简要报告:评估在提供远程医疗群体认知行为压力管理方面的坚持和能力
Marcella May1, Molly Ream1, Sara F Milrad2
1University of Miami.
International journal of stress management
|February 24, 2025
概括
一个新的编码指南有效地评估了远程小组治疗中的治疗忠实性. 这个系统确保了治疗师的一致的坚持和能力,这对于验证诸如认知行为压力管理 (CBSM) 等干预措施至关重要.
科学领域:
- 心理学 心理学 心理学
- 远程医疗服务是远程医疗服务.
- 干预科学 干预科学
背景情况:
- 治疗的忠实性对于干预的有效性至关重要,但在偏远的环境中难以评估.
- 现有的忠诚度测量通常集中在个人治疗上,不适合小组干预.
- 远程心理和远程交付干预需要适应的忠实性评估工具.
研究的目的:
- 修改和评估视频会议提供的群体认知行为压力管理 (CBSM) 的忠实编码方法.
- 适应兰德公司忠诚度编码指南,用于评估集团CBSM的遵守和能力.
- 建立一个可靠的系统来验证远程交付的小组干预.
主要方法:
- 修改了兰德公司对集团CBSM的忠诚度编码指南.
- 将适应的指南应用于146个录制的CBSM会议.
- 通过使用科恩的kappa. 评估了依从性和能力项目的interrater可靠性.
主要成果:
- 取得了中度的整体间器可靠性 (平均卡帕 = .751).
- 在23个项目中,有20个项目至少表现出中等可靠性 (kappa> .600).
- 确定了需要进一步运营和评定员培训的三个项目.
结论:
- 调整后的系统可靠地评估了通过视频会议传递的集体CBSM中的坚持和能力.
- 这种方法可以验证远程交付的干预措施,并确定关键的治疗成分.
- 修改后的兰德指南可以适应各种远程交付的认知行为小组治疗.
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