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治疗师对循证实践的态度和亲子互动疗法的实施。

Therapists' attitudes toward evidence-based practices and implementation of parent-child interaction therapy.

机构信息

Child Study Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73117, USA.

出版信息

Child Maltreat. 2012 Feb;17(1):47-55. doi: 10.1177/1077559512436674. Epub 2012 Feb 20.

Abstract

Child abuse and neglect affects many families each year, but evidence-based parent training programs can be instrumental in reducing maltreatment. Parent-Child Interaction Therapy, a parent training program developed for treatment of disruptive child behavior, has demonstrated effectiveness with families at risk of or exposed to child maltreatment. However, methods for disseminating this evidence-based intervention in community settings are not well understood. This study examined the association between community-based therapists' attitudes toward evidence-based practices (EBPs) and their participation in an implementation research project in which they received two forms of consultation. Results showed that therapists' self-reported unwillingness to diverge from EBPs was positively associated with their use of phone consultation and satisfaction with consultation. The degree to which therapists found EBPs appealing was positively associated with satisfaction as well. Open therapist attitudes toward EBPs were associated with greater attendance for online consultation. The next step in this line of research is to examine how therapists' attitudes toward EBPs can be improved, if changing attitudes affects therapist acquisition of treatment skills, and if such improvements enhance implementation efforts.

摘要

儿童虐待和忽视每年都会影响很多家庭,但基于证据的家长培训计划可以在减少虐待方面发挥重要作用。亲子互动疗法是一种为治疗破坏性行为的儿童而开发的家长培训计划,已经证明对有虐待儿童风险或已经暴露于虐待儿童环境中的家庭有效。然而,在社区环境中传播这种基于证据的干预措施的方法还不是很清楚。本研究考察了社区治疗师对循证实践(EBP)的态度与其参与实施研究项目之间的关系,在该项目中,他们接受了两种形式的咨询。结果表明,治疗师自我报告的不愿意偏离 EBP 与他们使用电话咨询和对咨询的满意度呈正相关。治疗师对 EBP 的吸引力程度与满意度呈正相关。治疗师对 EBP 的开放态度与在线咨询的出席率较高有关。这一系列研究的下一步是研究如何改善治疗师对 EBP 的态度,如果改变态度会影响治疗师获得治疗技能,以及此类改进是否会增强实施工作。

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