Counselling & Psychotherapy Research最新文献

Collaboration with clients to create journal notes: A mixed methods evaluation of a pilot intervention study in a municipality mental health services team 与客户合作创建日志笔记：对市政精神卫生服务团队试点干预研究的混合方法评估

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-10-01 DOI: 10.1002/capr.12829

Kjellaug K. Myklebust, Helene Hoemsnes, Øyvind Kvello, Solveig Karin Bø Vatnar

Introduction

The purpose of this study was to evaluate an intervention designed to encourage therapists in a municipality mental health services team to collaborate with their clients when writing journal notes. The team was part of a low-threshold mental health service for children, adolescents and their parents. The therapists offered individual therapeutic sessions with children, adolescents and parents, as well as family sessions. The therapists documented their encounters in the clients' electronic health records.

Methods

The study used a convergent mixed methods design. First, the quality and quantity of documented therapist–client interactions were measured before and after the intervention using the Scale for the Evaluation of Staff-Patient Interactions in Progress Notes (SESPI). Cross-tabulation and logistic regression analyses were used to examine potential differences in the recording of therapists' approaches before and after intervention. Second, we explored the therapists' experiences of participating in this project by conducting individual in-depth interviews. Qualitative interviews were analysed by systematic text condensation. Finally, the quantitative results from assessing the journal notes were contextualised with the qualitative results from the interviews.

Results

The number of journal notes describing therapist approach and client response increased by 25% points after the intervention. In the interviews, the therapists acknowledged the intervention's relevance to their practice. However, they invited only a limited number of clients to co-create journal notes. The clients welcomed the invitation.

Conclusion

Collaborative documentation challenges established journal documentation practices and may strengthen the client's voice. This study provides suggestions for strengthening the intervention in the future full-scale studies.

本研究的目的是评估一种干预措施，该干预措施旨在鼓励市政精神卫生服务团队的治疗师在撰写日志笔记时与其客户合作。该小组是为儿童、青少年及其父母提供的低门槛心理健康服务的一部分。治疗师为儿童、青少年和家长提供单独的治疗课程，以及家庭会议。治疗师在客户的电子健康记录中记录了他们的遭遇。方法采用收敛混合法设计。首先，使用进度记录中工作人员-患者互动评估量表（SESPI）测量干预前后记录的治疗师-客户互动的质量和数量。使用交叉表和逻辑回归分析来检查干预前后治疗师方法记录的潜在差异。其次，我们通过个人深度访谈的方式，探讨了治疗师参与这个项目的经历。定性访谈采用系统的文本浓缩法进行分析。最后，评估期刊笔记的定量结果与访谈的定性结果相结合。结果干预后，描述治疗师方法和来访者反应的日志数量增加了25%。在访谈中，治疗师承认干预与他们的实践相关。然而，他们只邀请了有限数量的客户来共同创作日记。客户对邀请表示欢迎。协作文档挑战了已建立的期刊文档实践，并可能加强客户的声音。本研究为今后的全面研究提供了加强干预的建议。

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引用次数: 0

Effects of a muscle relaxation exercise programme on test anxiety and sleep quality among fourth-year nursing students before comprehensive examination in Palestine 巴勒斯坦四年级护生综合考试前肌肉放松运动对考试焦虑和睡眠质量的影响

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-09-29 DOI: 10.1002/capr.12831

Mohammad Amro, Malakeh Z. Malak, Ahmad Ayed

Introduction

There is a lack of research on the effect of progressive muscle relaxation (PMR) on minimising test anxiety and enhancing sleep quality among nursing students in Arab countries, including Palestine. Therefore, this study aimed to investigate the effects of a PMR intervention programme on test anxiety and sleep quality in fourth-year nursing students before the comprehensive examination in Palestine.

Methods

A one-group pre-/postdesign was conducted on a group of fourth-year nursing students before the comprehensive examination (N = 60) at Arab American University in Palestine. The PMR programme consisted of five sessions lasting 45 min over the course of 1 week and was implemented from the beginning of January to the end of January 2024.

Results

Findings indicated a significant difference in test anxiety pre- and post-PMR exercise (t_[59] = 19.3, p < .01). Also, a significant difference was found in sleep quality before and after the PMR exercise (t_[59] = 15.4, p < .01). Additionally, no difference was found in test anxiety and sleep based on age and gender pre-/post-PMR intervention programme.

Conclusion

This study proposes that PMR effectively reduces test anxiety and improves sleep quality among nursing students. Therefore, the PMR programme should be incorporated as a therapeutic intervention for nursing students and students in general and particularly those suffering from test anxiety and poor sleep quality. Also, mental health counsellors and instructors can use such interventions in their therapeutic management as non-pharmacological therapy.

关于渐进式肌肉放松（PMR）对包括巴勒斯坦在内的阿拉伯国家护理专业学生减少考试焦虑和提高睡眠质量的影响，目前缺乏研究。因此，本研究旨在探讨PMR干预方案对巴勒斯坦护生综合考试前考试焦虑和睡眠质量的影响。方法对巴勒斯坦阿拉伯裔美国大学护理专业四年级学生（60名）进行综合考试前的单组前后设计。PMR方案包括五次会议，每次45分钟，为期一周，从2024年1月初到1月底实施。结果pmr运动前后考试焦虑差异有统计学意义（t[59] = 19.3, p < 0.01）。PMR运动前后的睡眠质量也有显著差异（t[59] = 15.4, p < 0.01）。此外，在pmr干预计划前/后，没有发现基于年龄和性别的考试焦虑和睡眠差异。结论PMR能有效降低护生考试焦虑，改善睡眠质量。因此，PMR计划应该被纳入护理专业学生和一般学生的治疗干预，特别是那些患有考试焦虑和睡眠质量差的学生。此外，心理健康咨询师和指导员可以在其治疗管理中使用非药物治疗等干预措施。

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引用次数: 0

Reflections from LGBTQIA+ individuals of their past experiences of psychotherapy and counselling and the use of creative therapy—A qualitative study LGBTQIA+个体对过去心理治疗、咨询和创造性治疗使用经历的反思——一项定性研究

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-09-29 DOI: 10.1002/capr.12825

Mark Crummy, Suzy Hansford

Background

Previous literature tends to suggest that the LGBTQIA+ community face higher rates of mental disorders and illnesses. This appears to be due to minority stress as a result of the discrimination and hostility towards the community from society. In relation to psychotherapy and/or counselling, affirmative therapy has been found to be helpful; however, it is clear from the literature that the LGBTQIA+ population do not feel accepted or understood when accessing mental health support.

Method

Participants were invited to take part in an interview consisting of open-ended questions relating to the topic of interest. Following this, a thematic analysis was completed.

Findings

The thematic analysis revealed four main themes: these were ‘sexuality and gender within the therapeutic relationship’, ‘desirable characteristics and attributes in a therapist’, ‘undesirable characteristics and attributes in a therapist’ and ‘creative therapy’.

Implications for Practice

The results could be used to inform mental health practitioners of the importance of cultural competency in relation to the LGBTQIA+ community, as well as helping aid how to approach sexuality and/or gender in a therapeutic space. The conclusions also highlight the need for practitioners to explore context with LGBTQIA+ clients rather than solely emotion focus.

Conclusion

This study indicated that the LGBTQIA+ community prefer working with LGBTQIA+ therapists due to a shared lived experience and perceived baseline understanding of each other. It was also found that context was important for them in therapy, rather than emotion focus, and creative therapy was also shown to be useful for the community.

背景先前的文献倾向于表明LGBTQIA+社区面临更高的精神障碍和疾病发生率。这似乎是由于社会对少数民族的歧视和敌意造成的少数民族压力。在心理治疗和/或咨询方面，积极疗法已被发现是有帮助的；然而，从文献中可以清楚地看出，LGBTQIA+人群在获得心理健康支持时感觉不被接受或理解。方法：参与者被邀请参加一个由与感兴趣的主题有关的开放式问题组成的访谈。在此之后，完成了专题分析。主题分析揭示了四个主要主题：“治疗关系中的性和性别”、“治疗师可取的特征和属性”、“治疗师不可取的特征和属性”和“创造性治疗”。该结果可用于告知心理健康从业者与LGBTQIA+社区相关的文化能力的重要性，以及帮助帮助如何在治疗空间中处理性和/或性别。结论还强调了从业者需要探索LGBTQIA+客户的背景，而不是仅仅关注情感。结论：本研究表明，LGBTQIA+群体更愿意与LGBTQIA+治疗师合作，因为他们有共同的生活经历，并对彼此有基本的了解。研究还发现，在治疗中，情境对他们来说更重要，而不是情感焦点，创造性治疗也被证明对社区有用。

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引用次数: 0

Comparing perceived empathy and intervention strategies of an AI chatbot and human psychotherapists in online mental health support 比较人工智能聊天机器人和人类心理治疗师在在线心理健康支持中的感知同理心和干预策略

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-09-29 DOI: 10.1002/capr.12832

Refael Yonatan-Leus, Hadas Brukner

Background

Given the growing potential of artificial intelligence (AI) to enhance therapeutic interventions and work with a large number of people, it is crucial to understand AI's differences, advantages and limitations compared with human therapists.

Methodology

This study compared an AI chatbot's and human psychotherapists' capabilities in responding to mental health enquiries in an online forum. One hundred and fifty questions from a Reddit forum, where qualified therapists provide mental health support, were selected. Each question received two responses: one from a human therapist and one generated by AI. These 300 responses were coded and compared based on empathy indices and psychological intervention types.

Results

The results indicated that AI scored significantly higher in perspective-taking (V = 12,957, p < .001, r = .53) and empathic concern (V = 17,400, p < .001, r = .60). AI was more likely to use supportive interventions (42.2% vs. 21.8%) and slightly more likely to aim for insight-driven change (6.41% vs. 4.57%). In contrast, human therapists were more inclined to provide advice and information (47.84% vs. 39.81%), explore dysfunctional patterns (19.95% vs. 10.29%) and ask clarifying questions (4.09% vs. 0.97%). A chi-squared test confirmed significant differences between the intervention types used by AI and human therapists (χ²[8, N = 300] = 67.80, p < .001).

Discussion

These findings highlight AI's potential for basic perceived empathic support, especially in administrative tasks and therapist training. However, the study's scope is limited to single interactions, without the consideration of the nuanced communication available to human therapists through speech, facial expressions and body language.

鉴于人工智能（AI）在增强治疗干预和与大量人群合作方面的潜力越来越大，了解AI与人类治疗师相比的差异、优势和局限性至关重要。本研究比较了人工智能聊天机器人和人类心理治疗师在在线论坛上回答心理健康问题的能力。从Reddit论坛中选出了150个问题，合格的治疗师在那里提供心理健康支持。每个问题都有两个答案：一个来自人类治疗师，另一个由人工智能生成。根据共情指数和心理干预类型对300份问卷进行编码和比较。结果人工智能在换位思考方面得分显著高于人工智能（V = 12,957, p <）。001年,r = 53)和移情的担忧(V = 17400, p & lt;。001, r = 0.60)。人工智能更有可能使用支持性干预措施（42.2%对21.8%），更有可能以洞察力驱动的变革为目标（6.41%对4.57%）。相比之下，人类治疗师更倾向于提供建议和信息（47.84%对39.81%），探索功能障碍模式（19.95%对10.29%），并提出澄清性问题（4.09%对0.97%）。卡方检验证实人工智能和人类治疗师使用的干预类型之间存在显著差异（χ2[8, N = 300] = 67.80, p < .001）。这些发现强调了人工智能在基本感知共情支持方面的潜力，特别是在管理任务和治疗师培训方面。然而，这项研究的范围仅限于单一的互动，没有考虑到人类治疗师通过言语、面部表情和肢体语言进行的细微交流。

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引用次数: 0

The new wave: Integrating artificial intelligence into ethical and multicultural counselling 新浪潮：将人工智能融入伦理和多元文化咨询

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-09-27 DOI: 10.1002/capr.12830

Chidozie Urom, Brittn Grey, Sylvia Lindinger-Sternart, Samantha Lucey

Background

The disruptive forces of the COVID-19 pandemic offer an example of how cutting-edge innovations such as telehealth became established in society. Simultaneous to the rise of telehealth, artificial intelligence (AI) has advanced rapidly and with the potential to further disrupt services across the spectrum of technology and healthcare delivery. Deemed as the next frontier in the mental health field, AI technology has introduced cutting-edge innovations within human-centred fields across disciplines (Espejo [Academic Psychiatry, 47, 437 and 2023]). This paper calls into question the transformative potential of AI in a field, such as psychotherapy and professional counselling, which is significantly based on human relations. As professional counsellors, it is imperative that AI does not dehumanise effective services based on empathy and positive regard.

Objectives

This article reviews the current landscape of AI and counselling research and offers two main messages: (1) what new or revised ethical standards are needed for clinical practice to prevent negative consequences of improper use when integrating AI and (2) the practical implications for effective multicultural counselling when integrating AI into psychotherapy and counselling services.

COVID-19大流行的破坏性力量为远程医疗等尖端创新如何在社会中建立起来提供了一个例子。在远程医疗兴起的同时，人工智能（AI）发展迅速，并有可能进一步颠覆整个技术和医疗保健提供领域的服务。人工智能技术被视为精神健康领域的下一个前沿，在以人为中心的跨学科领域引入了前沿创新（Espejo[学术精神病学，47,437和2023]）。这篇论文对人工智能在心理治疗和专业咨询等领域的变革潜力提出了质疑，这些领域在很大程度上是基于人际关系的。作为专业咨询师，人工智能不能使基于同理心和积极关注的有效服务失去人性。本文回顾了人工智能和咨询研究的现状，并提供了两个主要信息：(1)临床实践需要哪些新的或修订的伦理标准，以防止在整合人工智能时使用不当的负面后果；(2)将人工智能整合到心理治疗和咨询服务中时，对有效的多元文化咨询的实际意义。

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引用次数: 0

Cross-sectional online survey on the perspectives of more than 1100 Austrian therapists on integrating nature in psychotherapy 对1100多名奥地利治疗师在心理治疗中融入自然的观点进行横断面在线调查

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-09-27 DOI: 10.1002/capr.12823

Sandra Elisabeth Aigner, Rachel Dale, Eric Pfeifer, Thomas Probst, Stefanie Winter, Bernhard Herburger, Christoph Pieh, Elke Humer

Background

Integrating natural environments into therapeutic practices is increasingly recognised for its positive effects on mental health recovery. However, there is limited research on how nature is utilised in psychotherapeutic treatments. This study aimed to fill this gap by providing initial data on the frequency and application of nature-integrating psychotherapy. Additionally, it explores psychotherapists' attitudes towards the potential and limitations of integrating nature into psychotherapy under practical conditions.

Methods

A total of N = 1190 Austrian psychotherapists (mean age: 53.75 ± 10.84 years; 74.9% female; 19.9% psychodynamic, 47.9% humanistic, 23.0% systemic, 9.2% behavioural) participated in a cross-sectional online survey assessing personality traits (Big Five Inventory), connectedness to nature (NCI), professional experiences in integrating aspects of nature in psychotherapy and estimated potentials and risks of nature-integrating interventions.

Results

The majority of participating psychotherapists reported experience with conducting psychotherapy in nature (65.9%) and with integrating nature materials into their treatments (79.1%). Differences in some personality traits among psychotherapeutic orientations were observed, whereas the NCI did not differ. Overall, systemic therapists had the most positive attitude towards integrating nature into psychotherapy, whereas the opposite was observed for psychodynamic psychotherapists. Several aspects were found to also be affected by an interaction between orientation and gender.

Conclusions

Results indicate that nature-integrating psychotherapy is both common and valued among Austrian psychotherapists, with differences observed across therapeutic orientations and genders. These differences highlight the need for further research to better understand the factors influencing psychotherapists' approaches to nature integration in clinical practice.

背景：将自然环境纳入治疗实践对心理健康恢复的积极作用日益得到认可。然而，关于如何在心理治疗中利用自然的研究有限。本研究旨在通过提供自然整合心理治疗的频率和应用的初步数据来填补这一空白。此外，它还探讨了心理治疗师对在实际条件下将自然融入心理治疗的潜力和局限性的态度。方法共1190名奥地利心理治疗师(平均年龄：53.75±10.84岁；74.9%的女性;（19.9%为心理动力，47.9%为人文，23.0%为系统，9.2%为行为）参与了一项横断面在线调查，评估人格特征（大五人格量表），与自然的连通性（NCI），在心理治疗中整合自然方面的专业经验，以及评估自然整合干预措施的潜力和风险。结果大多数心理治疗师报告有在自然中进行心理治疗（65.9%）和将自然材料纳入治疗（79.1%）的经验。不同的心理治疗取向在某些人格特征上存在差异，而NCI没有差异。总体而言，系统治疗师对将自然融入心理治疗的态度最为积极，而精神动力心理治疗师则相反。研究发现，取向和性别之间的相互作用也会影响到几个方面。结论：奥地利心理治疗师普遍采用融合自然的心理治疗，但在治疗取向和性别上存在差异。这些差异强调需要进一步研究，以更好地了解影响心理治疗师在临床实践中采取自然整合方法的因素。

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引用次数: 0

An exploration of psychotherapists' readiness to join the psychedelic renaissance 探究心理治疗师加入迷幻药复兴的意愿

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-09-25 DOI: 10.1002/capr.12828

Siobhan Scanlon, Gráinne Donohue

Background

Research on psychedelics centres on two key areas: the action of psychedelics on the brain and the protocol for delivering therapy. There is little research that considers the implications of this novel therapy on the therapist delivering the treatment. This research study sought to explore this.

Aim and Objectives

The aim of this research was to explore the considerations for psychotherapists interested in delivering psychedelic therapy. Objectives were to examine the therapeutic conditions needed for effective outcomes, to explore the perceived differences between the practice of standard psychotherapy and psychedelic therapy and to determine the challenges for therapists working in the field.

Method

Six semi-structured interviews were conducted with therapists who work in clinical or retreat settings. Interview transcripts were analysed using qualitative thematic analysis.

Findings

Three themes emerged that highlight the importance of preparation for effective clinical outcomes, the differences in standard and psychedelic practice and the personal and professional implications for therapists.

Conclusions

The results highlighted challenges and revealed the need for clear protocols for integrating psychedelics into psychotherapy practice.

迷幻药的研究集中在两个关键领域：迷幻药对大脑的作用和提供治疗的方案。很少有研究考虑到这种新疗法对提供治疗的治疗师的影响。本研究试图探索这一点。目的和目的本研究的目的是探讨对提供迷幻治疗感兴趣的心理治疗师的考虑。目的是检查有效结果所需的治疗条件，探索标准心理治疗和迷幻治疗实践之间的感知差异，并确定在该领域工作的治疗师面临的挑战。方法采用半结构化访谈法，对临床或静修场所的治疗师进行访谈。访谈记录采用定性专题分析进行分析。三个主题突出了准备有效临床结果的重要性，标准和迷幻药实践的差异以及对治疗师的个人和专业影响。结论研究结果突出了挑战，并揭示了将致幻剂纳入心理治疗实践的明确方案的必要性。

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引用次数: 0

Predicting treatment success and failure using routine outcome data: The role of therapist effects in dynamic predictive modelling 利用常规结果数据预测治疗的成功与失败：治疗师效应在动态预测建模中的作用

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-09-24 DOI: 10.1002/capr.12827

Daryl Mahon, Takuya Minami, Jeb Brown

Background

The goal of this research was to identify how early in psychotherapy a reliable prediction regarding the probability of premature termination, treatment failure or treatment success can be made, and which variables are most predictive. This research breaks new ground by including data on each clinician's historical outcomes (therapist effects) to explore to what degree predictions and decision rules might differ with therapist effectiveness.

Materials & Methods

Data was drawn from a large online database of clients regularly completing self-report outcome questionnaires. The sample included clinicians (n = 1020) treating clients (n = 68,690) with an intake score in the clinical range during a treatment episode of between 2 and 10 sessions. Variables available at the first session and later sessions were tested for predictive validity for status at subsequent sessions using general linear regression models and logistic regression models.

Results

The results suggest that therapy outcomes can be predicted as early as the second session with a good degree of accuracy, 65%. The analyses revealed that predictions made as early as the second session remain valid even for clients taking up to 10 sessions to complete treatment. Adding therapist effects to the predictive model provides a much more nuanced understanding of the results. By session two, therapists in the top quartile demonstrate effect sizes comparable to the effect sizes of bottom quartile therapists at session ten.

Conclusion

The probability of client success, failure or early termination varies significantly depending on the clinician. Implications for training and supervision are discussed.

本研究的目的是确定在心理治疗中多早可以对过早终止、治疗失败或治疗成功的概率做出可靠的预测，以及哪些变量最具预测性。这项研究通过纳入每个临床医生的历史结果（治疗师效果）的数据来探索预测和决策规则在多大程度上可能与治疗师的效果不同，从而开辟了新的领域。材料,方法数据来源于定期完成自我报告结果问卷的大型在线数据库。样本包括临床医生（n = 1020）治疗患者（n = 68,690），在2到10个疗程的治疗期间，患者的摄入评分在临床范围内。使用一般线性回归模型和逻辑回归模型对第一阶段和之后阶段可用的变量进行预测有效性测试。结果早在第二次治疗时就能预测治疗结果，准确率达65%。分析显示，早在第二次治疗时做出的预测即使对于需要10次治疗才能完成治疗的客户来说仍然有效。在预测模型中加入治疗师的影响，可以对结果有更细致入微的理解。在第二阶段，在前四分位数的治疗师表现出的效应量与在第十阶段的后四分位数治疗师的效应量相当。结论患者成功、失败或早期终止手术的概率因临床医生而异。讨论了培训和监督的意义。

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引用次数: 0

Comparison of outcomes from a university counselling service before and during COVID-19: Exploring the use of remote therapy 比较 COVID-19 前和 COVID-19 期间大学咨询服务的成果：探索远程治疗的使用

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-09-24 DOI: 10.1002/capr.12821

Connie Newcombe, Emma Broglia, Charlotte Wright

Background

Research pooling data from UK university counselling services (UCSs) has allowed UCSs to compare their outcomes and demonstrate their effectiveness in improving student mental health. During the COVID-19 pandemic, UCSs moved to remote delivery. Consequently, it was necessary to understand how this impacted students' outcomes.

Aims

This evaluation aimed to (1) understand how the therapeutic outcomes of a UCS compared with established norms in UK UCS literature, and (2) understand whether delivering therapy online affected student outcomes compared with UK norms from in-person therapy.

Method

Sessional outcome data from 627 students who attended the UCS in the 2020/2021 academic year were gathered. Descriptive analyses of students' initial clinical data (determined by the CCAPS-34) were conducted. Paired sample t-tests determined differences between the pre- and post-therapy scores. The effect size of this difference was derived.

Results

Students presented with high levels of academic distress, social anxiety, generalised anxiety and depression. The initial severity of mental health concerns was lower than that reported in previous literature. The largest improvements were evidenced for depression and general anxiety and 25% (n = 112) of students achieved reliable reductions in distress. Compared with existing literature, the UCS showed similar levels of improvement over therapy. It is suggested that remote therapy increased service accessibility.

Conclusion

The delivery of remote therapy produced results consistent with norms in the UK data, highlighting the effectiveness of online therapy for university students. Further large-scale evaluations of student outcomes from remotely delivered therapy are recommended.

背景研究汇集了来自英国大学咨询服务（ucs）的数据，使ucs能够比较他们的结果，并证明他们在改善学生心理健康方面的有效性。在2019冠状病毒病大流行期间，ucs转向远程交付。因此，有必要了解这如何影响学生的成绩。本评估旨在(1)了解UCS的治疗结果与英国UCS文献中建立的规范相比如何，以及(2)了解与英国规范的面对面治疗相比，在线提供治疗是否会影响学生的治疗结果。方法收集2020/2021学年627名UCS学生的学期结果数据。对学生的初步临床资料（由CCAPS-34确定）进行描述性分析。配对样本t检验确定治疗前和治疗后评分之间的差异。得出了这种差异的效应大小。结果学生表现出高水平的学业困扰、社交焦虑、广泛性焦虑和抑郁。心理健康问题的初始严重程度低于先前文献报道。最大的改善是在抑郁和一般焦虑方面，25% （n = 112）的学生在痛苦方面取得了可靠的减少。与现有文献相比，UCS在治疗过程中显示出相似水平的改善。提示远程治疗增加了服务可及性。远程治疗产生的结果与英国数据的规范一致，突出了在线治疗对大学生的有效性。建议对远程交付治疗的学生结果进行进一步的大规模评估。

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引用次数: 0

Clinical supervisors' expectations and experiences with a routine outcome monitoring system in a psychotherapy training service 临床督导对心理治疗培训服务中常规成果监测系统的期望和体验

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research

Pub Date : 2024-09-24 DOI: 10.1002/capr.12826

Jorge Valdiviezo-Oña, Nicole Ortiz-Mancheno, Clara Paz

Introduction

Routine outcome monitoring (ROM) enables data-informed decision-making in mental health care, yet its implementation presents both benefits and challenges. To date, the literature on the perception of ROM implementation has extensively focussed on therapists and clients; hence, there is limited information available about the perceptions of supervisors in services that provide training for psychological interventions.

Methods

This qualitative study explored supervisors' expectations and experiences with a web-based ROM system in a university psychotherapy service. Through semi-structured interviews and framework analysis, two senior clinical supervisors' perspectives were examined before and after ROM implementation.

Results

Expectations highlighted the need for clinically useful information, adaptability and user-friendly interfaces. Supervisors anticipated using ROM data for case analysis, training and institutional learning. Following the implementation, supervisors recognised the system's utility in case supervision, enhancing understanding and facilitating learning processes. Perceived challenges included the potential misuse of information, client resistance and technological issues, underscoring the importance of ongoing communication and training during the implementation process. Additionally, supervisors provided some recommendations, such as enhancing system usability, providing comprehensive training, improving client engagement, refining data collection methods and conducting ongoing evaluation of the implementation process and promoting effective communication with clients.

Conclusions

These findings align with previous research, emphasising the significance of system adaptability and user-friendliness for effective ROM utilisation. Supervisors play a crucial role in fostering collaboration, providing feedback and integrating ROM into supervision. Overall, these insights contribute to refining our ROM implementation processes, as well as guiding future ROM adoption in similar centres interested in involving supervisors.

常规结果监测（ROM）使数据知情的决策在精神卫生保健，但其实施带来的好处和挑战。迄今为止，关于ROM实施感知的文献广泛集中在治疗师和客户身上；因此，关于在提供心理干预培训的服务中主管的看法的信息有限。方法采用质性研究的方法，探讨辅导员对网络ROM系统在大学心理治疗服务中的期望和经验。通过半结构化访谈和框架分析，研究了两位高级临床督导在ROM实施前后的观点。结果期望强调了对临床有用信息、适应性和用户友好界面的需求。主管期望使用ROM数据进行案例分析、培训和机构学习。在实施后，督导人员认识到该系统在个案督导方面的作用，从而加深了解和促进学习过程。感知到的挑战包括可能滥用信息、客户抵制和技术问题，强调了在执行过程中不断进行沟通和培训的重要性。此外，主管还提出了一些建议，如增强系统可用性、提供全面培训、提高客户参与度、改进数据收集方法、对实施过程进行持续评估、促进与客户的有效沟通等。这些发现与先前的研究一致，强调了系统适应性和用户友好性对有效ROM利用的重要性。主管在促进合作、提供反馈和将ROM纳入监督方面发挥着至关重要的作用。总的来说，这些见解有助于完善我们的ROM实施过程，并指导未来在有兴趣让主管参与的类似中心采用ROM。

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引用次数: 0