开发 StressCheck：一种远程医疗动机增强疗法，以提高现役军人 PTSD 治疗中的自愿参与度。
Development of StressCheck: A telehealth motivational enhancement therapy to improve voluntary engagement for PTSD treatment among active-duty service members.
机构信息
Department of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University, 401 Quarry Road, Palo Alto, CA 94305, USA; National Center for PTSD, Dissemination and Training Division, VA Palo Alto Health Care System, NCPTSD - 334 795 Willow Rd, Menlo Park, CA 94025, USA.
School of Social Work, University of Washington, 909 NE 43rd St. #304, Seattle, WA 98105, USA.
出版信息
Contemp Clin Trials. 2022 Aug;119:106841. doi: 10.1016/j.cct.2022.106841. Epub 2022 Jun 28.
BACKGROUND
Rates of PTSD in active-duty military are high relative to the general population. Although efficacious treatments exist, they are underutilized. Many service members with PTSD do not present for treatment and, of those who do, many do not receive sufficient doses of the interventions to receive full benefits. Motivational Enhancement Therapy (MET) "check-ups", are brief interventions designed to elicit treatment engagement for those who are not treatment-seeking.
METHODS
StressCheck is an MET for nontreatment seeking Army and Air Force personnel. StressCheck aims to improve PTSD and increase treatment engagement, especially around evidence-based interventions, as well as to decrease stigma about seeking mental health services and improve knowledge about treatment options. This paper describes the intervention components and process of treatment development. The paper also describes next steps in testing the effectiveness of the intervention.
CONCLUSION
PTSD is associated with deleterious health, occupational, and psychological effects. If effective, this innovative intervention will bridge the gap between those who are not treatment seeking and existing services, thereby enhancing reach and impact of existing services.
GOV IDENTIFIER
NCT03423394.
背景
现役军人的 PTSD 发病率相对较高。尽管有有效的治疗方法，但利用率却很低。许多患有 PTSD 的军人并未寻求治疗，而那些寻求治疗的人，也有很多没有接受足够剂量的干预措施来获得全部收益。动机增强疗法 (MET)“检查”是一种针对非治疗寻求者的简短干预措施，旨在引发他们对治疗的参与。
方法
StressCheck 是一种针对非治疗寻求的陆军和空军人员的 MET。StressCheck 的目的是改善 PTSD 并提高治疗参与度，尤其是在基于证据的干预措施方面，同时减少对寻求心理健康服务的污名化，并提高对治疗选择的了解。本文介绍了干预措施的组成部分和治疗开发过程。本文还介绍了下一步测试干预措施有效性的步骤。
结论
PTSD 与有害的健康、职业和心理影响有关。如果有效，这种创新的干预措施将弥合那些不寻求治疗和现有服务之间的差距，从而提高现有服务的覆盖面和影响力。
GOV IDENTIFIER
NCT03423394。
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