案例研究 决策辅导干预的分析 对于患有早期精神病的年轻成年人进行干预
Elizabeth C Thomas1, Alicia Lucksted2, Laura A Siminoff3
1Department of Social and Behavioral Sciences, College of Public Health, Temple University, 1700 N Broad St., Philadelphia, PA, 19121, USA. elizabeth.thomas@temple.edu.
决策指导对于患有早期精神病的年轻人来说是一种可行和可接受的干预措施,有可能改善他们与协调专业护理 (CSC) 服务的接触. 在这种方法中为CSC提供者提供培训,有望提高患者的决策能力和治疗坚持.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 医疗保健服务研究 医疗服务研究
- 决策科学 决策科学 决策科学
背景情况:
- 患有早期精神病的年轻人经常脱离关键的早期干预服务,如协调专科护理 (CSC).
- 决策支持干预措施有望改善服务参与度,但在这个人口群体中研究不足.
研究的目的:
- 评估CSC服务中对患有早期精神病的年轻人进行决策指导干预的可行性,可接受性,忠实性和潜在影响.
主要方法:
- 采用混合方法,纵向,集体案例研究设计.
- 数据收集包括决策冲突量表,定性访谈,观察和参与者和干预者的反.
- 来自三个CSC计划的8名年轻人参加了这次活动.
主要成果:
- 干预的可行性和可接受性通常是有利的,参与者的参与度是可变的.
- 决策冲突量表产生了混合的结果,而定性访谈确定了视角,动机,赋权和批判性思维的主题.
- 忠诚度评级总体上是积极的.
结论:
- 培训协调专科护理 (CSC) 提供者,包括同行专家和临床医生,提供决策指导是可行的和受欢迎的.
- 决策指导显示了早期精神病的年轻人对决策的潜在影响.
- 建议在更大的受控试验中进行进一步的研究,以证实这些发现.
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