通过将基于网络的认知行为疗法计划与远程医疗心理支持相结合,解决澳大利亚医生的倦怠问题 - - 三臂随机对照试验的协议
M J Coleshill1,2, M J Black1,3, K Luck1
1Black Dog Institute, Sydney, Australia.
Contemporary clinical trials communications
|July 21, 2025
概括
导航燃烧,一个数字认知行为疗法计划,有效地减少了医生的燃烧. 混合护理方法显示出最强的结果,为医疗保健专业人员提供了重要的支持模式.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 医疗保健管理的管理
背景情况:
- 卫生专业人员中高患倦怠率威胁着澳大利亚的医疗保健系统.
- 在现有的治疗计划中,人们对倦怠的关注有限.
- 基本网络 (TEN) 开发了Navigating Burnout,这是一个数字认知行为疗法 (CBT) 程序.
研究的目的:
- 检查导航倦怠计划的有效性,可接受性和成本效益.
- 为了比较混合护理模式 (数字+远程医疗) 与仅数字格式.
- 评估该计划对减少医生倦怠的影响.
主要方法:
- 一个三臂随机对照试验 (RCT) 涉及207名患有倦怠症的医生.
- 干预组:混合导航倦怠,仅数字导航倦怠和积极控制 (自我照顾心理教育).
- 测量结果:倦怠,心理社会福祉,劳动力参与/磨损,在基线,治疗后和3个月后续的服务接受度.
主要成果:
- 在治疗后3个月,在两个治疗臂中,燃烧率的假设降低.
- 预计在混合护理组中效果最强.
- 预计心理社会和职业结果的积极趋势,数字格式的服务接受度很高.
结论:
- 导航倦怠显示了整合到现有的医疗保健支持服务的潜力.
- 证明了混合护理模型在解决职业倦怠方面的有效性.
- 为澳大利亚医生提供必要的服务,并为其他组织提供可复制的模式.
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