在使用交互式查程序时,激励性采访技术与美国医疗保健工作人员的心理健康寻求帮助行为的相关性如何?
Jodi Jacobson Frey1, Yali Deng1, Philip J Osteen2
1School of Social Work, University of Maryland, Baltimore, Maryland, USA.
BMJ public health
|February 28, 2025
概括
动机面试技术,特别是提问,通过互动查计划 (ISP) 显著增加了医疗保健工作者寻求帮助的行为. 这支持使用ISP来改善对这一群体的心理健康支持.
科学领域:
- 职业健康 职业健康 职业健康
- 心理健康服务研究 心理健康服务研究
- 行为心理学 行为心理学
背景情况:
- 美国医疗保健工作者中自杀率和心理健康问题不断上升,需要有效的支持系统.
- 互动查计划 (ISP) 被美国医疗保健工作人员用于心理健康评估.
- 了解ISP内部特定咨询技术的影响对于优化员工心理健康结果至关重要.
研究的目的:
- 评估美国医疗保健工作人员对互动查计划 (ISP) 的使用情况.
- 确定ISP顾问使用的激励面试 (MI) 技术与员工寻求帮助结果之间的关联.
主要方法:
- 一个回顾性一组研究分析了5922名医疗保健员工 (2009-2019) 的非身份化ISP对话数据.
- 测量的寻求帮助结果包括转诊请求,对心理健康服务的承诺和寻求服务的意愿.
- 评估的关键暴露是辅导员在对话期间应用MI技术.
主要成果:
- 在极度困难的ISP用户中,超过25%参与了对话,其中63%要求转介.
- 女性,年轻的员工,痛苦程度较高的人以及没有接受当前心理健康服务的个人更有可能要求转诊.
- 辅导员使用MI"问问题"技术与转诊请求 (OR=3.12),服务承诺 (OR=2.18) 和寻求服务的意愿 (OR=2.21) 的几率明显更高有关.
结论:
- 这些发现强烈支持在ISP对话中整合MI技术,特别是提出问题.
- 在ISP中使用这些MI策略可以有效地鼓励医疗保健员工寻求必要的心理健康支持.
- 随着MI的增强,ISP为改善医疗保健工作人员寻求帮助的心理健康行为提供了一个可行的工具.
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