在患有先天性心脏病的成年人中通过视频会议提供心身性培训:试点可行性试验
Christina M Luberto1,2, Amy Wang1,2, Runnan Li1,2
1Department of Psychiatry, Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA.
这项试点研究发现,对于患有先天性心脏病 (ACHD) 的成年人来说,SMART-3RP心身干预是可行的. 这项干预措施显示出降低健康焦虑,提高正念和恢复能力的潜力.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有先天性心脏病 (ACHD) 的成年人经常经历更高的健康焦虑.
- SMART-3RP干预是一项为期8周的小组项目,重点是精神和身体的弹性.
- 以前的研究表明,SMART-3RP在减少其他患者群体的健康焦虑方面的有效性.
研究的目的:
- 评估通过视频会议向患有先天性心脏病的成年人提供SMART-3RP干预措施的可行性和可接受性.
- 评估该人口中远程血压监测的可行性和可接受性.
- 探索参与者健康焦虑,正念和弹性方面的潜在变化.
主要方法:
- 一个等候名单控制的随机试点可行性试验,涉及12名患有先天性心脏病的成年人.
- 参与者被随机分配1:1到干预或等候名单组.
- 数据收集包括基线调查,3个月和6个月的随访,3个月和6个月的随访,远程血压监测和个人退场采访.
主要成果:
- 观察到高的资格率 (91%) 和保留率 (83%在3个月,90%在6个月).
- 远程血压监测的遵守率平均为70%.
- 与等待名单组相比,初步效果大小表明干预组对健康焦虑 (r=-.59),正念 (r=-.44) 和弹性 (r=-.49) 的改善更大.
结论:
- 这些发现支持随机对照试验的可行性,以测试SMART-3RP在ACHD中的有效性.
- 通过视频会议提供的SMART-3RP干预措施是可以接受的,并且可能有助于改善先天性心脏病成年人的情绪健康.
- 参与者报告了积极的经验,并强调了正念对焦虑管理的好处.
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