UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, United Kingdom.
UCL Great Ormond Street Institute of Child Health, 30 Guilford Street, London, WC1N 1EH, United Kingdom; Great Ormond Street Hospital for Children NHS Foundation Trust, Great Ormond Street, London, WC1N 3JH, United Kingdom.
Eur J Paediatr Neurol. 2018 Jul;22(4):620-631. doi: 10.1016/j.ejpn.2018.02.011. Epub 2018 Mar 9.
Children with neurological conditions such as epilepsy are at high risk of developing mental health disorders. Guided self-help can be used to increase access to psychological therapies. When developing and evaluating interventions, it is important to obtain the views of service-users about their acceptability. A telephone-guided self-help intervention was used to treat common mental health difficulties in children and young people with neurological conditions. The intervention was not adapted in content to account for chronic illness. This study therefore reports on qualitative interviews with participants to determine the acceptability of the intervention.
Semi-structured interviews were conducted with 27 participants (25 parents and 2 young people) who had undertaken a telephone-delivered guided self-help intervention for common mental health difficulties in the context of a paediatric neurological condition. Transcripts were analysed thematically using the framework approach.
Thirteen themes were extracted, organised into three main domains, which covered: the practicalities of telephone guided self-help treatment; the outcomes of the intervention; and the extent to which adaptation was needed for chronic illness. Most families found the intervention helpful in working towards their specific goals and noticed changes for the child and/or parents and family.
Participants had a positive experience of the intervention and the majority of parents found the standard intervention with individualised goals sufficient to meet the young person's mental health needs.
患有癫痫等神经疾病的儿童患心理健康障碍的风险很高。引导式自助可以用来增加获得心理治疗的机会。在开发和评估干预措施时，重要的是要获得服务使用者对其可接受性的意见。使用电话引导的自助干预来治疗患有神经疾病的儿童和年轻人的常见心理健康问题。该干预措施在内容上并没有适应慢性病。因此，本研究通过定性访谈报告了参与者对干预措施的可接受性的意见。
对 27 名参与者（25 名家长和 2 名年轻人）进行了半结构化访谈，这些参与者在儿科神经疾病背景下接受了针对常见心理健康问题的电话提供的引导式自助干预。使用框架方法对转录本进行主题分析。
提取了 13 个主题，并组织成三个主要领域，涵盖：电话引导自助治疗的实用性；干预的结果；以及适应慢性病所需的程度。大多数家庭发现该干预措施有助于实现他们的具体目标，并注意到孩子和/或父母和家庭的变化。
参与者对干预措施有积极的体验，大多数家长发现个体化目标的标准干预措施足以满足年轻人的心理健康需求。
