实施LGBTQ积极的CBT:在90个LGBTQ社区中心进行有效性实施试验的研究协议
John E Pachankis1, Danielle Chiaramonte2, Hunter T Baldwin2
1Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA. john.pachankis@yale.edu.
BMC health services research
|July 21, 2025
概括
这项研究比较了在社区中心实施LGBTQ肯定性认知行为治疗 (CBT) 的三种培训策略. 调查结果将指导国家对这种基于证据的实践对性和性别少数群体 (SGM) 的实施.
科学领域:
- 心理健康差异的差异
- 实施科学 实施科学
- 基于证据的实践.
背景情况:
- 性和性别少数群体 (SGM) 面临着严重的心理健康差异.
- 缺乏量身定制的,基于证据的实践 (EBP) 有助于这些差异.
- 对LGBTQ积极的认知行为疗法 (CBT) 是SGM心理健康的关键EBP,LGBTQ社区中心是理想的实施地点.
研究的目的:
- 为了比较实施LGBTQ肯定性CBT的三个培训策略的有效性.
- 确定影响实施成功的中心级主持人.
- 通过组织和提供者机制检查培训策略对客户心理健康的影响.
主要方法:
- 一个混合型III有效性实施试验,将90个中心随机分配到三个附加训练策略:自动节奏的数字材料,材料加实时网络研讨会,或材料加网络研讨会和本地监督.
- 主要结果:通过模拟实践评估提供者的忠诚度.
- 混合方法设计,捕捉实施决定因素,调解因素和其他结果;通过15个中心的客户调查评估临床有效性.
主要成果:
- 试验将评估提供者忠诚度,实施决定因素 (例如资源,特征),调解者 (例如气候,自我有效性) 和干预适应/维持.
- (研究方案;结果待定) 临床有效性将根据患者的心理和行为健康症状来衡量.
结论:
- 需要进行研究,以确定LGBTQ肯定性CBT的最佳全国实施策略.
- 本研究旨在为在低资源环境中实施EBP提供可通用的指导,为心理健康差异人口提供服务.
- 调查结果将在LGBTQ社区中心有效传播LGBTQ积极的CBT.
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