Gupta Nikita, Leuba Sophie, Seifritz Erich, Berger Thomas, Kawohl Wolfram
Clienia Schlössli AG, Psychiatry and Psychotherapy, Oetwil am See, Switzerland.
Department of Adult Psychiatry and Psychotherapy, University Hospital of Psychiatry Zurich (PUK), University of Zurich, Zurich, Switzerland.
Front Psychiatry. 2024 Dec 17;15:1417784. doi: 10.3389/fpsyt.2024.1417784. eCollection 2024.
While research on blended therapy (BT), i.e. the combination of face-to-face and digital treatment, has grown rapidly, integrating BT into routine practice remains limited, especially in inpatient settings. This study seeks to investigate the potential barriers healthcare providers and patients are confronted with in implementing BT to inpatients. Here, a retrospective, explorative qualitative research design was employed to gain insights into the experiences of healthcare professionals and inpatients in a real-world clinical setting. Specifically, we utilized semi-structured interviews to explore three key aspects: time resources, organizational support, and integration. A total of 11 therapists and 6 patients were interviewed. To our knowledge, this is one of the first studies to examine the implementation of blended therapy in the routine care of inpatients. We found that therapists emphasized several barriers including overwhelming workloads with insufficient time allocated for the work with the digital tools, inadequate time adjustments, a lack of ongoing training, and the necessity for a well-defined concept and setting of how to implement blended therapy. Interestingly, fewer barriers were reported by patients, who viewed the e-mental health platform as a valuable addition to their standard therapy. They also judged guidance and integration by their therapists as satisfactory and appreciated the adaptability offered in managing their workload in a flexible setting.
虽然关于混合疗法（BT），即面对面治疗与数字治疗相结合的研究发展迅速，但将其纳入常规实践的情况仍然有限，尤其是在住院环境中。本研究旨在调查医疗保健提供者和患者在对住院患者实施混合疗法时所面临的潜在障碍。在此，我们采用回顾性、探索性定性研究设计，以深入了解医疗保健专业人员和住院患者在实际临床环境中的经历。具体而言，我们利用半结构化访谈来探讨三个关键方面：时间资源、组织支持和整合。总共采访了11名治疗师和6名患者。据我们所知，这是首批研究混合疗法在住院患者常规护理中实施情况的研究之一。我们发现，治疗师强调了几个障碍，包括工作量过大，分配给使用数字工具工作的时间不足，时间调整不当，缺乏持续培训，以及需要一个明确的概念和实施混合疗法的方式。有趣的是，患者报告的障碍较少，他们认为电子心理健康平台是对其标准治疗的有价值补充。他们还认为治疗师的指导和整合令人满意，并赞赏在灵活环境中管理工作量时所提供的适应性。
