Enhancing Integrative Cognitive-Affective Therapy with ecological momentary interventions: A pilot trial
Enhancing Integrative Cognitive-Affective Therapy with ecological momentary interventions: A pilot trial
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DOI：
10.1002/erv.2800
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发表时间：
2020-10-26
影响因子：
5.3
通讯作者：
Wonderlich, Stephen A.
中科院分区：
文献类型：
--
作者：
Juarascio, Adrienne S.;Hunt, Rowan A.;Wonderlich, Stephen A.
目的虽然目前的治疗方法对部分进食障碍患者有效，但仍有大量患者在治疗后仍有部分或全部症状。这可能与治疗办公室之外的治疗技能利用不善有关。可以在需要的时候检测和干预的智能手机应用程序可以促进在两次会议之间使用这种技能。方法受试者(N=16)参加了一项小型开放试验，他们接受了21次面对面综合认知-情感疗法(ICAT+)治疗，这是一款提供生态瞬时干预(EMI)的应用程序(ICAT+)，以响应用户输入的数据。收集了关于这种治疗方法的可行性和可接受性以及治疗结果的初步指标的数据。结果参与者认为ICAT+作为一种治疗强化可以接受，并表示它作为面对面治疗的辅助手段具有临床实用价值，尽管分析表明，触发EMI传递所需的数据录入依从性较差。这表明，长期使用EMI需要持续的数据输入是不可行的。结论我们描述了从我们最初的试点试验中获得的经验教训，以及未来开发可用于增强面对面治疗的有效EMI系统的方向。
Objective Although current treatments are effective for some patients with eating disorders, a large number of patients remain partially or fully symptomatic post-treatment. This may be related to poor utilization of treatment skills outside of the therapy office. Smartphone applications that can detect and intervene during moments of need could facilitate such skill use between sessions.Method Individuals (N = 16) participated in a small pilot open trial where they received 21 sessions of in-person Integrative Cognitive-Affective Therapy (ICAT) therapy an app (iCAT+) that delivers ecological momentary interventions (EMI) in response to user-entered data. Data were collected on the feasibility and acceptability of this treatment approach and on preliminary indicators of treatment outcomes.Results Participants found iCAT+ as a treatment augmentation acceptable and indicated it had clinical utility as an adjunct to in-person therapy, although analyses indicated poor compliance with data entry needed to trigger EMI delivery. This suggests that long-term use of EMI requiring ongoing data entry is infeasible.Conclusions We describe lessons learned from our initial pilot trial and future directions for the development of impactful EMI systems that can be used to augment in-person therapies.