在 COVID-19 大流行期间,作为混合治疗方法的一部分,为患有精神障碍的儿童和青少年及其家庭提供了视频会议式 CBT,其满意度如何?对护理人员和治疗师的跟踪调查。

IF 3.5 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Telemedicine and Telecare Pub Date : 2024-12-01 Epub Date: 2023-03-07 DOI:10.1177/1357633X231157103
Elena von Wirth, Lea Meininger, Julia Adam, Katrin Woitecki, Anne-Katrin Treier, Manfred Döpfner
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引用次数: 0

摘要

简介在 COVID-19 大流行的早期阶段,通过视频会议提供心理治疗(远程治疗)是一种广为儿童和青少年接受的治疗方法。但在常规临床实践中,有关远程治疗长期满意度的信息尚缺:在一所大学门诊部接受治疗的 n = 228 名患者(4-20 岁)的护理者(父母)和心理治疗师完成了一项关于视频会议认知行为治疗(CBT)满意度的跟踪调查。随访调查(T2)是在 2020 年对治疗满意度进行初步评估(T1)约 1 年后进行的:在随访过程中,治疗师报告说,79%的家庭接受了远程治疗,这是一种混合治疗方法的一部分,包括面对面和视频会议提供的 CBT。Wilcoxon 检验显示,远程治疗的满意度随着时间的推移保持稳定。此外,家长对远程治疗对治疗满意度和治疗关系的影响的评价也没有随着时间的推移而改变。治疗师对远程治疗对治疗关系的影响的评分在第二阶段比第一阶段更负面。与大流行相关的压力较小、外化行为问题较少和年龄较大的患者对远程治疗的满意度较高(均为 r 结论):在 2021 年放宽社会隔离规定后,2020 年报告的在常规临床实践中接受远程治疗的儿童和青少年对远程治疗的高满意度得以保持。作为混合治疗方法的一部分,远程治疗是一种广为接受的治疗方法,适用于有心理健康问题的青少年。该研究已在德国临床试验注册中心注册(DRKS00028639)。
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Satisfaction with videoconference-delivered CBT provided as part of a blended treatment approach for children and adolescents with mental disorders and their families during the COVID-19 pandemic: A follow-up survey among caregivers and therapists.

Introduction: Psychotherapy delivered via videoconferencing (teletherapy) was a well-accepted treatment option for children and adolescents during the early phases of the COVID-19 pandemic. Information on the long-term satisfaction with teletherapy in routine clinical practice is missing.

Methods: Caregivers (parents) and psychotherapists of n  =  228 patients (4-20 years) treated in a university outpatient clinic completed a follow-up survey on satisfaction with videoconference-delivered cognitive-behavioral treatment (CBT). The follow-up survey (T2) was conducted about 1 year after initial assessment of treatment satisfaction in 2020 (T1).

Results: At follow up, therapists reported that 79% of families had received teletherapy as part of a blended treatment approach including in-person and videoconference delivery of CBT. Wilcoxon tests revealed that satisfaction with teletherapy was stable over time. In addition, parent ratings of the impact of teletherapy on treatment satisfaction and the therapeutic relationship did not change over time. Therapists' ratings of the impact of teletherapy on the therapeutic relationship with the caregiver were more negative at T2 compared to T1. Satisfaction with teletherapy was higher for patients with less pandemic-related stress, less externalizing behavior problems, and older age (all r < .35).

Conclusion: The high level of satisfaction with teletherapy for children and adolescents treated in routine clinical practice reported in 2020 was maintained after social distancing regulations were eased in 2021. Teletherapy provided as part of a blended treatment approach is a well-accepted method of treatment delivery for youths with mental health problems. The study was registered in the German Clinical Trials Register (DRKS00028639).

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来源期刊
CiteScore
14.10
自引率
10.60%
发文量
174
审稿时长
6-12 weeks
期刊介绍: Journal of Telemedicine and Telecare provides excellent peer reviewed coverage of developments in telemedicine and e-health and is now widely recognised as the leading journal in its field. Contributions from around the world provide a unique perspective on how different countries and health systems are using new technology in health care. Sections within the journal include technology updates, editorials, original articles, research tutorials, educational material, review articles and reports from various telemedicine organisations. A subscription to this journal will help you to stay up-to-date in this fast moving and growing area of medicine.
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