Strategies to enhance communication with telemental health measurement-based care (tMBC).
Strategies to enhance communication with telemental health measurement-based care (tMBC).
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DOI：
10.1037/pri0000119
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发表时间：
2020-06
期刊：
影响因子：
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通讯作者：
Comer JS
中科院分区：
文献类型：
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作者：
Douglas S;Jensen-Doss A;Ordorica C;Comer JS
远程医疗一直很有希望增加人们获得心理健康护理的机会，在新冠肺炎时代尤其如此，因为在这个时代，客户不能或不愿来到临床医生的实际位置。作为传统面对面护理的一种可行和有效的替代方案，远程保健要求临床医生采用新的策略来建立和维持沟通和治疗关系。这对于刚接触这种模式的临床医生来说可能特别麻烦，他们可能会更强烈地感受到“会话中”体验的丧失。作为一种跨理论和跨诊断的循证实践，基于远程健康测量的护理(TMBC)是在虚拟相遇背景下加强系统的持续监测、治疗参与和治疗联盟的理想补充。虽然tMBC的作用机制仍在探索中，但有很有希望的证据表明，tMBC可以改善临床医生对急性客户担忧的反应。通过使用客户报告的措施，tMBC为客户提供了一条与临床医生系统沟通的重要途径，这可以指导治疗行动并有助于分享理解。这份简短的报告总结了TMBC作为一种以患者为中心的沟通工具的证据，并为将TMBC整合到远程医疗解决方案中的基于证据和实践知情的战略提供了建议，以及监测与新冠肺炎危机相关的新担忧的建议。
Telehealth has always held great promise to increase access to mental health care, never more so than in the age of COVID-19, when clients can’t or won’t come to the clinician’s physical location. A feasible and effective alternative to traditional in-person care, telemental health requires that clinicians adopt new strategies to build and maintain communication and the therapeutic relationship. This can be particularly troublesome for clinicians new to the modality, who may feel the loss of the “in-session” experience more acutely. As an evidence-based practice that is transtheoretical and transdiagnostic, telemental health measurement-based care (tMBC) is the ideal complement to enhance systematic ongoing monitoring, treatment engagement, and therapeutic alliance in the context of the virtual encounter. While tMBC mechanisms of actions are still being explored, there is promising evidence that tMBC improves clinician responsivity to acute client concerns. By using client-reported measures, tMBC provides an important pathway for clients to systematically communicate with their clinicians, which can guide therapeutic actions and contribute to shared understanding. This brief report summarizes the evidence for tMBC as a patient-centered communication tool and provides recommendations for evidence-based and practice-informed strategies to integrate tMBC into telehealth solutions, with suggestions for monitoring new concerns related to the COVID-19 crisis.