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一项比较基于网络的干预与工作坊干预对成年进食障碍患者照顾者的可行性研究。

A feasibility study comparing a web-based intervention to a workshop intervention for caregivers of adults with eating disorders.

机构信息

Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada.

Human Development and Family Science, Virginia Polytechnic Institute and State University, Falls Church, Virginia.

出版信息

Eur Eat Disord Rev. 2019 Nov;27(6):641-654. doi: 10.1002/erv.2678. Epub 2019 May 7.

Abstract

OBJECTIVE

To assess for the validity of a future trial, the current feasibility study aimed to compare the feasibility and efficacy of a web- and workshop-based education intervention for caregivers of adults with eating disorders.

METHODS

Psychoeducation was provided to caregivers, who were randomly assigned to a web or workshop condition. Independent samples t tests were conducted to analyse the between-group effect sizes for intervention condition with regard to change over time. A random selection of participants from each intervention provided qualitative feedback about their experiences.

RESULTS

Overall, participants reported positive experiences in both education interventions. From baseline to the end of intervention, small between-group effect sizes were observed for changes in caregiver accommodation, problem-solving abilities, the quality of psychological health, and the quality of social relationships, favouring the web-based intervention, and changes in expressed emotion in the family context, caregiver burden, perceived stress, and the quality of the environment, supporting the workshop intervention.

CONCLUSIONS

There was a difference in initial feasibility of the web intervention. A future large-scale trial of these interventions is supported by the results of this feasibility study.

摘要

目的

为评估未来试验的有效性,本可行性研究旨在比较基于网络和基于工作坊的教育干预措施对成年进食障碍患者照料者的可行性和疗效。

方法

向照料者提供心理教育,将其随机分配至网络组或工作坊组。采用独立样本 t 检验分析干预条件随时间变化的组间效应大小。从每个干预组中随机选择参与者,提供他们对体验的定性反馈。

结果

总体而言,参与者报告了两种教育干预措施的积极体验。从基线到干预结束,在照料者的迁就、解决问题能力、心理健康质量和社会关系质量方面,观察到了对网络干预有利的小的组间效应大小的变化,而在家庭环境中的表达情感、照料者负担、感知压力和环境质量方面,则支持工作坊干预,这些变化较小。

结论

网络干预的初始可行性存在差异。本可行性研究的结果支持对这些干预措施进行大规模的未来试验。

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