Staff Views of Acceptability and Appropriateness of a Computer-Delivered Brief Intervention for Moderate Drug and Alcohol Use.
Staff Views of Acceptability and Appropriateness of a Computer-Delivered Brief Intervention for Moderate Drug and Alcohol Use.
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工作人员对计算机提供的针对适度吸毒和酗酒的简短干预的可接受性和适当性的看法。
DOI：
10.1080/02791072.2015.1075631
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发表时间：
2015
影响因子：
2.8
通讯作者：
Schwartz,RobertP
中科院分区：
文献类型：
--
作者：
Mitchell,ShannonGwin;Monico,LauraB;Gryczynski,Jan;O'Grady,KevinE;Schwartz,RobertP
使用计算机来识别和干预诸如吸毒等污名化行为，为服务不足的农村地区带来了希望；然而，必须考虑使用计算机化简短干预（CBI）的可接受性和适当性。在本研究中，代表两个农村联邦合格卫生中心的一系列诊所角色的 12 名工作人员完成了半结构化访谈，对 CBI 与咨询师提供的个人简短干预 (IBI) 进行定性调查。使用持续的比较方法进行主题内容分析，检查每次访谈中的回答范围以及访谈受访者之间的数据。总体而言，工作人员发现提供 CBI 的想法对于患者群体来说既可接受又适合。诊所工作人员的接受度主要取决于 CBI 的可用性。工作人员还认为，与个人访谈相比，患者可能更愿意对计算机程序做出反应。然而，一些工作人员对 CBI 是否适合部分患者（包括老年患者、文盲或不熟悉计算机的患者）表示保留。研究结果支持向农村卫生中心的患者提供 CBI 的潜在适宜性和潜在益处。
The use of computers for identifying and intervening with stigmatized behaviors, such as drug use, offers promise for underserved, rural areas; however, the acceptability and appropriateness of using computerized brief intervention (CBIs) must be taken into consideration. In the present study, 12 staff members representing a range of clinic roles in two rural, federally qualified health centers completed semi-structured interviews in a qualitative investigation of CBI vs. counselor-delivered individual brief intervention (IBI). Thematic content analysis was conducted using a constant comparative method, examining the range of responses within each interview as well as data across interview respondents. Overall, staff found the idea of providing CBIs both acceptable and appropriate for their patient population. Acceptability by clinic staff centered on the ready availability of the CBI. Staff also believed that patients might be more forthcoming in response to a computer program than a personal interview. However, some staff voiced reservations concerning the appropriateness of CBIs for subsets of patients, including older patients, illiterate individuals, or those unfamiliar with computers. Findings support the potential suitability and potential benefits of providing CBIs to patients in rural health centers.