在一项随机对照试验中,可持续发展的组织调解者
Carrie B Jackson1, A D Herschell2,3, S M Taber-Thomas4
1SoCal Child Psychology, La Jolla, California, USA.
Evidence-based practice in child and adolescent mental health
|August 19, 2025
概括
培训设计影响行为健康实践的可持续性. 级联模型 (CM) 在家长儿童互动疗法 (PCIT) 的可持续性方面显示出比协作学习 (LC) 或远程教育 (DE) 更好的结果.
科学领域:
- 行为健康 行为健康
- 实施科学 实施科学
- 临床心理学 临床心理学
背景情况:
- 组织特征和培训方法可以支持实践的可持续性.
- 这些因素在行为健康环境中没有得到充分的研究.
- 基于证据的实践的可持续性对于有效的护理提供至关重要.
研究的目的:
- 检查培训设计对临床医生报告的可持续性的间接影响.
- 调查组织资源,培训暴露和气候的作用.
- 为了比较三个培训条件的父母儿童互动疗法 (PCIT) 可持续性.
主要方法:
- 随机试验与50家诊所和100名临床医生在三个条件:学习协作 (LC),级联模型 (CM) 和远程教育 (DE).
- 在基线,6,12和24个月收集的数据.
- 用于评估可持续性结果的多层次路径分析 (案件负担,协议使用,服务的家庭).
主要成果:
- 组织资源,培训曝光和气候因条件而异.
- 与DE相比,CM条件显示了较大的PCIT案件负载和更多的家庭服务.
- 这种LC条件导致服务的家庭减少,PCIT协议的使用率更高.
结论:
- 组织因素间接影响PCIT的可持续性,培训后两年.
- 培训方法和咨询对可持续性的影响取决于条件.
- 级联模型 (CM) 可以通过增加组织资源来提高可持续性.
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