PDF(Pubmed)
Abstract：
UNASSIGNED: Low motivation and suboptimal cognitive skills are common among forensic psychiatric patients. By focusing on doing and experiencing, innovative technologies could offer an alternative to existing treatment for this patient group. One promising technology is DEEP, a VR biofeedback game that teaches diaphragmatic breathing, which has shown its potential in reducing stress in other populations. This exploratory study aimed at identifying if, how and for whom DEEP can be of added value in forensic mental healthcare.
UNASSIGNED: This study used a qualitative approach. Six focus groups with 24 healthcare providers and 13 semi-structured interviews with forensic psychiatric inpatients were conducted in two Dutch forensic mental healthcare organizations. All healthcare providers and patients experienced DEEP before participating. The data were coded inductively, using the method of constant comparison.
UNASSIGNED: The data revealed six themes with accompanying (sub)codes, including (1) the possible advantages and (2) disadvantages of DEEP, (3) patient characteristics that could make DEEP more or (4) less suitable and beneficial, (5) ways DEEP could be used in current treatment, and (6) conditions that need to be met to successfully implement DEEP in forensic mental healthcare. The results showed that DEEP can offer novel ways to support forensic psychiatric patients in coping with negative emotions by practicing diaphragmatic breathing. Its appealing design might be suitable to motivate a broad range of forensic psychiatric patient groups. However, DEEP cannot be personalized, which might decrease engagement and uptake of DEEP long-term. Regarding its place in current care, DEEP could be structurally integrated in existing treatment programs or used ad hoc when the need arises. Finally, this study showed that both healthcare providers and patients would need practical support and information to use DEEP.
UNASSIGNED: With its experience-based and gamified design, DEEP could be useful for forensic mental healthcare. It is recommended that patients and healthcare providers are included in the evaluation and implementation from the start. Besides, a multilevel approach should be used for formulating implementation strategies. If implemented well, DEEP can offer new ways to provide forensic psychiatric patients with coping strategies to better control their anger.
UNASSIGNED: This study used a qualitative approach. Six focus groups with 24 healthcare providers and 13 semi-structured interviews with forensic psychiatric inpatients were conducted in two Dutch forensic mental healthcare organizations. All healthcare providers and patients experienced DEEP before participating. The data were coded inductively, using the method of constant comparison.
UNASSIGNED: The data revealed six themes with accompanying (sub)codes, including (1) the possible advantages and (2) disadvantages of DEEP, (3) patient characteristics that could make DEEP more or (4) less suitable and beneficial, (5) ways DEEP could be used in current treatment, and (6) conditions that need to be met to successfully implement DEEP in forensic mental healthcare. The results showed that DEEP can offer novel ways to support forensic psychiatric patients in coping with negative emotions by practicing diaphragmatic breathing. Its appealing design might be suitable to motivate a broad range of forensic psychiatric patient groups. However, DEEP cannot be personalized, which might decrease engagement and uptake of DEEP long-term. Regarding its place in current care, DEEP could be structurally integrated in existing treatment programs or used ad hoc when the need arises. Finally, this study showed that both healthcare providers and patients would need practical support and information to use DEEP.
UNASSIGNED: With its experience-based and gamified design, DEEP could be useful for forensic mental healthcare. It is recommended that patients and healthcare providers are included in the evaluation and implementation from the start. Besides, a multilevel approach should be used for formulating implementation strategies. If implemented well, DEEP can offer new ways to provide forensic psychiatric patients with coping strategies to better control their anger.
摘要：
■法医精神病患者的动机低和认知技能欠佳是常见的。通过专注于做和体验，创新技术可以为该患者组提供现有治疗的替代方案.一种有前途的技术是DEEP，一个教膈呼吸的VR生物反馈游戏，这表明了它在减轻其他人群压力方面的潜力。这项探索性研究旨在确定，Deep如何以及对谁来说可以在法医精神保健中具有附加值。
■这项研究采用了定性方法。在两个荷兰法医精神保健组织中，对24名医疗保健提供者进行了六个焦点小组，并对13名法医精神病住院患者进行了半结构化访谈。所有医疗保健提供者和患者在参与之前都经历了深度。数据是感应编码的，采用常数比较的方法。
■数据揭示了六个主题，并附有（子）代码，包括（1）DEEP的可能优点和（2）缺点，（3）可能使DEEP更多或（4）不太适合和有益的患者特征，(5)DEEP可用于目前的治疗方法，（6）在法医精神保健中成功实施DEEP需要满足的条件。结果表明，DEEP可以提供新的方法来支持法医精神病患者通过练习diaphragm呼吸来应对负面情绪。其吸引人的设计可能适合激发广泛的法医精神病患者群体。然而,深度不能个性化，这可能会降低长期深度的参与和吸收。关于它在当前护理中的地位，DEEP可以在结构上整合到现有的治疗方案中，或者在需要时临时使用。最后,这项研究表明,医疗保健提供者和患者都需要实际支持和信息才能使用DEEP.
■凭借其基于经验和游戏化的设计，DEEP可能对法医精神保健有用。建议从一开始就将患者和医疗保健提供者纳入评估和实施中。此外,应采用多层次的方法来制定实施战略。如果执行得当,DEEP可以提供新的方法，为法医精神病患者提供应对策略，以更好地控制他们的愤怒。
■这项研究采用了定性方法。在两个荷兰法医精神保健组织中，对24名医疗保健提供者进行了六个焦点小组，并对13名法医精神病住院患者进行了半结构化访谈。所有医疗保健提供者和患者在参与之前都经历了深度。数据是感应编码的，采用常数比较的方法。
■数据揭示了六个主题，并附有（子）代码，包括（1）DEEP的可能优点和（2）缺点，（3）可能使DEEP更多或（4）不太适合和有益的患者特征，(5)DEEP可用于目前的治疗方法，（6）在法医精神保健中成功实施DEEP需要满足的条件。结果表明，DEEP可以提供新的方法来支持法医精神病患者通过练习diaphragm呼吸来应对负面情绪。其吸引人的设计可能适合激发广泛的法医精神病患者群体。然而,深度不能个性化，这可能会降低长期深度的参与和吸收。关于它在当前护理中的地位，DEEP可以在结构上整合到现有的治疗方案中，或者在需要时临时使用。最后,这项研究表明,医疗保健提供者和患者都需要实际支持和信息才能使用DEEP.
■凭借其基于经验和游戏化的设计，DEEP可能对法医精神保健有用。建议从一开始就将患者和医疗保健提供者纳入评估和实施中。此外,应采用多层次的方法来制定实施战略。如果执行得当,DEEP可以提供新的方法，为法医精神病患者提供应对策略，以更好地控制他们的愤怒。
