创伤青年参与学习协作活动的预测因素:复制和扩展
Lang A Duong1, Elizabeth Lane1, Grace Woodard1
1Department of Psychology, University of Miami.
概括
提供者参与基于证据的实践 (EBP) 培训,如以创伤为重点的认知行为疗法 (TF-CBT),当实践已经受到创伤信息时,其参与度更高. 未来的计划应侧重于增加适应性,以提供者低参与率的风险.
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:
- 提供者参与基于证据的实践 (EBP) 培训对于有效的服务提供至关重要.
- 对EBP培训参与预测指标的发现的复制是有限的.
- 基于社区的学习协作 (CBLC) 用于传播EBP,如创伤重点认知行为疗法 (TF-CBT).
研究的目的:
- 扩展和复制有关提供者参与TF-CBT培训的预测因素的发现.
- 检查两家CBLC对青少年创伤治疗的参与.
主要方法:
- 在22个机构的135个提供商参加了.
- 综合估计方程 (GEE) 用于分析数据,以计算临床医生在机构内的嵌套情况.
- 评估了参与率和CBLC组件的完成.
主要成果:
- 在复制阶段,总体参与率更高.
- 认为其实践是创伤信息的提供者更有可能参与.
- 关于实施气候,以前使用TF-CBT,积极态度,组织支持或先前知识的参与没有得到重复.
结论:
- 现有的提供者实践对于设计和规划CBLC实施至关重要.
- 未来的努力应该集中在增加CBLC适合低参与度风险的提供者.
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