提供者对以创伤为重点的EBT/EBP实施忠实性的看法:实施过程和个人影响
Stephanie Gusler1, Ginny Sprang2, Jessica Eslinger2
1Center on Trauma and Children, University of Kentucky, Lexington, USA. stephanie.gusler@uky.edu.
Community mental health journal
|November 5, 2025
概括
创伤治疗中的高实施忠诚度与提供者同情和有效策略有关. 二次创伤性压力会对忠诚度产生负面影响,但通过支持策略和提供者的有效性可以减轻其影响.
科学领域:
- 实施科学 实施科学
- 心理健康服务研究 心理健康服务研究
- 临床心理学 临床心理学
背景情况:
- 实施忠实性确保干预措施与设计相匹配,这对于复杂的创伤病例至关重要.
- 随机对照试验 (RCT) 经常使用资源密集的忠实性策略.
- 以创伤为重点的基于证据的治疗/实践 (EBT/EBP) 由于患者的并发症而面临独特的挑战.
研究的目的:
- 检查影响提供者对创伤为中心的EBT/EBP实施忠实的看法的影响因素.
- 利用实施研究综合框架 (CFIR) 分析实施过程和个别特征.
- 研究这些因素之间的相互作用及其对忠诚度的影响.
主要方法:
- 在598名为儿童服务的心理健康提供者进行的在线调查.
- 评估提供者人口统计,个人有效性,二次创伤性压力 (STS),同情满意度和组织实施策略.
- 采用回归分析来探索变量之间的相互作用.
主要成果:
- 同情的满意度,实施策略的使用,以及个人有效性与忠诚感知有积极的相关性.
- 二次创伤性压力 (STS) 与实施忠实度有显著的负面关联.
- 根据所服务的人口和监督类型 (咨询与面对面) 观察到忠诚度的显著差异.
- STS,策略使用和个人有效性之间的相互作用显著预测了忠诚度.
结论:
- 提供者福祉 (同情满意度,STS) 和组织支持 (战略使用) 对于保持实施忠实性至关重要.
- 了解个人和组织因素的相互作用是优化创伤为中心的EBT/EBP忠诚度的关键.
- 调查结果为策略提供信息,以加强在现实环境中持续提供创伤干预措施.
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