TENTS guidelines: development of post-disaster psychosocial care guidelines through a Delphi process
TENTS guidelines: development of post-disaster psychosocial care guidelines through a Delphi process
复制标题
DOI：
10.1192/bjp.bp.109.066266
复制
发表时间：
2010-01-01
影响因子：
10.5
通讯作者：
Olff, Miranda
中科院分区：
文献类型：
--
作者：
Bisson, Jonathan I.;Tavakoly, Behrooz;Olff, Miranda
如何最好地规划和提供灾后心理社会护理仍然是激烈的争论。Aims To develop evidence-informed post-disaster psychosocial management guidelines.MethodA three-round web-based德尔菲过程进行。106名专家使用1到9的等级对从现有证据中产生的陈述的重要性进行了评级。参与者重新评估了他们的原始分数，根据其他人的反应，在随后的rounds.ResultsA共80（72%）的111个声明取得了共识，列入。“所有回复均应提供药理学评估和管理”的声明未达成共识。最后的准则建议，每个地区都有一个多机构心理社会护理规划小组，应对措施提供一般性支持，获得社会、身体和心理支持，只有在综合评估表明有必要时才提供具体的心理健康干预措施。创伤为重点的认知行为疗法（CBT）的建议，急性应激障碍或急性创伤后应激障碍，与其他治疗方法的证据基础，慢性创伤后应激障碍可供使用，如果创伤为重点的CBT是不能容忍的。ConclusionsThe德尔菲过程中允许达成共识，在一个领域，有局限性，目前的证据。
BackgroundHow best to plan and provide psychosocial care following disasters remains keenly debated. Aims To develop evidence-informed post-disaster psychosocial management guidelines.MethodA three-round web-based Delphi process was conducted. One hundred and six experts rated the importance of statements generated from existing evidence using a one to nine scale. Participants reassessed their original scores in the light of others' responses in the subsequent rounds.ResultsA total of 80 (72%) of 111 statements achieved consensus for inclusion. The statement 'all responses should provide access to pharmacological assessment and management' did not achieve consensus. The final guidelines recommend that every area has a multi-agency psychosocial care planning group, that responses provide general support, access to social, physical and psychological support and that specific mental health interventions are only provided if indicated by a comprehensive assessment. Trauma-focused cognitive-behavioural therapy (CBT) is recommended for acute stress disorder or acute post-traumatic stress disorder, with other treatments with an evidence base for chronic post-traumatic stress disorder being made available if trauma-focused CBT is not tolerated.ConclusionsThe Delphi process allowed a consensus to be achieved in an area where there are limitations to the current evidence.