为有特殊健康护理需求的儿童家庭提供服务的辅助专业人员的焦点接纳与承诺疗法技能培训(FACT-ST)计划:服务评估研究

IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of Contextual Behavioral Science Pub Date : 2024-07-01 DOI:10.1016/j.jcbs.2024.100806
Yuen Yu Chong , Wing Chung Lam , Kit Sum Wong , Ching Yee Wong , Patrick Chun Ming Lam , Siu Man Hsu , Wai Tong Chien
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引用次数: 0

摘要

要满足有特殊健康护理需求儿童(SHCN)家长的心理健康需求,就必须改善他们获得有效干预措施的途径。本研究评估了为香港特殊健康需要儿童家庭提供家庭和儿童康复服务的一线辅助专业人员在参加焦点接纳与承诺疗法技能培训(FACT-ST)项目后的满意度、技能实施意向和心理灵活性。培训计划分为两个阶段:最初的基础培训阶段(即 FT 组),提供接纳与承诺疗法的理论指导;随后的督导实践阶段(即 FT + SP 组),要求参与者在督导下与 SHCN 儿童的家长进行至少三次视频会议 FACT 治疗。共有 317 名辅助专业人员参加了培训,其中 246 人完成了基础培训,另外 71 人完成了两个阶段的培训。客户满意度调查问卷的平均得分很高,表明 FACT-ST 项目受到了积极的欢迎。在 FT + SP 组中,配对样本 t 检验表明,与两周随访(M = 36.00,SD = 8.28,P = 0.063)相比,3 个月随访(M = 36.65,SD = 7.56)的平均技能实施意向总分保持一致。重复测量的协方差分析表明,从基线到 3 个月的随访,FT 组(F = 57.57,P = <0.001,ηp2 = 0.20)和 FT + SP 组(F = 19.06,P = <0.001,ηp2 = 0.24)的心理灵活性均有显著改善。定性反馈强调了培训过程中现场演示、体验练习和协作互动的作用。我们的研究结果是首批肯定 FACT-ST 项目对辅助专业人员与 SHCN 儿童家长合作的可行性和可接受性的研究结果之一。这些研究结果强调了辅助专业人员成为心理健康护理系统重要贡献者的潜力,以解决社区内的服务缺口。
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Focused Acceptance and Commitment Therapy Skills Training (FACT-ST) program for paraprofessionals serving families of children with special health care needs: A service evaluation study

Addressing mental health needs among parents of children with Special Health Care Needs (SHCN) requires improved access to effective interventions. This study assessed the satisfaction, skills implementation intention, and psychological flexibility of frontline paraprofessionals providing family and child rehabilitation services for families of children with SHCN in Hong Kong following participation in a Focused Acceptance and Commitment Therapy Skills Training (FACT-ST) program. The training program comprised two phases: an initial foundation training stage (i.e., the FT group), which provided theoretical instruction on ACT, and a subsequent supervised practice stage (i.e., the FT + SP group), during which participants were required to conduct at least three video-conferencing FACT sessions with parents of children with SHCN under supervision. A diverse sample of 317 paraprofessionals participated, with 246 completing the foundation training and an additional 71 completing both training phases. The FACT-ST program was positively received, as indicated by high average client satisfaction questionnaire scores. In the FT + SP group, paired sample t-test indicated that the mean total skills implementation intention score remained consistent at the 3-month follow-up (M = 36.65, SD = 7.56) when compared to the 2-week follow-up (M = 36.00, SD = 8.28, P = 0.063). Repeated measures analysis of covariance showed significant improvements in psychological flexibility from baseline to the 3-month follow-up in both the FT (F = 57.57, P = < 0.001, ηp2 = 0.20) and the FT + SP groups (F = 19.06, P = < 0.001, ηp2 = 0.24). Qualitative feedback highlighted the utility of live demonstrations, experiential exercises, and collaborative interactions during training. Our findings are one of the first affirming both the feasibility and acceptability of the FACT-ST program for paraprofessionals working with parents of children with SHCN. The findings underscore the potential of paraprofessionals to become crucial contributors to the mental health care system, addressing service gaps within the community.

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来源期刊
CiteScore
8.50
自引率
18.00%
发文量
82
审稿时长
61 days
期刊介绍: The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.
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