数字认知行为治疗以减少围产期焦虑症状:服务于历史上边缘化社区的提供者对实施障碍和促进者的看法
Bridgette Blebu1,2, Carolyn Ponting3,4, Kacie C A Blackman5
1The Lundquist Institute for Biomedical Innovation at Harbor, UCLA Medical Center, Torrance, CA, United States.
Translational behavioral medicine
|November 19, 2025
概括
数字认知行为疗法 (CBT) 在边缘化群体中显示出对围产期焦虑的前景. 实施需要解决供应商和系统因素,以实现公平获取和可持续性.
科学领域:
- 围产期心理健康 围产期心理健康
- 数字健康干预措施 数字健康干预措施
- 健康 公平 卫生 公平
背景情况:
- 围产期焦虑影响到边缘化的人群,他们面临诸如认知行为疗法 (CBT) 等治疗方法的障碍.
- 数字CBT适应提供了潜力,但需要进一步的实施研究.
研究的目的:
- 探索在种族边缘化和低收入周产期个体中使用数字CBT应用程序 (Daylight) 的障碍和促进因素.
- 作为潜在的实施者,参与了关键利益相关者,包括产周临床医生,杜拉和精神病医生.
主要方法:
- 进行了两个焦点小组,其中包括11名加利福尼亚州的临床医生,为低收入围产期患者提供服务.
- 利用覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架来指导数据收集和分析.
主要成果:
- 确定了12个影响数字CBT采用的主题,包括干预设计,用户特征和提供商/系统级因素.
- 临床医生认为数字CBT是可以接受的,有利于改善边缘化的围产期人口的获取.
结论:
- 成功实施数字CBT需要定制策略和文化相关的适应.
- 解决已识别的障碍对于扩大医疗保健机构的数字CBT至关重要,以支持公平和可持续的交付.
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