检测差距:比较提供商和客户报告的参与青少年精神健康的指标
Eleanor G Wu1, Kimberly D Becker1, Benjamin M Isenberg2
1Department of Psychology, University of South Carolina.
概括
提供者往往错过了对远程健康 (TMH) 服务的低参与度,特别是在以关系为重点的方面. 多维调查可以帮助发现这些问题,以便更好地进行干预.
科学领域:
- 心理健康 心理健康
- 数字健康数字健康
- 临床心理学 临床心理学
背景情况:
- 电脑心理健康 (TMH) 服务在评估患者参与度方面存在独特的挑战.
- 早期发现参与问题对于及时干预和改善结果至关重要.
研究的目的:
- 检查提供者如何检测TMH的低参与度,无论是整体还是特定维度.
- 了解医疗服务提供者如何在活跃的TMH病例中描述高和低参与度.
主要方法:
- 一项调查评估了接受TMH的153名年轻人/护理人员的参与度.
- 基于学校的提供者 (N=49) 报告了他们案件的参与指标.
- 提供商报告的指标在五个参与维度中进行了定性编码.
主要成果:
- 近40%的病例通过自我报告显示出低参与度,但79%的病例被提供者遗漏.
- 当提供者发现参与度低时,他们的指标与自我报告相匹配的时间仅为23%.
- 低参与度更好地检测到参与 (出席,家庭作业),而不是过程 (关系,期望) 维度 (p=.004).
结论:
- 提供者在识别TMH参与度低方面不那么一致,特别是在以流程为导向的维度方面.
- 多维参与调查可以改善对TMH参与问题的早期发现和干预.
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