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首页> 外文期刊>Administration and Policy in Mental Health and Mental Health Services Research >The Dissemination of Computer-Based Psychological Treatment: A Preliminary Analysis of Patient and Clinician Perceptions
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The Dissemination of Computer-Based Psychological Treatment: A Preliminary Analysis of Patient and Clinician Perceptions

机译：传播基于计算机的心理治疗：对患者和临床医生的认知的初步分析

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摘要

Computerized cognitive behavioral therapy is an efficacious treatment for anxiety and depression with the potential to improve access to evidence-based care. However, its adoption in clinical practice in the US has been low and thus there is a need for identification of barriers to its use. We examined treatment-seeking patient (n = 55) and clinician (n = 26) perceptions of computer-based psychological treatment (CBPT) using Diffusion of Innovations theory as a conceptual framework. Diffusion of Innovations theory emphasizes potential adopter perceptions as being key to understanding adoption decisions, thus making it an ideal framework for evaluating barriers to use. Overall, treatment-seeking patients held slightly negative perceptions of CBPT, while clinicians’ perceptions were more neutral. In both groups, perceptions of observability (seeing or hearing about the treatment in use) were rated lowest. Implications for dissemination efforts and suggestions for future research are discussed.
机译：计算机化的认知行为疗法是治疗焦虑症和抑郁症的有效方法，具有改善获得循证护理的潜力。但是，其在美国的临床实践中采用率很低，因此需要确定其使用的障碍。我们使用创新扩散理论作为概念框架，考察了寻求治疗的患者（n = 55）和临床医生（n = 26）对基于计算机的心理治疗（CBPT）的看法。创新扩散理论强调潜在的采用者认知是理解采用决策的关键，因此使其成为评估使用障碍的理想框架。总体而言，寻求治疗的患者对CBPT的看法略有负面，而临床医生的看法则较为中立。在两组中，对可观察性的感知（看到或听到有关使用中的治疗）的评分均最低。讨论了传播工作的意义和对未来研究的建议。

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