School of Community Health Sciences, University of Nottingham, UK.
Disabil Rehabil. 2012;34(15):1323-7. doi: 10.3109/09638288.2011.642927. Epub 2011 Dec 28.
A cognitive behavioural group promoting psychological adjustment for people with multiple sclerosis (MS) was found to reduce psychological distress. Not all those offered treatment attended the group sessions. The aims were to examine the rates of attendance and to evaluate feedback from participants.
Participants with MS and low mood were recruited to a randomized trial comparing attendance at a psychological support group with a usual care control group. The attendance at each session was determined and those who attended were compared with those who failed to attend using a Mann-Whitney U-test or chi-squared. A sample of participants completed a telephone feedback questionnaire to determine their views of the group.
The 44 participants who attended four or more sessions were not significantly different from the 28 who attended fewer than four sessions on demographic variables, disability, self-efficacy or quality of life, but significantly fewer men attended than women (p = 0.03). Participants' feedback from the group was mainly positive, and no factors were identified associated with non-attendance.
Men were less likely to attend group treatment sessions than women, but no other variables were associated with non-attendance. Attendance rates influence the effectiveness of interventions and reasons for non-attendance need to be determined.
一项针对多发性硬化症(MS)患者的认知行为团体心理调适治疗研究发现,该治疗可减轻心理困扰。但并非所有提供治疗的患者都参加了团体治疗。本研究旨在评估团体治疗的参与率,并对参与者的反馈进行评价。
我们招募了情绪低落的 MS 患者,将其随机分配到心理支持团体组和常规护理对照组中。记录每次治疗的参与人数,采用曼-惠特尼 U 检验或卡方检验比较实际参加人数与预计参加人数。采用电话问卷调查法对部分参与者进行了反馈调查,以了解他们对该团体治疗的看法。
实际参加 4 次或 4 次以上治疗的 44 名患者与参加不足 4 次治疗的 28 名患者相比,在人口统计学变量、残疾程度、自我效能感或生活质量方面无显著差异,但参加治疗的男性明显少于女性(p=0.03)。参与者对团体治疗的反馈主要是积极的,没有发现与不参加治疗相关的因素。
与女性相比,男性参加团体治疗的可能性较低,但其他变量与不参加治疗无关。参与率影响干预效果,需要确定不参加的原因。