Serafini Julie Dergal, Damianakis Thecla, Marziali Elsa
University of Toronto, Kunin-Lunenfeld Applied Research Unit, Baycrest, Toronto, Canada.
Soc Work Health Care. 2007;44(3):225-43. doi: 10.1300/J010v44n03_07.
Advances in technology have improved access to health and social services by offering more abundant and convenient choices for clients. In particular, the use of technology for delivering services to older adults and their families offers new possibilities for service delivery, by reaching people who are often isolated, and have difficulty accessing traditional services. Despite the continued advances in technology development and its integration into healthcare delivery, health care practitioners need to consider how to adapt and uphold clinical practice standards and address ethical issues in an e-health environment. Given the gap in the literature with respect to discussing these issues, this paper illustrates relevant issues in the context of developing and evaluating an Internet-based intervention for spousal caregivers of persons with dementia. Based on a four year project, a psychotherapeutic group intervention was delivered via the Internet to three groups of spousal caregivers. This article identifies some of the key practice standards and ethical issues that arise when using computer technology to deliver a psychotherapeutic group intervention. The article will also provide examples of relevant issues related to maintaining practice standards and ethical procedures that need to be addressed during the application of a computer-based psychotherapeutic group intervention for spousal caregivers of people with dementia.
技术进步为客户提供了更丰富、便捷的选择，从而改善了获得健康和社会服务的机会。特别是，利用技术向老年人及其家庭提供服务，为服务提供了新的可能性，因为可以接触到那些经常被孤立且难以获得传统服务的人群。尽管技术发展不断进步并融入医疗保健服务中，但医疗保健从业者需要考虑如何在电子健康环境中调整和坚持临床实践标准以及解决伦理问题。鉴于文献中在讨论这些问题方面存在空白，本文阐述了在开发和评估针对痴呆症患者配偶照顾者的基于互联网的干预措施背景下的相关问题。基于一个为期四年的项目，通过互联网对三组配偶照顾者进行了心理治疗小组干预。本文确定了在使用计算机技术进行心理治疗小组干预时出现的一些关键实践标准和伦理问题。本文还将提供与维持实践标准和伦理程序相关的问题示例，这些问题在为痴呆症患者配偶照顾者应用基于计算机的心理治疗小组干预过程中需要得到解决。
