Hudson Chloe C, Klein Keith P, Ong Clarissa W, Handy Ariel B, Swee Michaela B, Lambert Hilary K, Mei Sara, Hom Melanie A, Weiss Rachel B, Beard Courtney, Björgvinsson Thröstur
Behavioral Health Partial Hospital Program, McLean Hospital, Belmont MA, USA.
Department of Psychiatry, Harvard Medical School, Cambridge MA, USA.
Psychother Res. 2023 Feb;33(2):235-250. doi: 10.1080/10503307.2022.2088314. Epub 2022 Jun 24.
Despite a proliferation of virtual partial hospital programs (PHP) during the COVID-19 pandemic, there is a dearth of research on such programs. In the current study, we compared treatment outcomes and patient satisfaction between an in-person and a virtual PHP. Further, we examined patients' qualitative feedback about the virtual PHP.
Participants included 282 patients attending a virtual PHP during the COVID-19 pandemic and 470 patients attending an in-person PHP one year prior. Patients completed daily measures of symptom severity, and post-treatment measures of patient satisfaction and treatment outcomes. Patients in the virtual PHP provided feedback about virtual care. Quantitative data were analyzed using multilevel modeling, and qualitative data were analyzed using the principles of inductive analysis.
Patients experienced a reduction in depression ( = -.28, < .001) and anxiety symptoms ( = -.25, < .001) over time and reported high satisfaction in both the in-person and virtual PHPs. There were no significant differences across programs. Virtual PHP patients identified unique advantages and disadvantages of virtual care.
Our results suggest that virtual PHPs should be explored as an ongoing model of care that may help to systematically reduce barriers to accessing mental health services.
尽管在新冠疫情期间虚拟部分住院项目（PHP）大量涌现，但对此类项目的研究却很匮乏。在本研究中，我们比较了面对面PHP和虚拟PHP的治疗效果及患者满意度。此外，我们还研究了患者对虚拟PHP的定性反馈。
参与者包括282名在新冠疫情期间参加虚拟PHP的患者以及470名一年前参加面对面PHP的患者。患者完成了症状严重程度的每日测量，以及治疗后患者满意度和治疗效果的测量。虚拟PHP的患者提供了关于虚拟护理的反馈。定量数据采用多层次建模进行分析，定性数据采用归纳分析原则进行分析。
随着时间的推移，患者的抑郁症状（β = -0.28，p < 0.001）和焦虑症状（β = -0.25，p < 0.001）有所减轻，并且患者对面对面和虚拟PHP的满意度都很高。不同项目之间没有显著差异。虚拟PHP患者指出了虚拟护理的独特优缺点。
我们的结果表明，虚拟PHP应作为一种持续的护理模式进行探索，这可能有助于系统性地减少获得心理健康服务的障碍。
