A randomized controlled trial testing theory-driven enhancements to increase the efficacy of and engagement in a brief cognitive-behavioural therapy text-message intervention for co-occurring posttraumatic stress disorder symptoms and alcohol misuse.

IF 3.8 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Michele Bedard-Gilligan, Kristen Lindgren, Emily Dworkin, Ty Tristao, Debra Kaysen, Isaac Rhew
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引用次数: 0

Abstract

Objective: Engaging individuals with co-occurring posttraumatic stress disorder (PTSD) and alcohol misuse (AM) in effective treatments is difficult. Brief, self-directed approaches that deliver empirically supported intervention techniques, such as cognitive-behavioural therapy (CBT) strategies, via technology may be effective and easier-to-access alternatives to traditional in-person therapy approaches for PTSD + AM. This paper describes the protocol for an intervention development study (NCT05372042) that evaluates a text-message intervention combining CBT texts with techniques from cognitive psychology (message framing) and social psychology (growth mindsets) for treatment of PTSD + AM.

Method: The study uses a 3 (message framing: gain vs. loss vs. no framing) × 2 (mindset: growth mindsets vs. not) factorial design to test enhancements to CBT texts. Individuals age 18+, who report symptoms of PTSD and AM, will be recruited to participate. Participants will complete screening, verification, and baseline measures. They will be randomized to condition and receive 3 text messages per week for 4 weeks. Participants will be assessed at post-, 1-, and 3-month follow-up.

Results: Analyses will evaluate whether framing and growth mindsets enhance the efficacy of CBT texts. A priori decision rules will be applied to select the intervention condition that is both the most effective and the simplest, which will be tested in a follow-up randomized controlled trial.

Conclusions: This study will identify the simplest, most efficacious CBT intervention for PTSD + AM. Its use of cognitive and social psychology-based enhancement and of a factorial decision can serve as examples of how to enhance and increase engagement in brief, self-directed CBT interventions.

一项随机对照试验,测试理论驱动的改进措施,以提高针对同时出现的创伤后应激障碍症状和酗酒的简短认知行为疗法短信干预的效果和参与度。
目的:让同时患有创伤后应激障碍(PTSD)和酒精滥用(AM)的患者接受有效治疗非常困难。通过技术提供有经验支持的干预技术(如认知行为疗法(CBT)策略)的简短、自我指导方法可能是治疗创伤后应激障碍+酗酒的传统面对面治疗方法的有效且更容易获得的替代方法。本文介绍了一项干预开发研究(NCT05372042)的方案,该方案评估了一种将 CBT 文本与认知心理学(信息框架)和社会心理学(成长心态)技术相结合的创伤后应激障碍 + AM 治疗的短信干预:研究采用 3(信息框架:收益与损失与无框架)×2(心态:成长心态与非成长心态)因子设计来测试 CBT 文本的增强效果。将招募年龄在 18 岁以上、报告有创伤后应激障碍和急性心理障碍症状的人参加。参与者将完成筛选、验证和基线测量。他们将被随机分配到不同的条件下,并在 4 周内每周接收 3 条短信。参与者将在后期、1 个月和 3 个月的随访中接受评估:分析将评估框架心态和成长心态是否会增强 CBT 短信的效果。将运用先验决策规则选择最有效和最简单的干预条件,并在后续随机对照试验中进行测试:本研究将确定最简单、最有效的创伤后应激障碍 + AM CBT 干预方法。它使用了基于认知和社会心理学的增强方法以及因子决策,可作为如何增强和提高参与简短、自我导向的 CBT 干预的范例。
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来源期刊
CiteScore
5.80
自引率
3.20%
发文量
57
期刊介绍: The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups
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