Norris Whitney K, Pro George, Shaw-Smith Ellen, Curran Geoffrey M, Rojo Martha
College of Nursing, University of Arkansas for Medical Sciences.
College of Public Health, University of Arkansas for Medical Sciences.
Pract Innov (Wash D C). 2025 Mar;10(1):58-75. doi: 10.1037/pri0000256. Epub 2024 Sep 19.
Neurofeedback has been utilized to treat a variety of mental health issues by influencing brainwave patterns using auditory and/or visual feedback. Despite a plethora of research, there is a significant gap regarding why neurofeedback is not more commonly utilized in mental health care practice. This study sought to address this gap by posing the question: ' This study utilized the Consolidated Framework for Implementation Research to explore factors associated with outpatient psychotherapists' interest in implementing neurofeedback in their practices. The primary variables of interest were years in practice, cost as the main barrier to implementation, and type of practice setting. Surveys were completed online by licensed psychotherapists ( = 500). A logistic regression analysis found that, compared to those practicing in a solo private practice, psychotherapists practicing in community mental health clinics/agencies (adjusted : 1.77, 95% confidence interval, CI, [0.99, 3.15], = .0524) and other outpatient settings (adjusted : 1.81, 95% CI [0.95, 3.44], = .0708) had higher odds of being interested in neurofeedback. Finally, compared to those who did not believe that neurofeedback would be welcome in their practice setting or were unsure, those who reported believing neurofeedback would be welcome (adjusted : 3.38, 95% CI [2.18, 5.26], < .0001) had much higher odds of being interested in neurofeedback. This study found that inner setting factors had the most significant association with psychotherapists' interest in implementing neurofeedback. These findings point to potential areas of focus to increase the uptake of neurofeedback in mental health care settings.
神经反馈已被用于通过使用听觉和/或视觉反馈来影响脑电波模式，从而治疗各种心理健康问题。尽管有大量研究，但关于为何神经反馈在心理健康护理实践中未得到更广泛应用，仍存在显著差距。本研究试图通过提出以下问题来填补这一差距：“本研究利用实施研究综合框架，探讨与门诊心理治疗师在其实践中实施神经反馈的兴趣相关的因素。主要关注变量为从业年限、实施的主要障碍成本以及实践环境类型。由持牌心理治疗师（n = 500）在线完成调查问卷。逻辑回归分析发现，与在私人独立诊所执业的心理治疗师相比，在社区心理健康诊所/机构执业的心理治疗师（调整比值比：1.77，95%置信区间，CI，[0.99，3.15]，P = 0.0524）和在其他门诊环境执业的心理治疗师（调整比值比：1.81，95%CI [0.95，3.44]，P = 0.0708）对神经反馈感兴趣的几率更高。最后，与那些不认为神经反馈在其实践环境中会受到欢迎或不确定的人相比，那些报告认为神经反馈会受到欢迎的人（调整比值比：3.38，95%CI [2.18，5.26]，P < 0.0001）对神经反馈感兴趣的几率要高得多。本研究发现，内部环境因素与心理治疗师实施神经反馈的兴趣关联最为显著。这些发现指出了在心理健康护理环境中增加神经反馈应用的潜在重点领域。
