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“A greatest hits compilation of mental health support”: A qualitative study of health professionals’ perceptions of modular CBT in pediatric epilepsy services
Epilepsy & Behavior ( IF 2.3 ) Pub Date : 2021-08-28 , DOI: 10.1016/j.yebeh.2021.108249
Anna E Coughtrey 1 , Sophie D Bennett 1 , Alice Sibelli 2 , Bruce Chorpita 3 , Emma Dalrymple 4 , Peter Fonagy 5 , Tamsin Ford 6 , Isobel Heyman 1 , Rona Moss-Morris 2 , Mice Study Team 1 , Brian C F Ching 1 , Roz Shafran 1
Affiliation  

Objectives

The primary aim of this qualitative study was to explore the views of health professionals, with little previous clinical mental health training, of an adapted modular cognitive-behavioral intervention (MATCH-ADTC) for common mental health problems in children and young people with epilepsy.

Methods

Healthcare Professionals (HCPs) and their supervisors were interviewed at the start (n = 23) and end (n = 15) of the six-month training period. The interviews were transcribed verbatim and analyzed using thematic analysis.

Results

Three higher order themes with sub-themes were identified: (1) strengths of the MATCH-ADTC content and manual; (2) expectations of the treatment; and (3) improving practice with MATCH-ADTC. Overall impressions of the training and treatment were largely positive, with HCPs viewing MATCH-ADTC as an acceptable treatment for the families that they worked with. HCPs highlighted some challenges in delivering an integrated service, particularly relating to the time commitment involved and their own confidence in delivering the intervention, as many participants did not have a mental health background.

Conclusions

The findings suggested that the intervention and training was acceptable to HCPs working in pediatric epilepsy services, and confidence grew over the six-month training period. Further research is needed to understand how to best train, supervise, and support HCPs in pediatric epilepsy services to deliver mental health treatments.



中文翻译:

“心理健康支持精选汇编”:卫生专业人员对小儿癫痫服务中模块化 CBT 看法的定性研究

目标

这项定性研究的主要目的是探讨以前很少接受过临床心理健康培训的卫生专业人员对针对癫痫儿童和青少年常见心理健康问题的适应性模块化认知行为干预(MATCH-ADTC)的看法。

方法

 医疗保健专业人员 (HCP) 及其主管在六个月培训期开始 ( n  = 23) 和结束 ( n = 15) 时接受了采访。访谈内容逐字记录并使用主题分析进行分析。

结果

确定了三个具有子主题的高级主题:(1)MATCH-ADTC 内容和手册的优势;(2) 对治疗的期望;(3) 使用 MATCH-ADTC 改进练习。培训和治疗的总体印象基本上是积极的,HCP 认为 MATCH-ADTC 是他们所服务的家庭可以接受的治疗方法。HCP 强调了提供综合服务的一些挑战,特别是与所涉及的时间投入和他们对提供干预措施的信心有关,因为许多参与者没有心理健康背景。

结论

研究结果表明,从事儿科癫痫服务的 HCP 可以接受干预和培训,并且在六个月的培训期间信心有所增强。需要进一步的研究来了解如何最好地培训、监督和支持小儿癫痫服务中的 HCP 来提供心理健康治疗。

更新日期:2021-08-29
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