Yap Sidney, Allen Rashell R, Bright Katherine S, Brown Matthew R G, Burback Lisa, Hayward Jake, Winkler Olga, Wells Kristopher, Jones Chelsea, Sevigny Phillip R, McElheran Megan, Zukiwski Keith, Greenshaw Andrew J, Brémault-Phillips Suzette
Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2H5, Canada.
Heroes in Mind, Advocacy, and Research Consortium, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB T6G 2G4, Canada.
Int J Environ Res Public Health. 2025 Jan 9;22(1):81. doi: 10.3390/ijerph22010081.
Many clinical sites shifted towards digital delivery of mental health services during the COVID-19 pandemic. There is still much to learn regarding tailoring digitally delivered interventions for trauma-affected populations. The current study examined the perceptions of Canadian mental health clinicians who provided digitally delivered psychotherapies utilized for trauma-affected populations. Specifically, we explored the shift to digital health use, what changed with this rapid shift, what needs, problems, and solutions arose, and important future considerations associated with delivering trauma-focused and adjunct treatments digitally. Survey data were collected from 12 Canadian mental health clinician participants. Surveys were adapted from the Alberta Quality Matrix of Health and Unified Theory of Acceptance and Use of Technology model. As a follow-up, the participants were invited to participate in either a semi-structured qualitative interview or focus group to further explore their perspectives on digitally delivered trauma-focused and adjunct therapies. Twenty-four clinician participants partook in an interview or focus group. The participants in this study supported the use of digitally delivered psychotherapies utilized for trauma-affected populations, sharing that these interventions appeared to offer similar quality of care to in-person delivery. Further research is required to address clinicians' concerns with digital delivery (e.g., patient safety) and identify other avenues in which digitally delivered psychotherapies utilized for trauma-affected populations can be engaged with and improved upon.
在新冠疫情期间，许多临床机构转向了心理健康服务的数字化提供方式。在为受创伤人群量身定制数字化干预措施方面，仍有许多需要学习的地方。当前的研究调查了为受创伤人群提供数字化心理治疗的加拿大心理健康临床医生的看法。具体而言，我们探讨了向数字健康使用的转变、这种快速转变带来了哪些变化、出现了哪些需求、问题和解决方案，以及与以创伤为重点的治疗和辅助治疗的数字化提供相关的重要未来考量因素。从12名加拿大心理健康临床医生参与者那里收集了调查数据。调查问卷改编自艾伯塔省健康质量矩阵和技术接受与使用统一理论模型。作为后续跟进，邀请参与者参加半结构化定性访谈或焦点小组，以进一步探讨他们对数字化提供的以创伤为重点的治疗和辅助治疗的看法。24名临床医生参与者参加了访谈或焦点小组。本研究中的参与者支持为受创伤人群使用数字化心理治疗，他们表示这些干预措施似乎能提供与面对面治疗相似的护理质量。需要进一步的研究来解决临床医生对数字化提供方式的担忧（例如患者安全），并确定其他途径，以便更好地开展和改进为受创伤人群提供的数字化心理治疗。
