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引用次数: 0
摘要
远程保健是扩大心理健康治疗途径的一种很有前途的手段。然而，我们还需要进行更多的研究，以确保在现实世界的服务提供环境中，远程医疗服务的有效性不低于面对面治疗。在当前的研究中，我们比较了在公共心理健康系统背景下，远程医疗提供 GenerationPMTO 父母教育干预与面对面提供干预的效果。通过对 n = 1452 名照顾者的样本进行非劣效性分析，我们发现远程医疗在所有照顾者结果（养育实践、养育信心和照顾者抑郁症状）上都不优于面对面治疗。在儿童行为问题方面，我们无法得出远程保健服务不优于面对面服务的结论。我们的研究结果补充了文献资料，表明使用远程医疗为家庭提供服务是有用的，特别是在提供循证育儿干预以提高照顾者的成果方面。我们还讨论了夫妻和家庭治疗的意义。
Telehealth delivery of GenerationPMTO in the public mental health system: A pragmatic, noninferiority study.
Telehealth is a promising means for expanding access to mental health treatment. Yet, more research is needed to ensure that telehealth service delivery is no less effective than in-person treatment in real-world service delivery contexts. In the current study, we compared telehealth delivery of the GenerationPMTO parenting intervention to in-person delivery in the context of the public mental health system. Using a noninferiority approach with a sample of n = 1452 caregivers, we found telehealth delivery to be noninferior to in-person delivery on all caregiver outcomes: parenting practices, parenting confidence, and caregiver depressive symptoms. We were unable to conclude that telehealth delivery was noninferior to in-person delivery for child behavior problems. Our findings add to the literature suggesting the utility of using telehealth to provide services to families-particularly for delivering evidence-based parenting interventions to enhance caregiver outcomes. Implications for couple and family therapy are discussed.
期刊介绍：
The Journal of Marital & Family Therapy (JMFT) is published quarterly by the American Association for Marriage and Family Therapy and is one of the best known and most influential family therapy journals in the world. JMFT is a peer-reviewed journal that advances the professional understanding of marital and family functioning and the most effective psychotherapeutic treatment of couple and family distress. Toward that end, the Journal publishes articles on research, theory, clinical practice, and training in marital and family therapy.
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