在住院成瘾治疗机构适应、实施和维持团体认知行为治疗计划。

IF 5.1 Q1 SUBSTANCE ABUSE Substance Abuse and Rehabilitation Pub Date : 2023-11-06 eCollection Date: 2023-01-01 DOI:10.2147/SAR.S433523
Jessica L Bourdon, Sidney Judson, Gabriella Caporaso, Monica F Wright, Taylor Fields, Nehal P Vadhan, Jon Morgenstern
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引用次数: 0

摘要

背景:高质量培训是跨领域有效实施和持续交付高质量循证实践(EBP)的一个经常被引用的障碍。在成瘾领域尤其如此,但很少有证据表明,在资源最少的情况下,住院成瘾设施中改善EBP的最佳方法。目的:本论文的重点是在“现实的”(即,非随机对照试验,非拨款资助)住院成瘾治疗环境中评估我们设施的团体CBT手册和手册临床培训的状态。方法:5名全职临床医生自愿参加研究(女性= 60%;法师= 36.20岁)。该研究包括半结构化访谈和调查,旨在衡量七个结果(障碍、可行性、可用性、适当性、可接受性、负担、可试验性)。结果:从影响群体CBT手册的数据中出现了三个主题:训练、时间和功能。针对这些主题,可以制定新的最佳手册和培训程序。结论:本研究强调资源不足的住院成瘾机构仍然可以有条不紊地利用实施方法来研究他们的EBP,即CBT。这种方法将确保向患者提供最高质量的护理,并积极解决阻碍正确提供EBP的已知培训障碍。
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Adapting, Implementing, and Maintaining a Group Cognitive Behavioral Therapy Program at an Inpatient Addiction Treatment Facility.

Background: Quality training is an oft-cited barrier to effective implementation and ongoing delivery of high-quality evidence-based practice (EBP) across fields. This is especially true in the addiction field, but there is little cited evidence for optimal methods to improve EBP in inpatient addiction facilities with minimal resources.

Objective: The current paper focuses on evaluating the state of our facility's group CBT manual and clinical training on the manual in a "realistic" (ie, non-RCT, non-grant-funded) inpatient addiction treatment setting.

Methods: Five full-time clinicians volunteered to take part in the study (woman = 60%; Mage = 36.20 years). The study involved a mix of semi-structured interviews and surveys designed to measure seven outcomes (barriers, feasibility, useability, appropriateness, acceptability, burden, trialability).

Results: Three themes emerged from the data that impacted the group CBT manual: training, timing, and functionality. Addressing these themes allowed for a new, optimal manual and training procedure to be put into place.

Conclusion: The current study highlights that under-resourced inpatient addiction facilities can still methodically utilize implementation approaches to study their EBP, namely CBT. Such an approach will ensure that the highest quality care is being delivered to patients and actively addresses known training barriers that prevent proper EBP delivery.

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审稿时长
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