在心理健康门诊服务中实施感觉调节干预：一项过程评估研究。

Implementation of a sensory modulation intervention in mental health outpatient services: a process evaluation study.

作者信息

Forsberg Klara, Sutton Daniel, Stjernswärd Sigrid, Bejerholm Ulrika, Argentzell Elisabeth

机构信息

Department of Health Sciences, Lund University, Mental Health, Activity and Participation (MAP), Lund, Sweden.

Department of Psychiatry, Skåne University Hospital, Region Skåne, Lund, Sweden.

出版信息

BMC Psychiatry. 2025 Jun 5;25(1):581. doi: 10.1186/s12888-025-07034-5.

DOI:10.1186/s12888-025-07034-5

PMID:40474152

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12139380/

Abstract

BACKGROUND

Mental health service users often experience difficulties interpreting and regulating sensory stimuli resulting in increased anxiety, decreased abilities to engage in activities and a hampered recovery process. However, there are limited studies on the implementation of such recovery-oriented interventions targeting sensory difficulties via sensory modulation techniques. Therefore, the aim of this study was to investigate staff and manager views on the implementation process of a group-based sensory modulation intervention in mental health outpatient services in Southern Sweden.

METHODS

This mixed method implementation process evaluation included eight outpatient units, which were also study sites for a Randomized Controlled Trial (RCT) (NCT06432114), evaluating the effectiveness of the sensory modulation intervention. Quantitative data were analysed using descriptive statistics and qualitative data were analysed using deductive and inductive content analysis.

RESULTS

The results indicated that the intervention was highly accepted by the mental health staff. The dose delivered and received were high and the intervention in general met the needs of the target group. Managers and staff reflections indicated that following the intervention service users seemed to feel better prepared to handle anxiety in daily life due to the acquisition of new sensory coping strategies. Staff expressed that they benefitted from acquiring a different perspective or "new sensory glasses" to apply in their clinical practice. However, managers' and staff reflections also highlighted the need for an adapted manual for people with cognitive issues and more education for staff.

CONCLUSIONS

This study contributed to new knowledge of implementing a recovery-oriented sensory modulation intervention in mental health outpatient services. The implementation was generally carried out as intended. Nonetheless, certain challenges emerged during the implementation process, both within the contextual environment and during the delivery of the intervention.

TRIAL REGISTRATION

Retrospectively registered 20,240,529, in ClinicalTrials.gov NCT06432114.

摘要

背景

心理健康服务使用者在解释和调节感官刺激方面常常遇到困难，这会导致焦虑加剧、参与活动的能力下降以及康复过程受阻。然而，针对通过感官调节技术解决感官困难的此类以康复为导向的干预措施的实施研究有限。因此，本研究的目的是调查瑞典南部心理健康门诊服务中工作人员和管理人员对基于小组的感官调节干预措施实施过程的看法。

方法

这项混合方法实施过程评估包括八个门诊单元，这些单元也是一项随机对照试验（RCT）（NCT06432114）的研究地点，该试验评估感官调节干预措施的有效性。定量数据采用描述性统计进行分析，定性数据采用演绎和归纳内容分析进行分析。

结果

结果表明，该干预措施得到了心理健康工作人员的高度认可。提供和接受的剂量很高，总体而言该干预措施满足了目标群体的需求。管理人员和工作人员的反馈表明，干预措施实施后，服务使用者似乎由于获得了新的感官应对策略，在应对日常生活中的焦虑方面准备得更充分。工作人员表示，他们从获得一种不同的视角或“新的感官眼镜”中受益，以便应用于他们的临床实践。然而，管理人员和工作人员的反馈也强调了需要为认知有问题的人编写一本适用的手册，并为工作人员提供更多培训。