适应和实施接受和承诺治疗小组来支持成人精神病患者的个人康复:一项促进者经验的定性研究

IF 1.2 4区 医学 Q4 PSYCHIATRY
Jesse Gates, Eliot Goldstone, Jacinta Clemente, M. Cugnetto, E. Morris, J. Farhall
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引用次数: 1

摘要

摘要背景:心理社会、循证干预(EBI)可能支持个人从精神病中康复;然而,人们对它们的实现知之甚少。方法:本文描述了心理社会EBI,即团体接受和承诺疗法(ACT)的适应、实施和评估,该疗法旨在支持获得澳大利亚公共心理健康服务的精神病患者的个人康复。我们概述了调整和实施小组计划的过程,并介绍了对前6个小组的辅导员经验进行的定性分析的结果,该分析涉及69名参与者。八名主持人参加了由专家主导的反思性访谈,该访谈旨在收集五个领域的反馈意见。结果:对转录的录音访谈进行主题分析,得出九个主题,表明:局部适应促进了参与者的学习;使所有利益攸关方参与的有针对性的努力取得了成功;由当地专家提供的临床监督和研究支持使项目得以实施和评估;执行工作向主持人提供个人奖励;以及需要进一步参与组织支持。讨论:本文确定了ACT小组成功适应和实施精神病康复的推动者,这是公共心理健康服务中的一项EBI。研究的局限性包括自我服务报告偏见的风险,以及缺乏团队促进和评估方面的生活经验专业知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adapting and implementing Acceptance and Commitment Therapy groups to support personal recovery of adults living with psychosis: a qualitative study of facilitators’ experiences
ABSTRACT Background : Psychosocial, evidence-based interventions (EBI) may support personal recovery from psychosis; however, little is known about their implementation. Methods : This paper describes the adaptation, implementation, and evaluation of a psychosocial EBI, group Acceptance and Commitment Therapy (ACT), designed to support personal recovery of people living with psychosis who are accessing Australian public mental health services. We outline the process of adapting and implementing a group program, and present results of a qualitative analysis of facilitator experiences of the first 6 groups conducted involving 69 participants. Eight facilitators participated in an expert-led reflective interview developed to gather feedback in five domains. Results : A thematic analysis of transcribed audio-recorded interviews elicited nine themes that indicated: local adaptations facilitated participant learning; targeted efforts to engage all stakeholders were successful; clinical supervision and research support by local experts enabled program implementation and evaluation; implementation offered facilitators personal rewards; and a need for further engagement of organisational support. Discussion : This paper identifies enablers of successful adaptation and implementation of ACT groups for recovery from psychosis, an EBI in public mental health services. Study limitations include the risk of a self-serving reporting bias and the absence of lived experience expertise in group facilitation and evaluation.
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来源期刊
CiteScore
2.20
自引率
8.30%
发文量
36
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