Muñoz-Martínez Amanda M, Otto-Scheiber Clara S, Zuluaga-Jassir Shadia, Medina-Díaz Angie, Pulido-Rozo Jessica, Venegas-Ramírez Margarita, Igua-Jojoa Alexander
Universidad de Los Andes. Cra 1 # 18a -12, Bogotá, Colombia.
Hospital Universitario Fundación Santa Fe de Bogotá, Cra 7 # 117-15, Bogotá, Colombia.
J Contextual Behav Sci. 2022 Jul;25:136-144. doi: 10.1016/j.jcbs.2022.07.005. Epub 2022 Aug 8.
The burden of the COVID-19 pandemic has been mainly carried by health care providers. Technology-Mediated Interventions (TMI) seem to be a feasible alternative to increase access to behavioral health resources in this population. However, scaling-up treatments into TMI requires developing user-friendly, accepted, and accessible formats. A two-stage study was conducted to assess scalability of an Acceptance and Commitment Therapy (ACT) based strategy (named FACE COVID) delivered using technology. First, a mix-method design connected qualitative and quantitative data from health providers and ACT experts by which changes were performed to enhance scalability. Second, a pretest-posttest study was conducted to preliminary evaluate the efficacy of FACE COVID intervention on well-being, psychological distress, and psychological flexibility. Results showed a positive impact on well-being, but not distress and psychological flexibility. While this intervention has promising results, changes in dose intensity, social support, and mental health literacy could improve retention as well as increase opportunities to target distress and psychological flexibility in future studies.
新冠疫情的重担主要由医疗保健提供者承担。技术介导干预（TMI）似乎是增加这一人群获得行为健康资源机会的可行替代方案。然而，将治疗扩展到TMI需要开发用户友好、被接受且易于获取的形式。开展了一项两阶段研究，以评估使用技术提供的基于接受与承诺疗法（ACT）的策略（名为FACE COVID）的可扩展性。首先，采用混合方法设计，将来自医疗服务提供者和ACT专家的定性和定量数据联系起来，据此进行更改以提高可扩展性。其次，进行了一项前后测研究，以初步评估FACE COVID干预对幸福感、心理困扰和心理灵活性的疗效。结果显示对幸福感有积极影响，但对困扰和心理灵活性没有影响。虽然这种干预有令人鼓舞的结果，但在未来研究中，剂量强度、社会支持和心理健康素养的改变可能会提高留存率，并增加针对困扰和心理灵活性的机会。
