准备认知行为疗法:一个德尔菲练习来开发一个共识的课程
Louise Turtle1, Nathan Hodson2, Helen Wesson1
1University of Warwick, Coventry, UK.
BMJ open
|August 6, 2025
概括
制定了一个共识课程,以便在治疗前向患者提供认知行为疗法 (CBT) 的信息. 这旨在改善每年从NHS谈话疗法中脱离的100多万人的参与和结果.
科学领域:
- 心理治疗方法 心理治疗方法
- 提供心理健康护理 提供心理健康护理
背景情况:
- 从NHS谈话疗法服务中脱离的高脱离率 (每年超过100万) 强调了需要改善患者准备的需要.
- 治疗前信息不足可能导致患者在认知行为疗法 (CBT) 之前或期间放弃治疗.
研究的目的:
- 在开始CBT之前,建立基于共识的课程,详细介绍服务用户的基本信息.
- 提高患者对CBT的理解和准备,从而有可能改善参与和治疗结果.
主要方法:
- 进行了一项Delphi研究,涉及41名在NHS谈话疗法服务中具有临床或领导经验的参与者.
- 采用了三轮调查,旨在在80%的陈述上达成90%的共识,直到建立最终的课程.
主要成果:
- 制定了一个共识课程,包括六个关键领域的27个陈述.
- 这些领域包括:紧急信息,什么是CBT?,实践准备,会议结构,CBT不是什么,以及最大限度地利用CBT的好处.
结论:
- 开发的课程为在NHS谈话治疗中充分准备患者接受CBT提供了基础框架.
- 未来的研究应该考虑这些27个主题,以解决心理健康服务的参与和结果改进.
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