神经发育和行为障碍儿童高级联合健康实践中单一疗程治疗框架的家庭经验:定性数据的专题分析

IF 0.7 4区 心理学 Q4 FAMILY STUDIES
Julie Creen, Ann Kennedy-Behr, Rebecca Donkin, Michele Verdonck
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引用次数: 2

摘要

与传统的长期治疗相比,单次治疗(SST)在促进少数咨询中有意义的治疗变化方面有了新的证据。本研究旨在通过了解导致治疗改变的咨询的关键特征,探索和描述父母/照顾者和儿童与高级联合健康从业者(AAHP)使用SST治疗发育障碍儿童的经验。为有发育和行为问题的儿童在AAHP门诊就诊的合资格家庭,围绕他们确定的需要领域,参加了一至四次SST咨询。对来自37个不同家庭的38名家长和12名孩子进行了半结构化访谈。专题分析用于分析访谈。通过与家长面谈和查阅医院记录收集了人口统计信息。与协商的特点有关的四个关键主题为家庭带来了积极的体验:(1)相互在场的艺术;(2)时间的价值;(3)理解的力量;(4)行动的信任。这些属性受到AAHP的总体复杂性、父母和孩子的人际交往能力以及影响患者护理的组织机制的影响。在咨询过程中,父母和孩子通过增进理解、倾听、重视和尊重他们在如何管理孩子和家庭需求方面的个人决定,报告了临床变化。本研究提供了初步证据,证明对有发展和行为需要的儿童和家庭使用SST可以促进家庭所重视的积极体验。SST的重点是家庭个人确定的关注领域,在AAHP提供时是有价值和有效的。这表明,在经验丰富和训练有素的保健从业人员的适当管理下,SST对于处理有发育和行为挑战的儿童的家庭是有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Families' experience of a single session therapy framework in advanced allied health practice for children with neurodevelopmental and behavioural disabilities: A thematic analysis of qualitative data

Families' experience of a single session therapy framework in advanced allied health practice for children with neurodevelopmental and behavioural disabilities: A thematic analysis of qualitative data

Single session therapy (SST) has emerging evidence for facilitating meaningful therapeutic change in a small number of consults, rather than more traditional long-term therapies. This study aimed to explore and describe the parent/caregiver and child experience with advanced allied health practitioners (AAHP) using SST for children with developmental disabilities, by understanding key characteristics of the consultation that led to therapeutic change. Eligible families attending an AAHP outpatient clinic for children with developmental and behavioural concerns participated in one to four SST consultations around their identified areas of need. Semi-structured interviews were conducted with 38 parents and 12 children, from 37 different families. Thematic analysis was used to analyse interviews. Demographic information was gathered through parent interviews and by reviewing hospital records. Four key themes emerged relating to the characteristics of the consultation that led to a positive experience for families: (1) the art of mutual presence; (2) the value of time; (3) the power of understanding; and (4) the trust of action. These attributes were influenced by the overarching complexities of the AAHP, the parent's and child's interpersonal skills, and the organisational mechanisms influencing patient care. Parents and children reported clinical change during the consult through increased understanding, and being heard, valued, and respected for their individual decisions on how to manage their child's and family's needs. This study provides preliminary evidence that utilising SST for children and families with developmental and behavioural needs facilitates a positive experience valued by families. SST, with a focus on a family's individual identified areas of concern, was valued and effective when delivered by AAHP. This suggests that SST, when appropriately administered by experienced and trained health practitioners, is useful for families dealing with children with developmental and behavioural challenges.

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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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