González-Robles Alberto, Miguel Clara, Richards Dereck, Duffy Daniel, Enrique Ángel
Department of Psychology and Sociology, University of Zaragoza, Teruel, Spain.
Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit, the Netherlands.
Internet Interv. 2024 May 30;37:100751. doi: 10.1016/j.invent.2024.100751. eCollection 2024 Sep.
Guided digital mental health interventions are more effective than unguided interventions. While research often emphasizes the frequency and intensity of guidance, less attention has been paid to the behaviors enacted by the therapists supporting clients using these interventions. A scoping review of the literature was conducted to systematically examine the evidence on therapist behaviors (i.e., the actions and feedback provided by supporters to patients). Applying broad eligibility criteria, a systematic search was conducted in PubMed, PsycInfo, the Cochrane Library, and Embase from their inception to January 1st 2024. Sixteen studies met inclusion criteria and were included in the review. Following data extraction, a descriptive analysis and synthesis of the results was performed. Most studies ( = 12; 75 %) focused on therapist behaviors in the context of internet-delivered Cognitive Behavioral Therapy for anxiety and depression. While earlier studies primarily focused on identifying therapist behaviors, later studies shifted towards examining the associations between therapist behaviors and different outcomes, as well as deriving research and clinical applications for improving guided internet-delivered treatments. Identified gaps and recommendations for clinical practice, research, training, and treatment development are discussed.
有指导的数字心理健康干预比无指导的干预更有效。虽然研究通常强调指导的频率和强度，但对于支持使用这些干预措施的客户的治疗师所采取的行为关注较少。进行了一项文献综述，以系统地研究关于治疗师行为（即支持者向患者提供的行动和反馈）的证据。应用广泛的纳入标准，在PubMed、PsycInfo、Cochrane图书馆和Embase从创刊到2024年1月1日进行了系统检索。16项研究符合纳入标准并被纳入综述。在数据提取之后，对结果进行了描述性分析和综合。大多数研究（n = 12；75%）关注在通过互联网提供的焦虑和抑郁认知行为疗法背景下的治疗师行为。虽然早期研究主要集中在识别治疗师行为，但后期研究转向研究治疗师行为与不同结果之间的关联，以及推导用于改进通过互联网提供的有指导治疗的研究和临床应用。讨论了已识别的临床实践、研究、培训和治疗发展方面的差距和建议。
