郁症症状的减少有显著的关联,支持忠诚度指标的预测有效性.
结论:
- 开发的忠实度指标是可靠和有效的,用于评估bCBTi的交付.
- 治疗师的坚持是影响退伍军人接受bCBTi的抑郁症结果的重要因素.
- 这些发现强调了在临床实践和研究中监测治疗师忠诚的重要性.
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