Videoconferencing-based family counseling for rural teenagers with epilepsy: Phase 1 findings
Videoconferencing-based family counseling for rural teenagers with epilepsy: Phase 1 findings
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DOI：
10.1037/0090-5550.47.1.49
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发表时间：
2002-02-01
影响因子：
2.7
通讯作者：
Carney, P
中科院分区：
文献类型：
--
作者：
Glueckauf, RL;Fritz, SP;Carney, P
目的：评估视频会议咨询对农村癫痫青少年心理社会功能的影响。地点：大学和农村社区。参与者：22 名癫痫青少年及其父母。干预措施：六次家庭视频咨询、家庭免提咨询或办公室咨询。主要结果指标：问题严重性和频率、社交技能评级系统、修改后的工作联盟量表和治疗结果：青少年和家长报告说，从第 6 次训练前、第 6 次训练后到 6 个月的随访，所有 3 种情况下问题的严重性和频率均显着降低。家长报告说，从第六节课前到第六节课后到后续，亲社会行为显着增加。相比之下，家长和老师都表示，随着时间的推移，问题行为没有任何变化。三种方式的依从性没有差异。总体治疗联盟很高，但随着家庭成员和治疗的不同而有所不同。结论：分娩方式不影响初始治疗结果或依从性。
Objective: Assess the effects of videoconferencing-based counseling on the psychosocial functioning of rural teenagers with epilepsy.Setting: University and rural communities.Participants: Twenty-two teenagers with epilepsy and their parents.Interventions: Six sessions of home-based video counseling, home-based speakerphone counseling, or office-based counseling.Main Outcome Measures: Problem severity and frequency, Social Skills Rating System, modified Working Alliance Inventory, and treatment adherence.Results: Teenagers and parents reported significant reductions in both problem severity and frequency across all 3 conditions from pre- to post-6th session to the 6-month follow-up. Parents reported significant increases in prosocial behaviors from pre- to post-6th session to follow-up. In contrast, both parents and teachers reported no change in problem behaviors over time. No differences in adherence were found across the 3 modalities. Overall therapeutic alliance was high but varied as a function of family member and treatment.Conclusions: Mode of delivery did not influence initial treatment outcomes or adherence.