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针对一项由州政府资助的寄养及相关服务项目开展的八个月远程医疗服务:取得的进展与经验教训

Eight Months of Telehealth for a State-Funded Project in Foster Care and Related Services: Progress Made and Lessons Learned.

作者信息

Coon Jodi C, Bush Helena, Rapp John T

机构信息

Department of Psychological Sciences, Auburn University, 226 Thach, Auburn, AL 36849-5214 USA.

出版信息

Behav Anal Pract. 2022 Mar 16;15(4):1348-1360. doi: 10.1007/s40617-022-00682-z. eCollection 2022 Dec.

DOI:10.1007/s40617-022-00682-z
PMID:35313702
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8924942/
Abstract

In response to the COVID-19 pandemic, many behavior analysts and other health professionals modified their services for delivery via telehealth modalities. The transition to telehealth is especially important for providers working with foster youth who exhibit challenging behavior because these youth often move to another placement due to such behaviors. The primary objective of this article was to evaluate the extent to which service indicators for a state-funded team working with foster youth changed after the service delivery model changed from in-person to telehealth services. In particular, we evaluated changes in monthly count of client contacts, appointments, intakes, closed cases, and medication reviews. The secondary objective was to outline potential benefits and environmental barriers encountered by the team and to integrate our findings with the literature on behavior-analytic services provided via telehealth. Overall, results show that we maintained service quality with a broad range of behavioral interventions and increased overall client appointments. Given these outcomes, our team may continue to provide behavioral services via telehealth after the COVID-19 pandemic.

摘要

为应对新冠疫情,许多行为分析师和其他健康专业人员调整了服务方式,改为通过远程医疗模式提供服务。向远程医疗的转变对于与表现出挑战性行为的寄养青年合作的提供者尤为重要,因为这些青年常常因这类行为而被安置到其他地方。本文的主要目的是评估一个为寄养青年提供服务的州资助团队在服务提供模式从面对面服务转变为远程医疗服务后,其服务指标的变化程度。具体而言,我们评估了每月客户联系、预约、接诊、结案和药物审查次数的变化。次要目的是概述该团队遇到的潜在益处和环境障碍,并将我们的研究结果与通过远程医疗提供行为分析服务的文献相结合。总体而言,结果表明我们通过广泛的行为干预维持了服务质量,并增加了总体客户预约量。鉴于这些结果,我们团队可能会在新冠疫情后继续通过远程医疗提供行为服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/9745005/ec458c77e849/40617_2022_682_Fig6_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/9745005/ec458c77e849/40617_2022_682_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/9745005/f8606364d3ac/40617_2022_682_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/9745005/8790a72e24ab/40617_2022_682_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/9745005/771f4a59611c/40617_2022_682_Fig3_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb22/9745005/ec458c77e849/40617_2022_682_Fig6_HTML.jpg

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Remote Coaching of Caregivers Via Telehealth: Challenges and Potential Solutions.通过远程医疗对护理人员进行远程指导:挑战与潜在解决方案
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Impact of COVID-19 on the Applied Behavior Analysis Workforce: Comparison across Remote and Nonremote Workers.
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