Assessing the implementation of suicide-focused treatments delivered in hybrid telemental health format in a real-world setting.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2024-10-22 DOI:10.1080/10503307.2024.2415104

Francesca Kassing, John R Seeley, Shireen L Rizvi, Scott N Compton, James Sinclair, Linda A Oshin, Kyla Blalock, David A Jobes, Jennifer Crumlish, Susan Stadelman, Filiz Gözenman-Sapin, Ted Snyderman, Allison K Ruork, Cassidy M Fry, Robert J Gallop, James Goodrich, Jacqueline Pistorello

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Abstract

Objective: The purpose of this study was to assess the implementation of suicide-focused treatments delivered via a hybrid telemental health (TMH) and in-person format.

Method: This study was conducted at four university counseling centers (UCCs) across the United States. Treatment-seeking clients were recruited from their local UCCs and participated in adaptive treatment strategies (ATSs) involving Treatment as Usual (TAU), Collaborative Assessment and Management of Suicidality (CAMS), and Dialectical Behavior Therapy (DBT). Implementation outcomes, including appropriateness, acceptability, feasibility, fidelity, safety, and client satisfaction, were assessed. UCC clinicians participated in qualitative interviews focused on implementation of TMH for clients presenting with suicidal ideation (SI).

Results: Overall, treatments delivered via hybrid format were reported to be appropriate, acceptable, feasible, and satisfactory by clinicians and clients. Implementation of TMH was reported to be equivalent to in-person treatment across multiple measurement methods.

Conclusion: Results from this study demonstrate that TMH is an implementable treatment modality for addressing suicidality, particularly for college students presenting to UCCs with SI. This study has implications for real-world clinical settings planning to offer hybrid treatment modalities to address SI.Trial registration: ClinicalTrials.gov identifier: NCT04728815.

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评估在真实世界环境中以混合远程医疗形式提供的自杀焦点治疗的实施情况。

研究目的本研究旨在评估通过远程医疗（TMH）和面对面混合形式提供的自杀焦点治疗的实施情况：本研究在美国四所大学的咨询中心（UCC）进行。从当地的大学咨询中心招募了寻求治疗的客户，他们参与了适应性治疗策略（ATS），包括常规治疗（TAU）、自杀性合作评估与管理（CAMS）和辩证行为疗法（DBT）。对实施结果进行了评估，包括适当性、可接受性、可行性、忠实性、安全性和客户满意度。UCC 临床医生参与了定性访谈，重点讨论了针对有自杀意念（SI）的客户实施 TMH 的情况：总体而言，临床医生和客户都认为通过混合形式提供的治疗是适当的、可接受的、可行的和令人满意的。在多种测量方法中，TMH 的实施效果与面对面治疗的效果相当：本研究的结果表明，TMH 是一种可实施的治疗模式，可用于解决自杀问题，尤其是对于因 SI 而前往 UCC 的大学生。这项研究对现实世界中计划提供混合治疗模式以解决SI问题的临床环境具有借鉴意义：试验注册：ClinicalTrials.gov identifier：NCT04728815.

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.