38个退伍军人事务部创伤后应激障碍住院项目中实施框架的定量测试
A Quantitative Test of an Implementation Framework in 38 VA Residential PTSD Programs.
作者信息
Cook Joan M, Dinnen Stephanie, Thompson Richard, Ruzek Josef, Coyne James C, Schnurr Paula P
机构信息
Yale School of Medicine, NEPEC/182, 950 Campbell Avenue, West Haven, CT, 06516, USA,
出版信息
Adm Policy Ment Health. 2015 Jul;42(4):462-73. doi: 10.1007/s10488-014-0590-0.
Abstract
This study examines the implementation of two evidence-based psychotherapies, Prolonged Exposure (PE) and Cognitive Processing Therapy (CPT), in the Department of Veterans Affairs residential Posttraumatic Stress Disorder treatment programs. Two hundred and one providers from 38 programs completed an online survey concerning implementation of PE delivered on an individual basis and CPT delivered in individual and group formats. For PE, a supportive organizational context (dedicated time and resources, and incentives and mandates) and overall positive view of the treatment were related to its implementation. For both group and individual CPT, only the supportive organizational context was significantly associated with outcome. Implications for implementation efforts are discussed.
摘要
本研究考察了退伍军人事务部创伤后应激障碍住院治疗项目中两种循证心理疗法——延长暴露疗法（PE）和认知加工疗法（CPT）的实施情况。来自38个项目的201名提供者完成了一项在线调查，内容涉及以个体形式实施的PE以及以个体和团体形式实施的CPT。对于PE，支持性的组织环境（专用时间和资源、激励措施和指令）以及对该疗法的总体积极看法与它的实施相关。对于团体和个体形式的CPT，只有支持性的组织环境与治疗效果显著相关。文中讨论了对实施工作的启示。
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J Trauma Stress. 2014 Jun;27(3):265-73. doi: 10.1002/jts.21927.
2
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3
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4
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Implement Sci. 2014 Apr 14;9(1):45. doi: 10.1186/1748-5908-9-45.
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Organizational readiness for implementing change: a psychometric assessment of a new measure.组织变革准备度评估：新测量工具的心理计量学评估。
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6
Effectiveness of national implementation of prolonged exposure therapy in Veterans Affairs care.国家在退伍军人事务护理中实施延长暴露疗法的效果。
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8
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9
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10
Measurement of a model of implementation for health care: toward a testable theory.测量医疗保健实施模型：走向可检验的理论。
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