了解在线心理健康支持服务中与治疗保留相关的因素：服务数据库的分析

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy Pub Date : 2025-09-24 DOI:10.1016/j.brat.2025.104875

Breanne Hobden , Lauren Pollock , Vincent Lau , Sarah Leask , Kristy Fakes

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引用次数: 0

摘要

参与和坚持精神卫生治疗仍然是获得有效精神卫生保健的一个重大障碍。早期停止心理健康治疗对康复以及生活的其他方面，如教育、就业和整体心理健康产生负面影响。本研究在澳大利亚通过在线服务调查了年龄≥18岁的成年人中与心理健康治疗保留相关的因素。方法对澳大利亚在线治疗平台talk的2021-2025年数据进行二次分析。参加1-2次治疗被归为低保留率；出席3次以上的会议被视为较高的留存率。通过多变量逻辑回归探讨治疗保留与社会人口学、健康和治疗相关变量之间的关系。结果分析了7424人的数据。样本中有52.7% （n = 3911）参与了1-2次治疗，47.3% （n = 3513）参与了3次以上治疗。那些以前接受过治疗的人，那些报告饮酒频率更高的人，以及那些在预约治疗时选择了三个或更多心理健康问题的人，接受治疗的几率更大。那些有依赖者的人接受治疗的几率较低。结论发现与治疗保留相关的因素可用于确定有针对性的策略以提高治疗保留。这些发现支持了在预约时早期识别和优先考虑高危客户的作用，例如那些有家属的人，以及那些以前没有接受过治疗的人，因为他们可能需要增加心理支持的灵活性和可及性。

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Understanding factors related to treatment retention in an online mental health support service: Analysis of a service database

Background

Engagement with and retention in mental health treatment remains a significant barrier to accessing effective mental health care. Early discontinuation of mental health treatments negatively impacts recovery, as well as other aspects of life such as education, employment and overall mental wellbeing. This study examined, among adults aged ≥18 years, the factors associated with mental health treatment retention via an online service in Australia.

Methods

A secondary analysis of 2021–2025 data from Talked, an Australian online therapy platform. Attendance of 1–2 therapy sessions was classed as lower retention; attendance of 3+ sessions was classed as higher retention. The association between treatment retention and sociodemographic, health and treatment-related variables were explored via multivariable logistic regression.

Results

Data for 7424 individuals were analysed. Among the sample, 52.7 % (n = 3911) engaged in 1–2 treatment sessions, and 47.3 % (n = 3513) engaged in 3+ treatment sessions. Those who had previously undertaken therapy, those reporting consuming alcohol more frequently and those who had selected three or more mental health-related issues at time of therapy booking, had greater odds of engaging with treatment. Those with dependents had lower odds of engaging with treatment.

Conclusions

The factors found to be associated with treatment retention can be used to identify targeted strategies to enhance treatment retention. These findings support the role of early identification and prioritisation of at-risk clients at the time of booking, such as those with dependants, and those who had not undertaken previous therapy, as they may require increased flexibility and accessibility considerations for psychological support.

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来源期刊

Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

7.30%

发文量

148

期刊介绍： The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.