Psychosocial Intervention to Promote Treatment Adherence in CMCH

社会心理干预促进 CMCH 治疗依从性

• 批准号: 7551686
• 负责人: JOSEPH R CALABRESE
• 金额: $ 26.15万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-06-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7551686
• 关键词: Adherence; Adult; Adverse event; Affect; Attitude; Behavior; Borderline Personality Disorder; Bronchopulmonary Dysplasia; Caring; Community Mental Health Centers; Family; Financial cost; Goals; Health Status; Individual; Intervention; Intervention Trial; Life; Medical; Mental Health; Modeling; Outcome; Outcome Measure; Outpatients; Patients; Pharmaceutical Preparations; Pharmacotherapy; Play; Purpose; Randomized Controlled Trials; Reporting; Role; System; Testing; base; experience; improved; programs; prospective; psychoeducational intervention; psychosocial

Lack of adherence with treatment plays an important role in outcome of BPD, and is associated with substantial humanitarian and financial costs. It has been reported that 20-55% of individuals with BPD have major lapses in treatment adherence. Psychosocial interventions in BPD may improve treatment adherence, particularly when combined with pharmacotherapy. The purpose of this study is to examine how a psychosocial intervention based upon a collaborative treatment model affects treatment adherence attitudes and behaviors. This is a prospective, randomized, controlled study of effects on treatment adherence attitudes and behaviors associated with the addition of a standardized psychoeducational intervention (The Life Goals Program) to the medical management (Usual Care) of 166 adult outpatients with BPD who attend a CMHC. Unlike many mental health treatment systems tested in controlled trials, this intervention is efficient, practical, and based entirely within the confines of the CMHC. In addition to evaluating the primary outcome measures of treatment adherence attitudes and behaviors, the study will also evaluate the effects of adding the Life Goals Program to Usual Care on general health status, occurrence of adverse events during treatment, and in family functioning.

缺乏治疗依从性在BPD的结局中起着重要作用，并且与 大量的人道主义和财政费用。据报道，20-55%的BPD患者患有严重的 治疗依从性的缺失。BPD的心理社会干预可能会提高治疗依从性， 与药物治疗相结合。本研究的目的是探讨心理社会干预如何 基于协作治疗模式的治疗方法影响治疗依从性态度和行为。这是一 对治疗依从性态度和行为影响的前瞻性、随机、对照研究 在医疗管理中增加标准化的心理教育干预（生活目标计划） （家庭护理）的166名成人门诊BPD谁参加CMHC。与许多心理健康治疗系统不同， 经过对照试验的检验，这种干预是有效的、实用的，并且完全在CMHC的范围内。 除了评估治疗依从性态度和行为的主要结局指标外， 还将评估将生活目标计划添加到家庭护理中对一般健康状况、 治疗期间和家庭功能中的不良事件。