使用社区参与来适应焦虑认知行为治疗在密歇根州社区组织中接受服务的自闭症青少年:混合方法研究协议
Jessica Tschida1, Izza Peeran2, Amy Drahota2
1Michigan State University, East Lansing, Michigan, USA tschidaj@msu.edu.
BMJ open
|July 23, 2025
概括
自闭症青少年的焦虑干预需要适应社区使用. 一种新方法 (AM-PACE) 成功地适应了认知行为疗法 (BIACA),显示出更广泛,公平的获取和改善结果的希望.
科学领域:
- 精神病学和行为科学
- 自闭症谱系障碍研究研究
- 临床心理学 临床心理学
背景情况:
- 焦虑症在自闭症青少年中很常见,持续到成年期并降低生活质量.
- 现有的基于证据的干预措施,如自闭症儿童焦虑行为干预 (BIACA) 显示出有效性,但需要适应社区环境.
- 在社区环境中进行有限的测试强调了需要可访问的适应.
研究的目的:
- 通过使用社区参与方法 (AM-PACE) 将BIACA干预调整为自闭症青少年社区使用.
- 在社区提供者中评估适应的BIACA干预措施的可行性,可接受性,适当性和可用性.
- 确定适应是否提高了在社区环境中公平实施BIACA的潜力.
主要方法:
- 采用混合方法的方法,采用通过社区参与 (AM-PACE) 调整方案调整方法的调整版.
- AM-PACE涉及一个社区咨询委员会,确定核心组件,社区反 (调查,采访) 和角色扮演练习.
- 200个社区提供者评估了原始和调整的BIACA干预措施;使用重复测量ANOVA分析数据.
主要成果:
- AM-PACE 方法促进了 BIACA 对社区环境的适应.
- 预计适应的BIACA的提供商评级将更高,这表明可行性,可接受性和可用性有所改善.
- 对调整干预措施的更高评级表明,公平实施的潜力增加了.
结论:
- 使用AM-PACE的社区参与适应是修改基于证据的干预措施的可行策略,如BIACA.
- 经过调整的BIACA干预措施显示,在社区环境中为自闭症青少年提供有效和公平的承诺.
- 这种方法可以改善自闭症患者获得心理健康支持的机会,解决关键的未满足需求.
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