一款辅助青少年创伤聚焦认知行为疗法的应用程序的开发与试点测试。

Development and pilot-testing of an app to complement trauma-focused cognitive behavioral therapy for adolescents.

作者信息

Birkeland Marianne Skogbrott, Blestad Camilla, Skar Ane-Marthe Solheim, Arnberg Filip K, Jensen Tine K

机构信息

Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway.

Department of Medical Sciences, National Centre for Disaster Psychiatry, Uppsala University, Uppsala, Sweden.

出版信息

Eur J Psychotraumatol. 2025 Dec;16(1):2481703. doi: 10.1080/20008066.2025.2481703. Epub 2025 Apr 14.

Abstract

Apps have the potential to support psychological treatments by providing psychoeducation, increasing homework compliance, and generalizing therapeutic skills outside of sessions. However, there are few apps developed to support specific evidence-based treatment for PTSD for adolescents. This paper shares experiences developing an app to complement Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). It also describes adolescents' and therapists' perceived usefulness and the potential effect of the app 'My everyday life' on posttraumatic stress symptoms (PTSS). We did a needs assessment with adolescents, therapists, and TF-CBT trainers, followed by programming and beta-testing. We carried out a mixed methods study of 59 adolescent patients (aged 13-18 years) and their therapists. Using a triangulation design, we combined quantitative data on app use and changes in PTSS with qualitative data from interviews with 10 adolescents and 10 therapists who described their experiences with the app. The app includes psychoeducation, mental health self-monitoring, coping tools, and goal-setting functionality. The most used features were psychoeducation and breathing exercises. Few therapists actively used the monitoring progress feature. Both adolescents and therapists found the app beneficial for everyday use, though some therapists were unsure about how to integrate it with TF-CBT. Adolescents reported significant PTSS improvement during TF-CBT with the app as a complement. Adolescents with post-treatment data ( = 13) did not report significantly different PTSD improvement compared to adolescents without access to app, but the study lacked power to draw strong conclusions. The app 'My everyday life' can be useful for adolescents receiving TF-CBT. The therapists may benefit from clearer guidelines on how to integrate apps with evidence-based treatments. Digital tools are a promising avenue for supporting the implementation of evidence-based treatment.

摘要

应用程序有潜力通过提供心理教育、提高家庭作业完成率以及在治疗课程之外推广治疗技能来支持心理治疗。然而,专门为支持青少年创伤后应激障碍(PTSD)的特定循证治疗而开发的应用程序却很少。本文分享了开发一款应用程序以补充创伤聚焦认知行为疗法(TF-CBT)的经验。它还描述了青少年和治疗师对该应用程序“我的日常生活”的有用性感知以及其对创伤后应激症状(PTSS)的潜在影响。我们对青少年、治疗师和TF-CBT培训师进行了需求评估,随后进行了编程和测试。我们对59名青少年患者(年龄在13 - 18岁之间)及其治疗师开展了一项混合方法研究。采用三角测量设计,我们将关于应用程序使用情况和PTSS变化的定量数据与来自对10名青少年和10名治疗师的访谈的定性数据相结合,这些青少年和治疗师描述了他们使用该应用程序的经历。该应用程序包括心理教育、心理健康自我监测、应对工具和目标设定功能。使用最多的功能是心理教育和呼吸练习。很少有治疗师积极使用监测进展功能。青少年和治疗师都发现该应用程序对日常使用有益,尽管一些治疗师不确定如何将其与TF-CBT整合。青少年报告说,在以该应用程序作为补充的TF-CBT治疗期间,PTSS有显著改善。有治疗后数据的青少年(n = 13)与无法使用该应用程序的青少年相比,在PTSD改善方面没有显著差异,但该研究缺乏得出有力结论的效力。“我的日常生活”应用程序对接受TF-CBT治疗的青少年可能有用。治疗师可能会从关于如何将应用程序与循证治疗整合的更清晰指南中受益。数字工具是支持循证治疗实施的一个有前景的途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54f9/11999050/9235724e579c/ZEPT_A_2481703_F0001_OC.jpg

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