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凯尔实施研究:扩大加拿大医疗保健机构的基于小组的精神教育创伤疗法
Dana C Ross1,2, Louloua Ashikhusein Waliji3, Negar Sayrafizadeh3
1Women's College Hospital, Toronto, ON, Canada.
European journal of psychotraumatology
|February 16, 2026
概括
社区获取资源和弹性精神教育 (CARE) 干预措施成功改善了创伤护理的获取. 这种可扩展的模型证明了在多个医疗保健场所的可行性,可接受性和可持续性.
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
- 医疗保健培训模型 医疗保健培训模型
背景情况:
- 由于专业提供者短缺和高培训成本,受伤重点心理健康护理的获取有限.
- 缺乏研究可扩展培训和干预模型的现实世界实施.
- 需要在不同的医疗保健环境中提供可访问和有效的创伤干预措施.
研究的目的:
- 评估社区获取资源和弹性精神教育 (CARE) 干预措施的实施情况.
- 评估五个安大略省医疗保健组织的CARE干预措施的可行性,可接受性和可持续性.
- 确定CARE干预对患者结果的影响,包括PTSD,抑郁,焦虑和压力症状.
主要方法:
- 使用Proctor的实施成果框架进行前性,混合方法的实施研究.
- 涉及异步医疗保健提供者培训,为期8周的创伤专注精神教育小组和虚拟监督.
- 通过招聘/坚持数据,访谈,问卷和后续调查评估实施结果;用PCL-5和DASS-21测量患者的结果.
主要成果:
- 在所有五个地点成功实施,证明了高可行性和可接受性.
- 招募了163名有创伤病史的成年患者,干预后的PTSD,抑郁症,焦虑症和压力症状显著减少.
- 培训了48名医疗保健提供者,64.4%的患者参加了8次小组会议中的至少6次;所有地点在一年的随访中都持续实施.
结论:
- CARE干预是一个可扩展和有前途的模型,可以提供可访问的以创伤为中心的护理.
- 在多种不同的医疗保健环境中成功实施突出了其在解决创伤心理健康服务缺口方面的潜力.
- 该干预措施在改善患者心理健康结果和提供者技能发展方面表现出有效性.
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