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理解治疗体验:对虚拟治疗和面对面治疗的定性评估

Understanding Therapeutic Experience: A Qualitative Evaluation of Virtual and In-Person Treatment.

作者信息

Cerrito Brianna, Connors Alexa, Fialk Amanda, Xiao Jamie, Buono Frank D

机构信息

Research and Innovation, The Dorm, New York, USA.

Clinical, The Dorm, New York, USA.

出版信息

Cureus. 2024 Dec 9;16(12):e75392. doi: 10.7759/cureus.75392. eCollection 2024 Dec.

DOI:10.7759/cureus.75392
PMID:39781144
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11709419/
Abstract

Introduction Following the COVID-19 pandemic, there was adoption of virtual psychotherapy. There are a number of benefits and drawbacks to telehealth video conferencing that are experienced by both clients and clinicians. The current qualitative study sought to outline the advantages and disadvantages that clients and clinicians have personally experienced in virtual versus in-person therapy in an effort to identify the reasons for which one medium may be preferred over another. Methods The research was conducted from March 20, 2023, to April 3, 2023. The interviews with 32 individuals (14 clients and 18 clinicians) took place via Zoom video conferencing. Thematic analysis of the empirical material was conducted until fit and significance were met. Application of empirical principles of qualitative research was complete when categories were saturated, and no new themes had emerged. Results Results indicated that virtual care is appreciated for its convenience and ease, which allows clients to attend sessions even when physical barriers limit them (i.e., sickness, vacation, and between meetings or classes). In terms of maximizing the therapeutic process, this study found that in-person care has a number of benefits that are weakened or diminished when one switches to a virtual setting. Being in-person was reported to have a significant therapeutic impact in terms of attendance, engagement, participation, understanding nonverbal communications, and developing rapport with one's clinician and fellow clients. Conclusion The results of this study present an overview of client and clinician perceptions of the therapeutic impact of modes of therapy (virtual, in-person). While there is no strong evidence to suggest that one mode of care is clinically indicated over the other, the data outlines the benefits and drawbacks of both.

摘要

引言 在新冠疫情之后,虚拟心理治疗开始被采用。远程医疗视频会议对客户和临床医生来说都有一些好处和弊端。当前的定性研究旨在概述客户和临床医生在虚拟治疗与面对面治疗中个人所经历的优缺点,以便找出可能更倾向于选择一种治疗方式而非另一种的原因。

方法 该研究于2023年3月20日至2023年4月3日进行。对32个人(14名客户和18名临床医生)的访谈通过Zoom视频会议进行。对实证材料进行了主题分析,直到达到合适性和显著性标准。当类别饱和且没有新主题出现时,定性研究的实证原则应用完成。

结果 结果表明,虚拟护理因其便利性和易用性而受到赞赏,这使得客户即使在身体障碍限制他们时(如生病、度假以及在会议或课程之间)也能参加治疗 sessions。在最大化治疗过程方面,本研究发现,当转向虚拟环境时,面对面护理的一些好处会被削弱或减少。据报告,面对面治疗在出勤率、参与度、参与程度、理解非语言交流以及与临床医生和其他客户建立融洽关系方面具有显著的治疗效果。

结论 本研究结果概述了客户和临床医生对治疗方式(虚拟、面对面)治疗效果的看法。虽然没有有力证据表明一种护理方式在临床上比另一种更适用,但数据概述了两者的优缺点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d4/11709419/76aead6fcb65/cureus-0016-00000075392-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d4/11709419/76aead6fcb65/cureus-0016-00000075392-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d4/11709419/76aead6fcb65/cureus-0016-00000075392-i01.jpg

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