Sexual Assault Centre Kingston, Kingston, Ontario, Canada.
School of Rehabilitation Therapy, 4257Queen's University, Kingston, Ontario, Canada.
Inquiry. 2022 Jan-Dec;59:469580221097427. doi: 10.1177/00469580221097427.
Distance counselling holds immense potential for improving access to trauma supports for survivors of sexual violence (SV), and particularly for under-served groups who disproportionately experience violence and myriad barriers to accessing in-person supports. And yet, the evidence-base for the practice and delivery of distance counselling remains under-developed. In the context of COVID-19, where telehealth applications have undergone a rapid uptake, we undertook a scoping review of existing evidence of therapeutic and organizational practices related to the real-time (synchronous) delivery of distance counselling to survivors of SV. We based our scoping review methods on Arksey and O'Malley framework and in accordance with the guidance on scoping reviews from the Joanna Briggs Institute (JBI) and PRISMA reporting guidelines for scoping reviews. A comprehensive search of MEDLINE, Embase, PsycINFO, CINAHL, Web of Science, and Sociological Abstracts was undertaken in October 2020, and again in March 2022. Searching, reviewing, appraisal, and data extraction was undertaken by two reviewers. In total, 1094 records were identified that resulted in 20 studies included. Descriptions, findings, and recommendations were gleaned and synthesized into potential practices using inductive thematic analysis. While many studies have an appreciative orientation to distance counselling, these benefits tend to be framed as non-universal, and conditional on survivor safety, flexibility, anonymity, survivor choice, strong and inclusive technology, and a supported workforce.Despite the limited evidence-base, we present several clusters of findings that, taken together, can be used to support current COVID-19 distance counselling initiatives with survivors, as well as guide the future development of best practices.
远程咨询在改善性暴力幸存者获得创伤支持方面具有巨大潜力，特别是对于那些不成比例地经历暴力和无数障碍而无法获得面对面支持的服务不足群体。然而，远程咨询实践和提供的证据基础仍然不发达。在 COVID-19 背景下，远程医疗应用程序得到了快速普及，我们对现有的关于实时（同步）向性暴力幸存者提供远程咨询的治疗和组织实践的证据进行了范围综述。我们的范围综述方法基于 Arksey 和 O'Malley 框架，并按照 Joanna Briggs 研究所 (JBI) 关于范围综述的指南以及 PRISMA 报告指南进行。2020 年 10 月和 2022 年 3 月，我们对 MEDLINE、Embase、PsycINFO、CINAHL、Web of Science 和 Sociological Abstracts 进行了全面检索。由两名评审员进行检索、审查、评估和数据提取。总共确定了 1094 条记录，最终纳入了 20 项研究。使用归纳主题分析从描述、发现和建议中提取和综合潜在实践。虽然许多研究对远程咨询持赞赏态度，但这些好处往往被认为是非普遍的，并取决于幸存者的安全、灵活性、匿名性、幸存者的选择、强大和包容性的技术以及得到支持的劳动力。尽管证据基础有限，但我们提出了几大发现集群，这些发现集群加在一起，可以用于支持当前 COVID-19 期间与幸存者一起开展的远程咨询计划，并指导未来最佳实践的发展。
