提供者对青少年部分住院治疗中跨诊断干预措施的可接受性,适当性和可行性的看法:混合方法实施过程评估过程
Elizabeth Casline1, Lauren Henry2, Katharine Reynolds2
1Center for Dissemination and Implementation Science, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine.
Psychological services
|January 27, 2025
概括
在部分住院计划 (PHP) 中实施跨诊断心理健康治疗显示出高可接受性. 障碍包括有限的知识获取和反思过程,而促进者涉及积极干预特征.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 实施科学 实施科学
- 儿童和青少年精神病学
背景情况:
- 部分住院计划 (PHPs) 对于强化青少年心理健康护理至关重要.
- 为独特的PHP环境调整干预措施是必不可少的,但具有挑战性.
- 跨诊断治疗为PHPs的复杂临床需求提供了潜在的潜力.
研究的目的:
- 评估在PHP中实施基于证据的跨诊断干预的障碍和促进因素.
- 在 PHP 中确定干预和实施适应的目标.
- 评估提供者对干预措施的可接受性,适当性和可行性的看法.
主要方法:
- 使用混合方法进行形成性实施过程评估.
- 对17名PHP临床提供者进行的关于"儿童和青少年情绪障碍跨诊断治疗统一协议" (UP-C/A) 的调查.
- 数据分析整合了定量评级和定性开放式响应.
主要成果:
- 对于UP-C/A.的可接受性,适当性和可行性的高评分.
- 关键的促进者包括积极的创新特征;关键的障碍是缺乏知识获取和有限的反思过程.
- 干预设计方面,如低复杂性和适应性,提高了可接受性.
结论:
- 在具有特定适应性的PHP中,UP-C/A是可以接受的,适当的和可行的.
- 解决提供者培训,领导力支持和接收者需求对于成功实施至关重要.
- 调整包括翻译,增强组组件,监督和反机制.
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