在模块化初级保健行为健康焦虑干预中,患者和提供者对共享决策的贡献:定性描述性分析
Shannon Glasgow1, Julie C Gass1, Sara Tauriello1
1Department of Veterans Affairs Center for Integrated Healthcare, Western New York Department of Veterans Affairs Medical Center.
Psychological services
|November 17, 2025
概括
这项研究确定了特定的患者和提供者行为,证明了焦虑干预中共享决策 (SDM). 结果提供了实用例子,以提高SDM在初级保健行为健康设置.
科学领域:
- 行为心理学 行为心理学
- 临床心理学 临床心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要.
- 在初级保健行为健康中了解SDM行为对于有效的干预至关重要.
- 在初级保健中进行焦虑干预需要明确的患者-提供者合作框架.
研究的目的:
- 在初级保健行为健康中的模块化焦虑干预中描述共享决策 (SDM) 领域.
- 识别和量化患者和提供者的行为,以SDM领域为例.
- 提高SDM在临床实践中的理解和应用.
主要方法:
- 从最初的干预会话中对音频录音进行了演性的定性分析.
- 利用已建立的SDM理论来识别行为范例.
- 包括15名患有焦虑症状的退伍军人和5名干预医生.
主要成果:
- 在所有会议中都观察到SDM一致的行为.
- 确定了常见的提供者行为:邀请问题,验证,共享信息,讨论偏好和同意决策.
- 确定了常见的患者行为:响应,描述症状,列出目标和选择选项.
- 一个新的领域,主动倾听,被确定与特定的行为指标.
结论:
- 这项研究提供了SDM在初级保健行为健康中的具体行为示例.
- 结果可以指导努力,以增加患者和提供者参与SDM.
- 提高SDM可以改善患者为焦虑症状提供以患者为中心的护理.
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