Veterans Affairs Medical Center, White River Junction, VT, United States of America; Department of Psychiatry, Geisel School of Medicine, Hanover, NH, United States of America.
Clinical Psychology, Antioch University of New England, Keene NH, United States of America.
Explore (NY). 2022 Nov-Dec;18(6):688-697. doi: 10.1016/j.explore.2022.02.005. Epub 2022 Feb 16.
Whole Health is an emerging healthcare framework that emphasizes wellbeing in place of illness. Conflict Analysis (CA), an online self-guided assessment, leverages innovative diagnostic and therapeutic resources that shares Whole Health objectives, including helping users explore their identity and develop a personalized health plan and helping users develop resources to optimize their health.
Paper presents CA implementation-effectiveness study in a Veteran Affairs inpatient substance recovery care.
Patients were randomized to CA or mindfulness control. Patients completed Whole Health outcomes measures at baseline, completion (post), and three-week follow-up. Interventions took 2.5 h. Attending psychologist assessed CA protocols and completed outcome evaluation. Due to Coronavirus, recruitment and follow-up were curtailed.
Study took place in a rural northern New England Veteran Affairs inpatient substance recovery unit.
Measures include The Personal Growth Initiative Scale, The Beck Cognitive Insight Scale, Perceived Stress Scale, The Patient Health Questionnaire, Perceived Psychological Wellbeing, and Perceived Therapeutic and Diagnostic Benefit.
12 patients were randomized, 11 completed post measures (CA=5; Mindfulness = 6), and 7 completed follow-up measures (CA=3; Mindfulness=4). CA offered significant Whole Health benefits when compared to control. Additionally, participant and clinician evaluations indicated that CA can be personally relevant, meaningful, and motivate therapeutic growth. Implications include extending CA research and expanding Whole Health related interventions. Although initial results suggest implementation feasibility and Whole Health benefit, more research is necessary to establish CA's utility within inpatient substance recovery care in particular and psychiatric rehabilitation in general.
整体健康是一种新兴的医疗保健框架，强调健康而不是疾病。冲突分析（CA）是一种在线自我指导评估，利用创新的诊断和治疗资源，分享整体健康目标，包括帮助用户探索自己的身份，制定个性化的健康计划，并帮助用户开发资源来优化他们的健康。
本文介绍了 CA 在退伍军人事务部住院物质康复护理中的实施效果研究。
患者被随机分配到 CA 或正念对照组。患者在基线、完成（后）和三周随访时完成整体健康结果测量。干预时间为 2.5 小时。参加的心理学家评估 CA 方案并完成结果评估。由于冠状病毒，招募和随访受到限制。
研究在新英格兰北部农村退伍军人事务部住院物质康复单位进行。
随机分配了 12 名患者，11 名完成了后测（CA=5；正念=6），7 名完成了随访测（CA=3；正念=4）。与对照组相比，CA 提供了显著的整体健康益处。此外，参与者和临床医生的评估表明，CA 可以是个人相关的、有意义的，并激发治疗上的成长。这意味着需要扩展 CA 研究并扩大整体健康相关干预。尽管初步结果表明实施可行性和整体健康益处，但需要进一步研究以确定 CA 在住院物质康复护理中的特殊用途和一般精神病康复中的效用。
