在约旦,对受逆境影响的成年人进行简短心理干预的分阶级护理计划:试点随机对照试验的教训
Dharani Keyan1, Rand Habashneh2, Hafsa El-Dardery2
1School of Psychology, University of New South Wales, Sydney, New South Wales, Australia d.keyan@unsw.edu.au.
BMJ open
|August 25, 2025
概括
这项试点研究表明,在约旦,对心理困扰的分阶段照顾是可行的和可接受的. 与单次干预相比,逐步治疗方法显示抑郁症症状有所减少,为最终的RCT提供了信息.
科学领域:
- 心理健康干预措施
- 主要医疗保健研究
- 临床试验设计
背景情况:
- 心理困扰是一个重要的公共健康问题.
- 阶段性护理模式提供了灵活的心理健康治疗方法.
- 在大规模试验之前,试点研究对于改进干预措施至关重要.
研究的目的:
- 在约旦试验一项针对心理困扰的阶段性护理干预.
- 评估干预措施的安全性,可接受性和遵守性.
- 检查未来的最终随机对照试验 (RCT) 的试验程序.
主要方法:
- 在初级医疗机构进行了双臂,单盲,并行试验RCT.
- 招募了145名具有显著心理困扰的成年人 (凯斯勒心理困扰量级分数≥20).
- 参与者接受了分阶段的护理计划 (指导自助+小组计划) 或单独指导自助,以及通常的增强治疗.
主要成果:
- 当受过培训的非专业人员进行治疗时,分阶段治疗 (Doing What Matters + 组问题管理) 是可行的和可接受的.
- 与单个干预组相比,分阶段治疗组的参与者在干预后和3个月后的随访期表现出明显较低的抑郁症状.
- 试验程序对所有利益相关者来说都是可以接受的,在约旦的背景下证明了可行性.
结论:
- 试点结果支持在约旦实施心理困境的分阶级护理模式.
- 这项研究提供了必要的数据,以提供完整的临床和成本效益的最终RCT.
- 使用受过培训的非专业医疗保健工作者是提供心理健康干预的可行策略.
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