实习治疗师对自然灾害后促进恢复力的混合干预措施的看法：一项定性案例研究

Trainee Therapists' Perceptions of a Blended Intervention to Promote Resilience after a Natural Disaster: A Qualitative Case Study.

作者信息

Békés Vera, Belleville Geneviève, Lebel Jessica, Ouellet Marie-Christine, Chen Zhaoyi, Morin Charles M, Bergeron Nicolas, Campbell Tavis S, Ghosh Sunita, Bouchard Stephane, Guay Stéphane, MacMaster Frank P

机构信息

Ferkauf Graduate School, Yeshiva University, 1165 Morris Park Ave, The Bronx, NY 10461, USA.

School of Psychology, Laval University, 2325 Rue de l'Université, Québec, QC G1V 0A6, Canada.

出版信息

J Clin Med. 2022 Jul 27;11(15):4361. doi: 10.3390/jcm11154361.

DOI:10.3390/jcm11154361

PMID:35955982

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9369013/

Abstract

BACKGROUND

Natural disasters happen in an increased frequency, and telemental health interventions could offer easily accessible help to reduce mental health symptoms experienced by survivors. However, there are very few programs offered to natural disaster survivors, and no research exists on therapists' experiences with providing blended interventions for natural disaster survivors.

AIMS

Our qualitative case study aims to describe psychologists' experiences with an online, therapist-assisted blended intervention for survivors of the Fort McMurray wildfires in Alberta, Canada.

METHOD

The RESILIENT intervention was developed in the frames of a randomized controlled trial to promote resilience after the Fort McMurray wildfires by providing survivors free access to a 12-module, therapist-assisted intervention, aiming to improve post-traumatic stress, insomnia, and depression symptoms. A focus group design was used to collect data from the therapists, and emerging common themes were identified by thematic analysis.

RESULTS

Therapists felt they could build strong alliances and communicate emotions and empathy effectively, although the lack of nonverbal cues posed some challenges. The intervention, according to participating therapists, was less suitable for participants in high-stress situations and in case of discrepancy between client expectations and the intervention content. Moreover, the therapists perceived specific interventions as easy-to-use or as more challenging based on their complexity and on the therapist support needed for executing them. Client engagement in the program emerged as an underlying theme that had fundamental impact on alliance, communication, and ultimately, treatment efficiency. Therapist training and supervision was perceived as crucial for the success of the program delivery.

CONCLUSIONS

Our findings provided several implications for the optimalization of blended interventions for natural disaster survivors from our therapists' perspective.

摘要

背景

自然灾害发生的频率日益增加，远程心理健康干预可以提供易于获得的帮助，以减轻幸存者经历的心理健康症状。然而，针对自然灾害幸存者的项目非常少，而且没有关于治疗师为自然灾害幸存者提供混合干预经验的研究。

目的

我们的定性案例研究旨在描述心理学家对加拿大艾伯塔省麦克默里堡野火幸存者进行的在线、治疗师辅助混合干预的经验。

方法

“恢复力”干预是在一项随机对照试验的框架内开发的，旨在通过为幸存者免费提供一个12模块、治疗师辅助的干预措施，促进麦克默里堡野火后的恢复力，旨在改善创伤后应激、失眠和抑郁症状。采用焦点小组设计从治疗师那里收集数据，并通过主题分析确定新出现的共同主题。

结果

治疗师认为他们可以建立牢固的联盟，并有效地传达情感和同理心，尽管缺乏非语言线索带来了一些挑战。据参与的治疗师称，该干预措施不太适合处于高压力情境中的参与者，以及客户期望与干预内容存在差异的情况。此外，治疗师根据特定干预措施的复杂性以及执行这些措施所需的治疗师支持，认为它们易于使用或更具挑战性。客户对该项目的参与成为一个潜在主题，对联盟、沟通以及最终的治疗效率产生了根本性影响。治疗师培训和监督被认为对项目实施的成功至关重要。