在儿童虐待干预中使用技术和移动健康应用程序:TF-CBT 治疗师和安全护理提供者的观点

Manderley Recinos , Kathryn O'Hara , Ashwini Tiwari , Daniel J. Whitaker , Christine Wekerle , Shannon Self-Brown
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摘要

背景以往的研究表明,使用技术作为循证青少年心理健康治疗和育儿项目的辅助手段具有积极的效果,但是,在循证儿童虐待(CM)预防和治疗中使用技术的研究却很有限。本文的目的有两个:1)了解技术和移动健康应用程序在儿童虐待预防和治疗项目中的应用;2)使用循证应用程序 JoyPop™ 研究儿童虐待项目的可接受性,该应用程序的开发目的是通过情绪调节提高儿童的适应能力。方法参与者对 JoyPop™ 应用程序进行了为期一周的测试,并接受了访谈,以评估他们对在实践中使用技术和移动健康应用程序的看法和经验(目标 1),以及将 JoyPop™ 作为项目辅助工具的可能性(目标 2)。结果参与者表示,支持积极应对策略的技术和应用程序(包括 JoyPop™)与中医项目的目标相关,可用于提高客户参与度和技能吸收率。参与者指出,与 Safecare 相比,JoyPop™ 的功能更符合 TF-CBT 的组成部分。讨论了在实践中使用技术的局限性。结论使用技术和移动健康应用程序对心理咨询项目进行补充,可以提高客户的参与度和积极效果。未来的研究需要解决在实践中使用技术和应用程序的有效性和客户接受度问题。
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The use of technology and mobile health apps in child maltreatment interventions: Perspectives of TF-CBT therapists and SafeCare providers

Background

Previous research has demonstrated positive effects of using technology as an augmentation to evidence-based youth mental health treatment and parenting programs, however, limited research has examined the use of technology in evidence-based child maltreatment (CM) prevention and treatment.

Objectives

The purpose of this paper is twofold: 1) to understand the application of technology and mobile health apps in CM prevention and treatment programs and 2) examine the acceptability of CM programs with an evidence-informed app, JoyPop™, developed to promote resilience through emotion regulation.

Participants and Setting

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) therapists (N = 12) and SafeCare© providers (N = 12) were recruited and participated in virtual semi-structured interviews.

Method

Participants tested the JoyPop™ app over one week and were interviewed to assess their perspectives about and experiences using technology and mobile health apps in practice (aim 1) and the potential use of JoyPop™ as a program augmentation (aim 2). Data collection and analysis was guided by qualitative descriptive analysis.

Results

Participants reported that technology and apps supporting positive coping strategies, including JoyPop™, are relevant to the goals of CM programs and can be used enhance client engagement and skill uptake. Participants noted that JoyPop™'s features more strongly align with the components of TF-CBT than Safecare. Limitations of technology use in practice are discussed.

Conclusions

Supplementing CM programs with technology and mobile health apps may be used to bolster client engagement and positive outcomes. Future research is needed to address the efficacy and client acceptance of technology and app usage in practice.
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