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远程治疗的掌握程度与更好的治疗关系以及远程治疗中的临场感相关:远程治疗干预量表的编制

Mastery of teletherapy is related to better therapeutic relationship and presence in teletherapy: the development of the teletherapy intervention scale.

作者信息

Békés Vera, Aafjes-van Doorn Katie, Luo Xiaochen, Balarajan Sanjeev, Hopwood Christopher J

机构信息

Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY, United States.

Department of Counseling Psychology, Santa Clara University, Santa Clara, CA, United States.

出版信息

Front Psychol. 2023 Aug 2;14:1206960. doi: 10.3389/fpsyg.2023.1206960. eCollection 2023.

DOI:10.3389/fpsyg.2023.1206960
PMID:37599754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10433166/
Abstract

INTRODUCTION

Providing teletherapy requires a unique therapeutic approach and mastery of the teletherapy context. We aimed to develop a self-report scale for therapeutic interventions pertinent to teletherapy, and to examine its relationship with teletherapy process variables, and therapists' attitudes towards teletherapy technology.

METHOD

A total of 839 therapists participated in a survey study that included standardized measures of therapeutic process (real relationship, working alliance, therapeutic presence), attitudes towards and intention to use teletherapy in the future, and a list of 13 teletherapy intervention items that we hypothesized to be specific to the teletherapy format.

RESULTS

Twelve of the 13 teletherapy intervention items loaded on one factor, with good reliability. The 12-item Teletherapy Intervention Scale was positively related to working alliance, the real relationship, therapeutic presence in teletherapy sessions, as well as to positive attitudes towards teletherapy and intention to use teletherapy in the future.

DISCUSSION

Aspects specific to the practice of teletherapy may be successfully captured by a self-report scale, and adequately navigating the challenges and opportunities of teletherapy might enhance the therapeutic process. Further studies are needed to provide additional validation of the scale, and in how to best use this Teletherapy Intervention Scale in research and clinical training.

摘要

引言

提供远程治疗需要独特的治疗方法以及对远程治疗环境的掌握。我们旨在开发一种针对与远程治疗相关的治疗干预措施的自我报告量表,并研究其与远程治疗过程变量以及治疗师对远程治疗技术的态度之间的关系。

方法

共有839名治疗师参与了一项调查研究,该研究包括治疗过程的标准化测量(真实关系、工作联盟、治疗在场)、对远程治疗的态度以及未来使用远程治疗的意向,还有一份我们假设为特定于远程治疗形式的13项远程治疗干预措施清单。

结果

13项远程治疗干预措施中的12项加载在一个因子上,具有良好的信度。这一包含12个条目的远程治疗干预量表与工作联盟、真实关系、远程治疗会话中的治疗在场以及对远程治疗的积极态度和未来使用远程治疗的意向呈正相关。

讨论

远程治疗实践的特定方面可以通过一种自我报告量表成功捕捉,充分应对远程治疗的挑战和机遇可能会增强治疗过程。需要进一步的研究来对该量表进行额外验证,以及研究如何在研究和临床培训中最佳地使用这种远程治疗干预量表。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3dd/10433166/f1ec6134312d/fpsyg-14-1206960-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3dd/10433166/f1ec6134312d/fpsyg-14-1206960-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3dd/10433166/f1ec6134312d/fpsyg-14-1206960-g001.jpg

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