Suppr超能文献

通过视频咨询满足创伤性脑损伤后的心理健康需求:对一个旨在增强心理学家能力的培训工作坊的评估

Video-consulting to address mental health needs after traumatic brain injury: evaluation of a training workshop to build capacity among psychologists.

作者信息

Whiting Diane L, Chuah Sarah L, Simpson Grahame K, Deane Frank P, Reynolds Julia

机构信息

Brain Injury Rehabilitation Research Group, Ingham Institute for Applied Medical Research, Liverpool, Australia.

School of Psychology, University of Wollongong, Wollongong, Australia.

出版信息

Brain Inj. 2021 Jul 29;35(9):1065-1074. doi: 10.1080/02699052.2021.1953594. Epub 2021 Aug 1.

Abstract

BACKGROUND

Traumatic brain injury (TBI) can lead to significant psychological distress, but few psychologists in Australia are trained in working with this complex clinical group. Despite government funding to provide video-consulting (VC) services in Australia, uptake before COVID-19 was limited.

OBJECTIVE

This mixed methods study evaluated whether training in eHealth and evidence based TBI psychological therapies increased provider uptake of VC in clinical practice, and delivery of mental health services to individuals with TBI.

METHODS

Mental health professionals completed a range of self-report measures before (n = 50), after (n = 48), and four months following (n = 30) a one-day workshop. Participants' TBI knowledge, client-base and levels of access, confidence, motivation and attitudes toward VC were assessed. Knowledge did not increase after training but participants had significant increases in their confidence and motivation to using VC at follow up. Significant reductions in pragmatic barriers to using VC were reported post training and at follow up, all barrier categories indicated significant reductions. There was no significant change in clinical practice of the participants.

CONCLUSIONS

Training to increase TBI knowledge requires specific assessment tools and although training appears to reduce barriers to using VC, uptake in clinical practice may require additional supervision and warrants further research.

摘要

背景

创伤性脑损伤(TBI)可导致严重的心理困扰,但澳大利亚很少有心理学家接受过针对这一复杂临床群体的培训。尽管澳大利亚政府提供资金用于提供视频咨询(VC)服务,但在2019年冠状病毒病(COVID-19)之前,其使用率有限。

目的

这项混合方法研究评估了电子健康和基于证据的TBI心理治疗培训是否会增加临床实践中提供者对VC的采用率,以及向TBI患者提供心理健康服务的情况。

方法

心理健康专业人员在为期一天的研讨会之前(n = 50)、之后(n = 48)和四个月后(n = 30)完成了一系列自我报告测量。评估了参与者的TBI知识、客户群以及获取、信心、动机和对VC的态度水平。培训后知识没有增加,但参与者在随访时使用VC的信心和动机显著增加。培训后和随访时报告使用VC的实际障碍显著减少,所有障碍类别均显示显著减少。参与者的临床实践没有显著变化。

结论

增加TBI知识的培训需要特定的评估工具,虽然培训似乎减少了使用VC的障碍,但在临床实践中的采用可能需要额外的监督,值得进一步研究。

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验