Departamento de Psicología y Sociología, Facultad de Ciencias Sociales y Humanas, Universidad de Zaragoza, Teruel, Spain.
Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain.
J Eval Clin Pract. 2021 Dec;27(6):1299-1309. doi: 10.1111/jep.13546. Epub 2021 Feb 9.
The high prevalence of emotional disorders leads to a high demand for mental care which results in high costs and long waiting lists in public mental health settings. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) is a recent emotion-regulation-based intervention that can be a cost-effective solution in public mental health settings due its transdiagnostic approach and the possibility to apply it in group format. However, the acceptability by mental healthcare professionals (MHCPs) delivering the UP in group format has not been explored.
Thirty-three MHCPs, grouped into MHCPs without previous experience and MHCPs with experience in delivering the UP, were asked about aspects of acceptability and intention to use. Quantitative analysis was carried out to explore MHCPs acceptability. Furthermore, qualitative opinion about UP were collected through a SWOT (strengths, weaknesses, opportunities, threats) analysis to explore MHCPs opinion of delivering the UP intervention in a group format, within the Spanish Public Mental Health System.
The results showed high scores in all acceptability dimensions and intention to use in the future. SWOT analysis showed strengths and opportunities focusing on its transdiagnostic nature and the cost-effective benefits of group treatment, and weaknesses and threats related to the limited material and human resources.
Findings indicate high acceptability of the UP by MHCPs working within the Spanish Public Mental Health System and also identified areas for improvements. In order to enhance the dissemination and implementation of the UP, it is essential to consider MHCPs' perceptions and to be open to their suggestions.
情绪障碍的高患病率导致对精神保健的高需求，这导致公共精神卫生机构的成本增加和等待时间延长。统一的情绪障碍跨诊断治疗方案（UP）是一种基于情绪调节的新干预措施，由于其跨诊断方法以及在小组形式中应用的可能性，它可能成为公共精神卫生机构的一种具有成本效益的解决方案。然而，在小组形式下提供 UP 的精神保健专业人员（MHCP）对其接受程度尚未得到探索。
将 33 名 MHCP 分为没有提供 UP 经验的 MHCP 和有提供 UP 经验的 MHCP，询问他们对可接受性和使用意向的看法。对 MHCP 的可接受性进行了定量分析。此外，还通过 SWOT（优势、劣势、机会、威胁）分析收集了 UP 的定性意见，以探索在西班牙公共精神卫生系统中以小组形式提供 UP 干预的 MHCP 的意见。
结果显示，所有可接受性维度和未来使用意向的得分都很高。SWOT 分析显示了优势和机会，重点是其跨诊断性质和小组治疗的成本效益优势，以及与有限的物质和人力资源相关的劣势和威胁。
研究结果表明，在西班牙公共精神卫生系统工作的 MHCP 对 UP 的接受度很高，同时也确定了需要改进的领域。为了增强 UP 的传播和实施，必须考虑 MHCP 的看法，并对他们的建议持开放态度。
