Implementation of a Meaning-Centered Psychotherapy training (MCPT) program for oncology clinicians: a qualitative analysis of facilitators and barriers.
Implementation of a Meaning-Centered Psychotherapy training (MCPT) program for oncology clinicians: a qualitative analysis of facilitators and barriers.
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为肿瘤临床医生实施以意义为中心的心理治疗培训（MCPT）计划：对促进因素和障碍的定性分析。
DOI：
10.1093/tbm/ibz138
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发表时间：
2021
影响因子：
3.6
通讯作者：
Breitbart,William
中科院分区：
文献类型：
--
作者：
Polacek,LauraC;Reisch,Sally;Saracino,RebeccaM;Pessin,Hayley;Breitbart,William
以意义为中心的心理治疗培训项目（MCPT）是一个多模式、密集、面对面的项目，培训癌症护理提供者以证据为基础的心理社会治疗——以意义为中心的心理治疗（MCP）。该分析旨在确定培训后1年临床实施（CI）的障碍和促进因素。通过混合方法问卷收集学员关于CI的反馈，包括评估CI的易用性和自由文本回答，确定CI的促进因素和障碍。对前5个MCPT培训队列（n =55）的随访数据进行描述性统计和专题内容分析，以评估CI及其促进因素和障碍。三分之一的参与者表示，在临床实践中实施MCP至少有些困难。学员确定的CI促进因素和障碍分为四大类：项目、患者、治疗和机构。在这些因素中，临床医生报告了各种促成或阻碍他们实施MCP能力的因素。据报道，MCPT本身是一个促进者。患者的获取和兴趣同时被认为是一些人的促进因素和另一些人的障碍。一些受训者发现MCP治疗结构有助于解决重要的患者心理社会需求，而另一些人则认为它过于严格。体制支持在受训者执行管理方案时是否感到受到阻碍或得到帮助方面发挥了重要作用。这些初步结果为项目的优势提供了重要的见解，并促进了MCPT项目的改进，以更好地促进CI。进一步研究MCPT CI是有必要的，主题细化将有可能与更大的样本。
The Meaning-Centered Psychotherapy training program (MCPT) is a multimodal, intensive, in-person program that trains cancer care providers in the evidence-based psychosocial treatment Meaning-Centered Psychotherapy (MCP). This analysis aimed to identify barriers and facilitators to clinical implementation (CI) at 1 year post-training. Trainee feedback regarding CI was collected via a mixed-methods questionnaire, including rating the ease of CI and free-text response identifying facilitators and barriers to CI. Descriptive statistics and thematic content analysis of follow-up data from the first five MCPT training cohorts (n =55) were performed to assess CI and its facilitators and barriers. One third of participants indicated that it was at least somewhat difficult to implement MCP in clinical practice. Trainee-identified facilitators and barriers to CI were characterized within four main categories:program, patient, treatment, and institution. Within each of these factors, clinicians reported a variety of components that contributed to or hindered their ability to implement MCP. MCPT itself was reported as a facilitator. Patient access and interest were simultaneously identified as facilitators for some and barriers for others. Some trainees found the MCP treatment structure helpful in addressing important patient psychosocial needs, while others felt it was too restrictive. Institutional support played an important role in whether trainees felt hindered or helped to implement MCP. These initial results provide important insight into the program’s strengths and have fostered improvements to the MCPT program to better facilitate CI. Further study of MCPT CI is warranted, and theme refinement will be possible with a larger sample.