Clinician characteristics and perceptions related to use of the PE (prolonged exposure) coach mobile app
Clinician characteristics and perceptions related to use of the PE (prolonged exposure) coach mobile app
复制标题
与使用 PE（长时间暴露）教练移动应用程序相关的临床医生特征和看法
DOI：
10.1037/pro0000051
复制
发表时间：
2015
期刊：
影响因子：
--
通讯作者：
J. Ruzek
中科院分区：
文献类型：
--
作者：
E. Kuhn;Jill J. Crowley;J. Hoffman;A. Eftekhari;Kelly M Ramsey;J. Owen;G. Reger;J. Ruzek
使用智能手机提供循证心理治疗对于加强护理具有巨大潜力。心理健康临床医生对智能手机提供的干预措施的看法将影响他们采用这些有前途的创新的决定。作为我们早期研究（Kuhn 等人，2014 年）的后续研究，我们调查了心理健康临床医生 (N= 271) 使用面向患者的智能手机应用程序（称为 PE Coach）对创伤后应激障碍进行长期暴露 (PE) 治疗的情况。一项基于网络的调查利用创新结构的传播评估了临床医生对该应用程序的看法。去年从事体育运动的样本中有一半表示使用过体育教练，其中 93.6% 的人打算继续使用它。对于没有使用过PE Coach的临床医生，77.6%的人打算将来使用它。人们普遍对体育教练的看法是有利的，因为它相对于当前实践的相对优势、与临床医生的价值观和需求的兼容性、复杂性、可试验性和可观察性。年轻的临床医生（< 40 岁）比年长的临床医生（≥ 40 岁）对应用程序的复杂性有更有利的看法。与没有智能手机的临床医生相比，拥有智能手机的临床医生对兼容性、复杂性和可试用性有更有利的看法。相对于非用户，PE Coach 用户对除可试用性之外的所有结构都有更有利的看法。最后，在控制了过去一年中就诊的体育患者数量后，临床医生的年龄和对应用程序的感知复杂性显着预测了体育教练的使用情况。这些发现表明临床医生正在使用 PE Coach 并对其有良好的看法，但可能需要加强传播工作以提高某些临床医生群体的采用率。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）
Using smartphones in the provision of evidence-based psychotherapy holds tremendous potential for enhancing care. Mental health clinicians’ perceptions of smartphone-delivered interventions will affect their decision to adopt these promising innovations. As a follow-up to our early study (Kuhn et al., 2014), here we investigated mental health clinicians’(N= 271) use of a patient-facing smartphone app for prolonged exposure (PE) therapy for posttraumatic stress disorder, called PE Coach. A Web-based survey assessed clinicians’ perceptions of the app using diffusion of innovations constructs. Half of the sample practicing PE in the past year reported using PE Coach, with 93.6% intending to continue using it. For clinicians who did not use PE Coach, 77.6% intended to use it in the future. Perceptions of PE Coach were generally favorable regarding its relative advantage over current practices, compatibility with clinicians’ values and needs, complexity, trialability, and observability. Younger clinicians (< 40 years) had more favorable perceptions of the app’s perceived complexity than did older clinicians (≥ 40 years). Clinicians owning smartphones, relative to those not, had more favorable perceptions of compatibility, complexity, and trialability. PE Coach users, relative to nonusers, had more favorable perceptions across all constructs, except trialability. Finally, after controlling for number of PE patients seen in the past year, clinician age and perceived complexity of the app significantly predicted use of PE Coach. These findings suggest that clinicians are using PE Coach and have favorable perceptions of it, but enhanced dissemination efforts may be needed to increase adoption for certain clinician groups.(PsycInfo Database Record (c) 2020 APA, all rights reserved)