Orygen.
Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne.
Am Psychol. 2024 Apr;79(3):423-436. doi: 10.1037/amp0001242. Epub 2023 Nov 27.
Improved engagement of men in psychotherapy is an essential element in improving male health outcomes. This trial examined whether the Men in Mind intervention improved practitioners' self-rated clinical competencies to engage and respond to male clients in therapy. A parallel, single-blind, wait-list randomized controlled trial was conducted with Australian-based mental health practitioners, currently administering psychotherapy to males, fluent in English, and not currently completing their undergraduate degree. Participants were randomly assigned 1:1, through variable-sized blocks stratified by gender, to either the intervention (Men in Mind) or wait-list control. Men in Mind was offered as a self-led 6-week, five-module online program to upskill practitioners to engage and respond to male clients. The primary outcome was self-reported competency in engaging men in psychotherapy, measured by the Engaging Men in Therapy Scale (EMITS) at 6 weeks. All analyses were by intention-to-treat. Between January 16 and March 17, 2022, 587 participants were randomly assigned to the intervention ( = 300) or wait-list control ( = 287). In total, 492 (84%) participants completed the primary endpoint assessment at 6 weeks. Men in Mind demonstrated a large effect of improved EMITS scores compared to the control group ( = 2.63, 95% CI [2.39, 2.87], < .001). Men in Mind was effective at increasing mental health practitioners' self-reported efficacy to work with men, which is potentially a key change mechanism in their ability to improve health outcomes for male clients. A limitation of the trial was the use of a bespoke, self-reported primary outcome, while a strength was the gender-responsive intervention design. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
提高男性参与心理治疗的积极性是改善男性健康结果的一个重要因素。本试验研究了 Men in Mind 干预措施是否提高了从业者在治疗中吸引和回应男性客户的自我评估临床能力。这是一项平行的、单盲、等待名单随机对照试验，对象是澳大利亚的心理健康从业者，他们目前正在用英语为男性提供心理治疗，并且目前尚未完成本科课程。参与者通过按性别分层的大小可变块以 1:1 的比例被随机分配到干预组（Men in Mind）或等待名单对照组。Men in Mind 是一个为期 6 周、5 个模块的在线自我引导计划，旨在提高从业者吸引和回应男性客户的能力。主要结果是通过 Engaging Men in Therapy Scale（EMITS）在 6 周时衡量的心理治疗中吸引男性的自我报告能力。所有分析均采用意向治疗。在 2022 年 1 月 16 日至 3 月 17 日期间，587 名参与者被随机分配到干预组（n = 300）或等待名单对照组（n = 287）。共有 492 名（84%）参与者在 6 周时完成了主要终点评估。与对照组相比，Men in Mind 显著提高了 EMITS 评分（ = 2.63，95%CI [2.39, 2.87]， <.001）。Men in Mind 有效地提高了心理健康从业者自我报告与男性合作的效能，这可能是他们改善男性客户健康结果的能力的关键变化机制。试验的一个局限性是使用了定制的、自我报告的主要结局，而一个优势是性别响应的干预设计。（PsycInfo 数据库记录（c）2024 APA，保留所有权利）。
