Moving from research to clinical care: Building therapist capacity to deliver the teen online problem-solving program for acquired brain injuries in adolescence.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Accounts of Chemical Research Pub Date : 2024-08-01 Epub Date: 2024-01-25 DOI:10.1037/rep0000537
Jamie Patronick, Julia Rabin, Brianna Maggard, Aayush M Dubey, Shari L Wade
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引用次数: 0

Abstract

Objective: To describe the training process for teen online problem solving (TOPS) for acquired brain injury (ABI) in adolescence. We evaluated feedback from training participants and therapists delivering the intervention to assess facilitators and barriers to adoption into clinical practice.

Method: Therapist trainings took place between February 2020 and December 2021 and were primarily virtual due to the COVID-19 pandemic. We surveyed 190 trainees and 27 active therapists regarding their experiences with the training process and with delivering the intervention to families, respectively. Descriptive statistics were reported for Likert scale items. Open-ended survey responses were summarized using inductive thematic analysis by two independent coders, and themes were compared by profession.

Results: The majority of trainees reported that they felt comfortable or very confident using the TOPS intervention with patients following the training. Trainees reported that they benefited from clinician-centered and applied training components. Active therapists identified facilitators to TOPS implementation including the family-based therapeutic approach, virtual format, and the broad generalizability of the problem-solving framework. Barriers to implementation included low family engagement, comorbid mental health or language difficulties, and external family stressors.

Conclusions: The implementation process for TOPS highlights the importance of and challenges to the dissemination of psychosocial interventions. As pediatric ABI remains an underserved population within behavioral health, future implementation work should address barriers in integrating evidence-based therapies within clinical practice. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

从研究转向临床护理:提高治疗师的能力,以实施青少年在线问题解决计划,治疗青少年后天性脑损伤。
目的描述针对青少年后天性脑损伤(ABI)的青少年在线问题解决(TOPS)的培训过程。我们评估了培训参与者和实施干预的治疗师的反馈意见,以评估将其应用于临床实践的促进因素和障碍:治疗师培训在 2020 年 2 月至 2021 年 12 月期间进行,由于 COVID-19 大流行,培训主要采用虚拟形式。我们对 190 名受训者和 27 名在职治疗师进行了调查,分别了解了他们在培训过程中和向家庭提供干预时的体验。我们对李克特量表项目进行了描述性统计。两位独立的编码员采用归纳式主题分析法对开放式调查回答进行了总结,并按专业对主题进行了比较:大多数受训人员表示,在培训后,他们对患者使用 TOPS 干预疗法感到非常得心应手或非常有信心。受训者表示,以临床医生为中心的培训和应用培训让他们受益匪浅。积极的治疗师指出了实施 TOPS 的促进因素,包括以家庭为基础的治疗方法、虚拟形式以及问题解决框架的广泛通用性。实施的障碍包括家庭参与度低、合并心理健康或语言障碍以及外部家庭压力:TOPS的实施过程凸显了社会心理干预措施推广的重要性和面临的挑战。由于小儿ABI仍然是行为健康领域服务不足的人群,未来的实施工作应解决将循证疗法纳入临床实践的障碍。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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