通过基于互联网的家庭培训和电话指导促进患有PTSD的退伍军人开始接受心理健康治疗:随机对照试验的协议
Eric Kuhn1, Steven Sayers2, Lindsey Zimmerman3
1Dissemination and Training Division, National Center for PTSD, Palo Alto VA Medical Center, Palo Alto, CA, United States of America; Stanford University School of Medicine, Stanford, CA, United States of America.
Contemporary clinical trials
|May 4, 2025
概括
这项研究测试了VA-CRAFT,这是一个带有指导的网络程序,以帮助合作伙伴鼓励患有PTSD的退伍军人寻求心理健康护理. 结果将显示这种方法是否能改善不情愿的退伍军人寻求治疗的情况.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 临床心理学 临床心理学
- 公共卫生干预 公共卫生干预
背景情况:
- 许多患有创伤后应激障碍 (PTSD) 的退伍军人没有寻求必要的心理健康护理.
- 重要的人可以在鼓励寻求治疗方面发挥关键作用.
- 社区强化和家庭培训 (CRAFT) 是有效的物质使用障碍和适应PTSD.
研究的目的:
- 评估退伍军人事务-CRAFT (VA-CRAFT) 网络计划与电话指导的有效性,以增加患有PTSD的退伍军人中心理健康护理的利用率.
- 评估对客户满意度和参与者的幸福感的影响.
- 探索干预效应的潜在调解者和调节者.
主要方法:
- 随机对照试验比较VA-CRAFT加辅导进入护理 (CIC) 与单独的CIC.
- 参与者:230名退伍军人的配偶/伴侣被认为患有未经治疗的PTSD.
- 在基线,治疗后3个月和6个月的评估.
主要成果:
- 假设CIC + VA-CRAFT将导致退伍军人增加心理健康护理的开始,而不是仅仅是CIC.
- 试图在现有的高客户满意度率上不妥协.
- 探索性目标包括评估福利和识别调解员/主持人.
结论:
- 预计该试验将为VA-CRAFT与电话辅导相结合提供有效性证据.
- 积极的发现可以支持VA-CRAFT在不情愿的退伍军人的家庭服务中实施.
- 这种创新方法解决了退伍军人获得心理健康护理的关键差距.
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