针对中国晚期癌症患者的以意义为中心的咨询计划的完善:整合文化适应和实施科学方法
Florence Lui1,2, Qingyi Zhang3, George Chengxi Bao4
1Immigrant Health and Cancer Disparities Service, Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, 633 Third Avenue, 4th floor, New York, NY, 10017, USA. luif@mskcc.org.
BMC health services research
|January 15, 2025
概括
这项研究完善了针对中国癌症患者的远程医疗心理治疗,增强了其文化相关性和实际用途. 建议侧重于灵活性,简化内容,提供者培训和翻译使用,以改善访问和可持续性.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 一种文化适应的远程医疗心理治疗 (MCP-Ch) 为患有晚期癌症的中国患者开发.
- 需要改进,以提高其可接受性,可理解性和在常规护理中的实施.
研究的目的:
- 为了确定MCP-Ch干预的必要修改.
- 通过生态有效性模型 (EVM) 和实用,稳健实施和可持续性模型 (PRISM) 提高其适用于晚期癌症的中国患者的适用性.
主要方法:
- 使用混合方法的方法,包括调查和半结构面试与15名心理健康专业人员.
- 量化数据评估了可接受性和可理解性 (EVM) 和预实施因素 (PRISM).
- 定性数据提供了深入的见解,独立编码和基于共识的分析.
主要成果:
- 定量发现表明MCP-Ch在EVM领域的高度适当性和相关性.
- 定性分析确定了EVM领域 (语言,人,方法等) 内的众多代码. 和PRISM主题 (干预特征,外部环境等). ) 的情况.
结论:
- 建议包括增加协议灵活性,简化内容,加强提供者培训,并利用翻译辅助交付.
- 这些改进旨在最大限度地提高MCP-Ch在现实环境中的文化相关性,实施和可持续性.
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