Fidelity Assessment of Peer-Delivered Cognitive-Behavioral Therapy for Postpartum Depression.

IF 2.3 Q2 PSYCHOLOGY, CLINICAL

AMERICAN JOURNAL OF PSYCHOTHERAPY Pub Date : 2023-12-11 Epub Date: 2023-08-23 DOI:10.1176/appi.psychotherapy.20220060

Zoryana Babiy, Donya Merza, Haley Layton, Peter J Bieling, Ryan J Van Lieshout

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引用次数: 0

Abstract

Objective: Fidelity assessment of peer-administered interventions (PAIs) by expert therapists can be costly and limit scalability. This study's objective was to determine whether peer facilitators could assess the fidelity of peer-delivered group cognitive-behavioral therapy (CBT) for postpartum depression as effectively as an expert psychiatrist or a trained graduate student.

Methods: Intervention adherence and competence were assessed by three peers (N=9 sessions) and by one expert psychiatrist and one graduate student (N=18 sessions). Interrater reliability was assessed with intraclass correlation coefficients (ICCs).

Results: ICCs were good to excellent (0.88-0.98) for adherence and competence ratings among the three types of raters (psychiatrist vs. peers, psychiatrist vs. student, and student vs. peers).

Conclusions: Trained peers may be able to reliably rate the fidelity of a PAI for postpartum depression. This preliminary study represents the first step toward peer-led feedback as an alternative to expert-led supervision of peer-delivered group CBT for postpartum depression.

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针对产后抑郁症的同伴认知行为疗法保真度评估。

目的：由专家治疗师对同伴管理干预（PAIs）进行忠实性评估可能成本高昂，并限制了可扩展性。本研究的目的是确定同伴促进者能否像精神科专家或训练有素的研究生一样有效地评估由同伴提供的产后抑郁团体认知行为疗法（CBT）的忠实性：方法：由三位同伴（9 个疗程）、一位精神科专家和一位研究生（18 个疗程）对干预的坚持性和能力进行评估。通过类内相关系数（ICCs）评估同行间的可靠性：三类评分者（精神科医生对同行、精神科医生对学生、学生对同行）的依从性和能力评分的 ICC 均为良好至优秀（0.88-0.98）：结论：经过培训的同行可能能够可靠地评定产后抑郁 PAI 的忠实度。这项初步研究代表了以同伴为主导的反馈作为专家主导的产后抑郁同伴小组 CBT 督导的替代方法的第一步。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

AMERICAN JOURNAL OF PSYCHOTHERAPY PSYCHOLOGY, CLINICAL-

CiteScore

2.90

自引率

4.00%

发文量

期刊介绍： Founded in 1939, the American Journal of Psychotherapy (AJP) has long been a leader in the publication of eclectic articles for all psychotherapists. Transtheoretic in reach (offering information for psychotherapists across all theoretical foundations), the goal of AJP is to present an overview of the psychotherapies, subsuming a host of schools, techniques, and psychological modalities within the larger domain of clinical practice under broad themes including dynamic, behavioral, spiritual, and experiential.