患者拒绝初级保健试验的原因在线治疗:一种混合方法研究
Fiona Fox1,2, Debbie Tallon3, Roz Shafran4
1NIHR ARC West, Bristol, United Kingdom f.fox@bristol.ac.uk.
BJGP open
|January 23, 2025
概括
许多患者拒绝在线认知行为疗法 (CBT) 试验,因为他们担心参与研究,在线交付或治疗类型. 了解这些障碍是未来在数字心理健康研究中招募的关键.
科学领域:
- 心理健康研究 心理健康研究
- 数字治疗学数字治疗学
- 临床试验招聘 临床试验招聘
背景情况:
- 整合治疗师支持和认知行为疗法 (CBT) 的在线平台为抑郁症治疗提供了潜在的途径.
- 一项临床试验正在评估这种综合在线CBT交付模式.
- 了解参与率下降的原因对于优化对此类试验的招聘至关重要.
研究的目的:
- 调查初级保健患者拒绝参加抑郁症综合在线CBT试验的动机.
主要方法:
- 在三个英国试验场所采用混合方法方法.
- 数据收集涉及所有拒绝者的问卷和对子集的深入电话采访.
- 使用描述性统计数据分析了定量数据,并进行了定性数据的主题分析.
主要成果:
- 在1799名潜在参与者中,有40.3%的人拒绝进一步联系.
- 主要原因包括对参与研究的不情愿 (n=387),在线治疗 (n=284) 和CBT本身 (n=262).
- 面试显示了有关资格的担忧,之前的CBT经验,以及在线交付的不确定性,以及个人情况和症状严重程度.
结论:
- 患者不愿加入在线CBT试验的原因在于他们对治疗资格的看法,之前的经验,以及对干预的接受.
- 在招聘时解决患者对研究,在线交付和治疗类型的担忧至关重要.
- 这种洞察力有助于改善数字心理健康干预的招聘策略.
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