Redesign of a brief PTSD treatment in safety net integrated primary care: Supporting implementation in the context of the COVID-19 pandemic.
Redesign of a brief PTSD treatment in safety net integrated primary care: Supporting implementation in the context of the COVID-19 pandemic.
复制标题
DOI：
10.1016/j.genhosppsych.2021.12.004
复制
发表时间：
2022-01
影响因子：
7
通讯作者：
Elwy AR
中科院分区：
文献类型：
--
作者：
Valentine SE;Fuchs C;Godfrey L;Elwy AR
我们进行了一项形成性评估，以了解COVID-19大流行对安全网综合初级保健环境的影响，并在创伤后应激障碍（PTSD）治疗的混合I型有效性-实施试验之前识别（并应对）新的实施障碍。我们使用调查和与员工利益相关者（N = 27）的定性访谈来（1）了解可能影响实施的流行病相关因素，包括患者需求，提供者经验和实践的变化，以及（2）评估是否需要增加研究设计，实施计划或干预措施。传统的内容分析和调查结果表明，病人的敏锐度和体积增加供应商的负担，导致高倦怠。虽然向远程保健的转变改善了获得行为健康的机会，但技术获得和识字方面的问题很普遍。根据研究结果，对研究设计和实施计划进行了修改，包括提供多模式治疗（亲自，远程医疗，网络管理），技术和行政支持以及减少提供者倦怠的其他策略。本研究描述了一项正在进行的研究如何适应大流行期间实施环境的重大变化。研究设计和实施计划的变化是对远程医疗和治疗师负担（和倦怠）问题的转变的反应。
We conducted a formative evaluation to understand the impact of the COVID-19 pandemic on the safety net integrated primary care setting and to identify (and respond to) new implementation barriers prior to a hybrid type I effectiveness-implementation trial of a posttraumatic stress disorder (PTSD) treatment. We used surveys and qualitative interviews with employee stakeholders (N = 27) to (1) understand pandemic-related factors that may influence implementation, including changes in patient needs, provider experiences, and the practice, and (2) assess the need for augmentation to study design, implementation plan, or intervention. Conventional content analysis and survey findings suggest that patient acuity and volume increased provider burden, leading to high burnout. Although the shift to telehealth improved behavioral health access, issues with technology access and literacy were common. Changes to the study design and implementation plan, based on findings, included the provision of multi-modality treatments (in person, telehealth, web-administered), technology and administrative support, and other strategies for reducing provider burnout. This study describes how an ongoing research study adapted to major changes to the implementation setting during the pandemic. Changes to study design and implementation plan were responsive to the shift to telehealth and therapist burden (and burnout) concerns.
登录
查看更多内容
影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
DOI：
10.17161/kjm.vol1415171
发表时间：
2021
期刊：
Kansas journal of medicine
影响因子：
--
作者：
Dwyer ML;Alt M;Brooks JV;Katz H;Poje AB
通讯作者：
Poje AB
DOI：
10.1016/j.cmrp.2020.03.011
发表时间：
2020-03-01
期刊：
Current medicine research and practice
影响因子：
--
作者：
Haleem, Abid;Javaid, Mohd;Vaishya, Raju
通讯作者：
Vaishya, Raju
影响因子：
3.8
作者：
Haque, Saira Naim
通讯作者：
Haque, Saira Naim
影响因子：
11.3
作者：
Elwy, A. Rani;Wasan, Ajay D.;Greco, Carol M.
通讯作者：
Greco, Carol M.