阻碍和促进参与低强度认知行为疗法 (CBT) 干预的会议间工作的障碍和促进者:对患者感知的定性探索
Mia Bennion1, Karina Lovell1, Amy Blakemore1
1Division of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK.
Cognitive behaviour therapy
|March 11, 2025
概括
在低强度认知行为疗法 (CBT) 中,从事会议间工作 (BSW) 是至关重要的. 优先考虑BSW,量身定制的规划和社会支持,大大提高了患者参与心理健康干预的可能性.
科学领域:
- 心理健康 心理健康
- 心理学 心理学 心理学
- 医疗保健提供 医疗保健提供
背景情况:
- 低强度干预措施在全球范围内被采用用于常见的心理健康问题,强调通过会议间工作 (BSW) 患者的自我管理.
- 在BSW中完成任务对于改善症状至关重要,但仍然是一个重大挑战.
- 关于BSW在低强度心理健康环境中的参与预测因素的研究有限.
研究的目的:
- 探索基于低强度认知行为疗法 (CBT) 的干预措施的会议间参与的障碍和促进因素.
- 确定影响患者遵守治疗课程之外实践的自我管理技术的因素.
主要方法:
- 使用解释性描述方法的定性研究.
- 采访英国NHS谈话疗法服务的24名患者的框架分析.
- 探索患者在会话间的参与度方面的经验.
主要成果:
- 在会议期间优先考虑和支持BSW,可以培养患者对会议间活动的良好态度.
- 具体的,量身定制的任务规划,持续的从业人员审查,以及对未完成任务的积极反应是确保参与的关键.
- 外部社会支持网络加强了参与,并有助于缓解时间限制等障碍.
结论:
- 需要有针对性的提供者培训,以便在低强度干预中一致应用提高参与度的技术.
- 调整干预交付以纳入患者偏好和利用社会支持的调整可以提高有效性.
- 研究结果提供了可操作的指导,以改善低强度心理健康干预的全球交付和结果.
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