对因幻听而苦恼的年轻人的支持:在中学提供的心理干预一揽子计划的不受控制的可行性评估方案(回声研究)。

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Mark Hayward, Mary John, Sarah Parry, Anna-Marie Bibby-Jones, Faith Orchard, Fiona Malpass, Clare Dixon, Akira Naito
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引用次数: 0

摘要

背景:幻听对年轻人来说是一种常见的经历,可能会造成严重的痛苦。尽管关注应对策略被认为是一种有用的方法,但目前还没有针对年轻人痛苦声音的循证心理干预措施。我们为听到痛苦声音的年轻人开发并评估了一个简短的1:1应对干预。这一干预措施已在儿童和青少年心理健康服务中心(CAMHS)以及为家长举办的心理教育讲习班内成功试行。1:1的干预和工作坊将结合成一个干预包,在学校内提供,以最大限度地提高可达性。方法:本研究将是一个不受控制的可行性评估,解决以下问题:干预方案是否被青少年、支持他们的人、中学的工作人员和从业人员所接受?干预方案的最佳内容、结构和持续时间是什么?干预方案的实施对执业人员是否可行?他们对培训和监督的要求是什么?哪些工具可用于评估干预方案的影响?该研究将以MRC框架为指导,制定复杂的干预措施,包括四个阶段的迭代过程:第一阶段,对年轻人、家长和学校工作人员的干预方案进行适应;第二阶段:通过心理健康支持小组向学生、学生和学校工作人员提名的支持者提供一揽子干预措施;第三阶段:从参与者和从业人员收集的定量和定性数据分析;第四阶段,进一步适应青少年、家长和学校工作人员的干预方案。讨论:如果研究结果表明未来的试验是有必要的,将设计一项可行性随机对照试验,以确定确定试验的参数。试验注册:Current Controlled Trials ISRCTN注册号:16395888。于2024年1月11日注册。10.1186 / ISRCTN16395888。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Support for young people who are distressed by hearing voices: protocol for an uncontrolled feasibility evaluation of a psychological intervention package delivered within secondary schools (the ECHOES study).

Background: Hearing voices is a common experience for young people and can cause significant distress. There are no evidence-based psychological interventions for distressing voices in young people, although a focus on coping strategies has been suggested as a useful approach. We have developed and evaluated a brief 1:1 coping intervention for young people who hear distressing voices. This intervention has been successfully piloted within Child and Adolescent Mental Health Services (CAMHS), together with a psychoeducational workshop for parents. The 1:1 intervention and the workshop will be combined into an intervention package and offered within schools to maximise accessibility.

Methods: This study will be an uncontrolled feasibility evaluation addressing the following questions: is the intervention package acceptable to young people, those who support them, and staff and practitioners within secondary schools? What is the optimum content, structure, and duration for the intervention package? Is delivery of the intervention package feasible for the practitioners and what are their requirements for training and supervision? What tools can be used to evaluate the impact of the intervention package? The study will be guided by the MRC Framework for the development of complex interventions and consist of an iterative process over four phases: phase 1-adaptation of the intervention package with young people, parents, and school staff; phase 2-delivery of the intervention package through Mental Health Support Teams to students, supporters who have been nominated by the students and school staff; phase 3-analysis of quantitative and qualitative data collected from participants and practitioners; phase 4-further adaptation of the intervention package with young people, parents and school staff.

Discussion: If the findings from the study suggest that a future trial is warranted, a feasibility Randomised Controlled Trial will be designed to establish the parameters for a definitive trial.

Trial registration: Current Controlled Trials ISRCTN registration number: 16395888. Registered on 11 January 2024. 10.1186/ISRCTN16395888.

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来源期刊
Pilot and Feasibility Studies
Pilot and Feasibility Studies Medicine-Medicine (miscellaneous)
CiteScore
2.70
自引率
5.90%
发文量
241
审稿时长
9 weeks
期刊介绍: Pilot and Feasibility Studies encompasses all aspects of the design, conduct and reporting of pilot and feasibility studies in biomedicine. The journal publishes research articles that are intended to directly influence future clinical trials or large scale observational studies, as well as protocols, commentaries and methodology articles. The journal also ensures that the results of all well-conducted, peer-reviewed, pilot and feasibility studies are published, regardless of outcome or significance of findings. Pilot and feasibility studies are increasingly conducted prior to a full randomized controlled trial. However, these studies often lack clear objectives, many remain unpublished, and there is confusion over the meanings of the words “pilot” and “feasibility”. Pilot and Feasibility Studies provides a forum for discussion around this key aspect of the scientific process, and seeks to ensure that these studies are published, so as to complete the publication thread for clinical research.
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