Components of Effective Cognitive-Behavioral Therapy for Pediatric Headache: A Mixed Methods Approach.
Components of Effective Cognitive-Behavioral Therapy for Pediatric Headache: A Mixed Methods Approach.
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DOI：
10.1037/cpp0000216
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发表时间：
2017
影响因子：
1.1
通讯作者：
Palermo TM
中科院分区：
文献类型：
--
作者：
Law EF;Beals-Erickson SE;Fisher E;Lang EA;Palermo TM
互联网提供的治疗有可能扩大儿童头痛的循证认知行为疗法(CBT)，并已在一些患有头痛的青年的小型试验中证明有效。我们使用混合方法为这一人群确定CBT的有效成分。在研究1中，成分分布分析确定了面对面或通过互联网发布的有效CBT治疗儿童头痛的随机对照试验中提供的常见干预措施。我们确定了一套核心的三种治疗成分，这些成分在面对面和互联网协议中都是通用的：1)头痛教育，2)放松训练，3)认知干预。生物反馈被确定为仅以面对面方案提供的额外核心治疗组成部分。在研究二中，我们进行了定性访谈，以描述头痛青少年及其父母对互联网CBT干预的成功组成部分的看法。定性数据分析产生了11个主题，主要集中在患者使用治疗组件的经验和对新治疗组件的建议。在讨论中，这些混合方法的研究结果被综合起来，以提供适用于患有头痛的青少年的互联网CBT协议。
Internet-delivered treatment has the potential to expand access to evidence-based cognitive-behavioral therapy (CBT) for pediatric headache, and has demonstrated efficacy in small trials for some youth with headache. We used a mixed methods approach to identify effective components of CBT for this population. In Study 1, component profile analysis identified common interventions delivered in published RCTs of effective CBT protocols for pediatric headache delivered face-to-face or via the Internet. We identified a core set of three treatment components that were common across face-to-face and Internet protocols: 1) headache education, 2) relaxation training, and 3) cognitive interventions. Biofeedback was identified as an additional core treatment component delivered in face-to-face protocols only. In Study 2, we conducted qualitative interviews to describe the perspectives of youth with headache and their parents on successful components of an Internet CBT intervention. Eleven themes emerged from the qualitative data analysis, which broadly focused on patient experiences using the treatment components and suggestions for new treatment components. In the Discussion, these mixed methods findings are integrated to inform the adaptation of an Internet CBT protocol for youth with headache.