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iCogCA通过数字小组干预促进精神分裂症谱系障碍患者的认知健康:非随机并发受控试验协议
Christy Au-Yeung1, Helen Thai1, Michael Best2
1Department of Psychology, McGill University, Montreal, QC, Canada.
JMIR research protocols
|April 15, 2025
概括
这项研究实施了针对精神分裂症谱系障碍的数字认知补救疗法,显示了高度的可接受性和可行性. 数字平台增强了心理健康从业人员的培训,改善了干预的可访问性.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 数字健康干预措施 数字健康干预措施
- 认知神经科学 认知神经科学
背景情况:
- 认知障碍显著影响精神分裂症谱系障碍 (SSD) 的结果.
- COVID-19 流行病加剧了心理健康服务需求和认知刺激差距.
- 在将基于证据的认知补救疗法,如基于行动的认知补救 (ABCR) 和元认知培训 (MCT) 转化为临床实践方面存在差距.
研究的目的:
- 在加拿大全国范围内为SSD患者实施和评估数字ABCR和MCT干预措施.
- 通过可访问的数字心理干预来增强SSD中的认知健康.
- 解决SSD认知修复的研究与实践之间的差距.
主要方法:
- 通过数字E-Cog平台培训心理健康从业人员的5个加拿大合作研究.
- 患有SSD的参与者在2.5年内接受干预前后评估.
- 一个非随机的并发控制设计使用通用线性混合效应建模来比较ABCR和MCT的有效性.
- 实施战略评估包括数字平台的有效性,上下文因素和可持续性.
主要成果:
- 一项试点试验证明了数字干预的高患者和治疗师接受度和可行性.
- 治疗师评级的参与是令人满意的,技术并没有显著阻碍参与.
- 目前正在进行的研究已经招募了114名参与者 (截至2024年冬季),治疗师通过E-Cog平台接受培训 (32名注册).
结论:
- 该项目是国家采用数字技术的先驱,用于基于证据的SSD干预.
- 实施结果将指导未来在心理健康护理方面的类似举措.
- 经过验证的E-Cog平台将加强从业人员的培训,并扩大对认知干预措施的访问.
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