Oluwoye Oladunni, Fraser Elizabeth
Washington State University, Spokane, WA, USA.
Washington State Center for Excellence in Early Psychosis, Spokane, WA, USA.
Qual Health Res. 2021 May;31(6):1144-1154. doi: 10.1177/1049732321993443. Epub 2021 Feb 16.
In this qualitative study, we explore providers' experiences with addressing substance use among individuals with first-episode psychosis (FEP) enrolled in coordinated specialty care (CSC) programs. Three focus groups were conducted with 24 providers from CSC programs for FEP in Washington. Questions were focused on barriers and facilitators to addressing substance use using the Theoretical Domains Framework (TDF) as a guide. Thematic analysis was used to code all transcripts. Identified TDF domains were then mapped onto the COM-B (Capability, Opportunity, Motivation, Behavior) intervention functions and behavior change techniques. Seven theoretical domains were identified as the most relevant to addressing substance use: "Knowledge," "Skills," "Environmental Context and Resources," "Social Influences," "Social and Professional Role and Identity," "Beliefs about Capabilities," and "Reinforcement." The use of the TDF provides a framework to explore barriers and facilitators for targeting substance use and suggestions for behavior change techniques when considering implementation of evidence-based strategies to enhance CSC models.
在这项定性研究中，我们探讨了参与协调专科护理（CSC）项目的首发精神病（FEP）患者的医护人员在处理药物使用问题方面的经验。我们与来自华盛顿州FEP的CSC项目的24名医护人员进行了三次焦点小组讨论。问题聚焦于以理论领域框架（TDF）为指导处理药物使用问题的障碍和促进因素。采用主题分析法对所有访谈记录进行编码。然后将确定的TDF领域映射到COM-B（能力、机会、动机、行为）干预功能和行为改变技术上。确定了七个与处理药物使用问题最相关的理论领域：“知识”、“技能”、“环境背景与资源”、“社会影响”、“社会和职业角色与身份”、“对能力的信念”和“强化”。TDF的使用提供了一个框架，用于探索针对药物使用的障碍和促进因素，以及在考虑实施基于证据的策略以加强CSC模式时行为改变技术的建议。
