McQueen Meg, Blinkhorn Ashleigh, Broad Adam, Jones Jessica, Naeem Farooq, Ayub Muhammad
Department of Psychiatry, Queen's University, Kingston, ON, Canada.
School of Rehabilitations Studies, Queen's University, Kingston, ON, Canada.
J Appl Res Intellect Disabil. 2018 Sep;31(5):885-896. doi: 10.1111/jar.12447. Epub 2018 Mar 24.
Despite strong evidence for cognitive behaviour therapy (CBT) in treating mental health, its use, thus far, has been limited for people with intellectual disabilities. This study describes a CBT-based guided self-help (CBT-GSH) manual for individuals with intellectual disability, and focus groups explore the views of clinicians, therapists, support staff and managers.
Using a qualitative methodology, an expert team adapted the manual. Focus groups provided feedback, followed by thematic content analysis for modifications.
Participants supported using the manual, with varying views about the delivery. Quality of relationships and competence of the administrator determined the best person to deliver the treatment. Heterogeneity in the intellectual disability population was a challenge to delivering manual-based interventions. Participants made suggestions about language and organization.
Amendments were made to the manual in line with expert feedback. An evaluation is warranted to test for feasibility, delivery, acceptability and efficacy.
尽管有充分证据表明认知行为疗法（CBT）对治疗心理健康有效，但迄今为止，它在智障人士中的应用有限。本研究描述了一本针对智障人士的基于CBT的自助指南（CBT-GSH）手册，焦点小组探讨了临床医生、治疗师、支持人员和管理人员的观点。
采用定性方法，一个专家团队对手册进行了改编。焦点小组提供反馈，随后进行主题内容分析以进行修改。
参与者支持使用该手册，但对其实施方式有不同看法。关系质量和管理人员的能力决定了实施治疗的最佳人选。智障人群的异质性是实施基于手册的干预措施的一个挑战。参与者对语言和组织提出了建议。
根据专家反馈对手册进行了修订。有必要进行评估以测试其可行性、实施方式、可接受性和有效性。
