Therapeutic crisis intervention for families: an investigation of caregiver perceptions and experiences

IF 0.7 4区 心理学 Q4 FAMILY STUDIES
Sarah E. George, Chelsey Catchpole, Rosemary Skinner, Parma Barbaro, Nathan G. Adey, Simon Davies
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引用次数: 0

Abstract

The Therapeutic Crisis Intervention for Families (TCI-F) program aims to equip caregivers with the knowledge, skills, and confidence to deal with crisis situations involving their children. Despite the program's global dissemination, its influence on predictors of intervention uptake and caregiver experience is not understood. We therefore sought to investigate the changes in determinants of implementation behaviour from pre- to post-TCI-F. These include knowledge, confidence, and intention to implement new strategies, beliefs about consequences that implementation would be beneficial, beliefs that change was part of one's social role, and a sense of having sufficient resources and support. In addition, we sought to understand the experiences of program participation. Caregivers who participated in TCI-F were invited to complete questionnaires about determinants of implementation behaviour before and after the program. They were also invited to complete a questionnaire about their experiences attending TCI-F. One hundred fifty-five participants completed questionnaires. Significant improvements were found in all determinants of implementation behaviour. Caregivers reported improved knowledge about program strategies, a belief that this was part of their role, confidence and capability in managing crises, beliefs that implementation will be beneficial, intentions to implement learned strategies, and a sense of being provided with sufficient resources and support. Additionally, participants reported high levels of satisfaction, hope for the future, improved coping, and overall well-being following the program. Qualitative responses supported these findings and revealed that many participants expressed a wish that the program was available sooner and that additional maintenance support was available. Findings support the use of TCI-F and indicate that this is a promising intervention for caregivers who are struggling to cope with the crisis behaviours of their children. As this is the first published empirical investigation of TCI-F, avenues for further research are identified.

家庭危机治疗干预:对照料者看法和经验的调查
家庭危机治疗干预(TCI-F)计划旨在帮助照顾者掌握知识、技能和信心,以应对涉及其子女的危机情况。尽管该计划已在全球范围内推广,但人们并不了解它对预测干预措施接受程度和照顾者经验的影响。因此,我们试图调查实施行为的决定因素从 TCI-F 前到 TCI-F 后的变化。这些因素包括实施新策略的知识、信心和意向,对实施新策略将带来益处的后果的信念,认为改变是个人社会角色的一部分的信念,以及拥有充足资源和支持的意识。此外,我们还试图了解参与计划的经历。我们邀请参与 TCI-F 计划的护理人员在计划前后填写有关实施行为决定因素的问卷。我们还邀请他们填写了一份关于参加 TCI-F 的经历的调查问卷。共有 155 名参与者填写了调查问卷。结果发现,所有实施行为的决定因素都有显著改善。护理人员报告说,他们对计划策略的了解、认为这是自己职责的一部分、管理危机的信心和能力、认为实施计划会带来益处、打算实施所学策略以及认为自己获得了充足的资源和支持等方面都有所改善。此外,参与者还表示,在参加计划后,他们的满意度很高,对未来充满希望,应对危机的能力得到提高,整体感觉良好。定性回答支持了这些研究结果,并显示许多参与者表示希望该计划能更快推出,并能提供更多的维护支持。研究结果支持 TCI-F 的使用,并表明,对于那些在应对子女危机行为方面遇到困难的照顾者来说,这是一项很有前景的干预措施。由于这是对 TCI-F 进行的首次公开实证调查,因此确定了进一步研究的途径。
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来源期刊
CiteScore
1.60
自引率
14.30%
发文量
40
期刊介绍: The ANZJFT is reputed to be the most-stolen professional journal in Australia! It is read by clinicians as well as by academics, and each issue includes substantial papers reflecting original perspectives on theory and practice. A lively magazine section keeps its finger on the pulse of family therapy in Australia and New Zealand via local correspondents, and four Foreign Correspondents report on developments in the US and Europe.
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