A Video-Delivered Family Therapeutic Intervention for Perinatal Women With Clinically Significant Depressive Symptoms and Family Conflict: Indicators of Feasibility and Acceptability.
A Video-Delivered Family Therapeutic Intervention for Perinatal Women With Clinically Significant Depressive Symptoms and Family Conflict: Indicators of Feasibility and Acceptability.
复制标题
DOI：
10.2196/41697
复制
发表时间：
2022-10-04
影响因子：
2.2
通讯作者：
Hegel, Mark T.
中科院分区：
文献类型：
--
作者：
Cluxton-Keller, Fallon;Hegel, Mark T.
关键词：
家庭治疗干预忠实度的差异对结果有影响。使用视频会议技术可以加强治疗师对家庭治疗干预的忠诚。本文探讨的可行性指标和可接受性的视频传递家庭治疗干预围产期妇女抑郁症状和家庭冲突。本文的目的是描述可行性指标，包括治疗师对干预的忠实度和与干预实施相关的技术因素，以及干预参与者的可接受性指标。本文中的数据来自一项正在进行的弹性增强技能训练（REST）视频家庭治疗干预的随机试验。该临床试验的参与者招募和数据收集仍在进行中。在目前参加这项研究的106名参与者中，54名（51%）被随机分配到2021年5月至2022年7月接受REST治疗。目前有2名治疗师在进行干预，在此总结治疗师的培训流程。治疗师对家庭治疗干预的忠实度在67个录音会话中被评估。培训程序被治疗师和54名研究参与者总结为视频会议技术的使用。治疗师和研究参与者对视频会议技术功能的了解程度是通过使用这些功能所需的尝试次数来评估的。参与者对干预的反应是通过参加会议的百分比和完成家庭作业的百分比来评估的。迄今为止，两位治疗师都展示了对家庭治疗干预的高保真度，并在第一次尝试时使用了所有视频会议技术功能。当前参与者需要1到3次尝试使用一种或更多的视频会议技术功能。大约59% （n=32）的当前参与者在第一次尝试时立即访问了这些特征。我们的结果显示，围产期妇女参加了所有的会议，其家庭成员参加了80%的会议。到目前为止，参与者已经完成了80%的家庭作业。这些早期发现描述了视频传输家庭治疗干预在这一高优先人群中使用的可行性和可接受性指标。在完成招募和数据收集后，随后的文章将包括对视频传输家庭治疗干预的可行性和可接受性的混合方法过程评估。ClinicalTrials.gov NCT04741776;https://clinicaltrials.gov/ct2/show/NCT04741776
Variation in family therapeutic intervention fidelity has an impact on outcomes. The use of video conferencing technology can strengthen therapist fidelity to family therapeutic interventions. This article explores indicators of feasibility and acceptability for a video-delivered family therapeutic intervention for perinatal women with depressive symptoms and family conflict. The objectives of this article are to describe indicators of feasibility, including therapist fidelity to the intervention and technological factors that relate to implementation of the intervention, as well as indicators of acceptability for participants of the intervention. The data included in this article are from an ongoing randomized trial of the Resilience Enhancement Skills Training (REST) video-delivered family therapeutic intervention. Participant recruitment and data collection are still underway for this clinical trial. Of the 106 participants who are currently enrolled in this study, 54 (51%) have been randomized to receive REST from May 2021 through July 2022. Currently, 2 therapists are delivering the intervention, and the training procedures for therapists are summarized herein. Therapist fidelity to the family therapeutic intervention was assessed in 67 audio recorded sessions. The training procedures were summarized for use of video conferencing technology by therapists and the 54 study participants. Knowledge of the video conferencing technology features was assessed in therapists and study participants by the number of attempts required to use the features. Participant responsiveness to the intervention was assessed by the percentage of attended sessions and percentage of complete homework assignments. To date, both therapists have demonstrated high fidelity to the family therapeutic intervention and used all video conferencing technology features on their first attempt. The current participants required 1 to 3 attempts to use 1 or more of the video conferencing technology features. About 59% (n=32) of the current participants immediately accessed the features on the first attempt. Our results show that perinatal women attended all sessions, and their family members attended 80% of the sessions. To date, participants have completed 80% of the homework assignments. These early findings describe indicators of the feasibility and acceptability of the video-delivered family therapeutic intervention for use with this high priority population. Upon completion of recruitment and data collection, a subsequent article will include a mixed methods process evaluation of the feasibility and acceptability of the video-delivered family therapeutic intervention. ClinicalTrials.gov NCT04741776; https://clinicaltrials.gov/ct2/show/NCT04741776
登录
查看更多内容
DOI：
10.1007/s43477-021-00009-0
发表时间：
2021
期刊：
Global implementation research and applications
影响因子：
--
作者：
Robbins MS;Midouhas H
通讯作者：
Midouhas H
DOI：
10.3390/ijerph18105396
发表时间：
2021-05-18
影响因子：
--
作者：
Noonan M;Jomeen J;Doody O
通讯作者：
Doody O
影响因子：
0.7
作者：
Cluxton-Keller，Fallon;Buteau，Jennifer;Bruce，Martha
通讯作者：
Bruce，Martha
影响因子：
2.7
作者：
COHEN, J
通讯作者：
COHEN, J
影响因子：
6.9
作者：
Guintivano J;Sullivan PF;Stuebe AM;Penders T;Thorp J;Rubinow DR;Meltzer-Brody S
通讯作者：
Meltzer-Brody S