Enhanced relapse prevention for bipolar disorder: a qualitative investigation of value perceived for service users and care coordinators.
Enhanced relapse prevention for bipolar disorder: a qualitative investigation of value perceived for service users and care coordinators.
复制标题
DOI：
10.1186/1748-5908-4-4
复制
发表时间：
2009-02-09
影响因子：
7.2
通讯作者：
Morriss, Richard K.
中科院分区：
文献类型：
--
作者：
Pontin, Eleanor;Peters, Sarah;Lobban, Fiona;Rogers, Anne;Morriss, Richard K.
增强复发预防（ERP）是由心理健康专业人员提供的心理干预，以帮助双相情感障碍（BD）患者识别和管理躁狂和抑郁的早期预警信号。ERP有一个新兴的证据基础，被推荐为精神卫生专业人员的良好实践。然而，如果接受者（服务使用者）或提供者（保健专业人员）没有高度认识到其价值，就不会执行。本研究的目的是确定什么价值的ERP被认为是由服务用户（SU）和精神卫生专业人员（护理协调员，CC）提供社区个案管理。一个嵌套的定性研究设计，作为随机对照试验的ERP的一部分。半结构化的采访进行了有目的的子样本的21个CC和21个SU，和一个迭代的方法来开发一个框架的概念类别，系统地应用到数据。实施和接受ERP的过程中，由SU和CC的三个类似的原因：提高对BD的理解（在BD的知识赤字被认为），加强工作关系，并改善管理条件的方式。这些建议对共同国家和特别国家的影响有所不同，特别国家也持一些保留意见。社区合作国和统一国家认为，在预防复发的早期预警信号干预方面具有类似的价值，这些干预措施对它们特别有益。如果保持这种感知价值，在日常工作中，国家协调员和工作队可能会长期使用企业资源规划系统。
Enhanced relapse prevention (ERP) is a psychological intervention delivered by mental health professionals to help individuals with bipolar disorder (BD) recognise and manage early warning signs for mania and depression. ERP has an emerging evidence base and is recommended as good practice for mental health professionals. However, without highly perceived value to both those receiving (services users) or delivering it (health professionals), implementation will not occur. The aim of this study is to determine what values of ERP are perceived by service users (SUs) and mental health professionals (care coordinators, CCs) providing community case management. A nested qualitative study design was employed as part of a randomised controlled trial of ERP. Semi-structured interviews were conducted with a purposive sub-sample of 21 CCs and 21 SUs, and an iterative approach used to develop a framework of conceptual categories that was applied systematically to the data. The process of implementing and receiving ERP was valued by both SUs and CCs for three similar sets of reasons: improved understanding of BD (where a knowledge deficit of BD was perceived), enhanced working relationships, and improved ways of managing the condition. There were some differences in the implications these had for both CCs and SUs who also held some reservations. CCs and SUs perceive similar value in early warning signs interventions to prevent relapse, and these have particular benefits to them. If this perceived value is maintained, CCs and SUs in routine practice may use ERP long-term.
登录
查看更多内容
影响因子：
--
作者：
Merikangas, Kathleen R.;Akiskal, Hagop S.;Kessler, Ronald C.
通讯作者：
Kessler, Ronald C.
影响因子：
3.8
作者：
Bauer, Mark S.;McBride, Linda;Sajatovic, Martha
通讯作者：
Sajatovic, Martha
影响因子：
10.6
作者：
Miklowitz, DJ;Simoneau, TL;Suddath, R
通讯作者：
Suddath, R
影响因子：
3.5
作者：
Rogers, A;Oliver, D;Richards, D
通讯作者：
Richards, D
影响因子：
7.3
作者：
Sajatovic, M;Davies, M;Jenkins, J
通讯作者：
Jenkins, J