PDF(Pubmed)
Abstract：
Psychedelic substances induce profound alterations in consciousness. Careful preparation is therefore essential to limit adverse reactions, enhance therapeutic benefits, and maintain user safety. This paper describes the development of a self-directed, digital intervention for psychedelic preparation. Drawing on elements from the UK Medical Research Council (MRC) framework for developing complex interventions, the design was informed by a four-factor model of psychedelic preparedness, using a person-centred approach. Our mixed-methods investigation consisted of two studies. The first involved interviews with 19 participants who had previously attended a \'high-dose\' psilocybin retreat, systematically exploring their preparation behaviours and perspectives on the proposed intervention. The second study engaged 28 attendees of an ongoing psilocybin retreat in co-design workshops, refining the intervention protocol using insights from the initial interviews. The outcome is a co-produced 21-day digital course (Digital Intervention for Psychedelic Preparation (DIPP)), that is organised into four modules: Knowledge-Expectation, Psychophysical-Readiness, Safety-Planning, and Intention-Preparation. Fundamental components of the course include daily meditation practice, supplementary exercises tied to the weekly modules, and mood tracking. DIPP provides a comprehensive and scalable solution to enhance psychedelic preparedness, aligning with the broader shift towards digital mental health interventions.
摘要：
迷幻物质引起意识的深刻改变。因此，仔细的准备对于限制不良反应至关重要，增强治疗益处，维护用户安全。本文描述了一种自我导向的发展，迷幻准备的数字干预。借鉴英国医学研究理事会（MRC）框架中用于开发复杂干预措施的要素，该设计是由迷幻准备的四因素模型提供的，使用以人为本的方法。我们的混合方法调查包括两项研究。第一次采访了19名参与者，他们以前参加过“高剂量”psilocybin静修，系统地探索他们对拟议干预措施的准备行为和观点。第二项研究邀请了28名正在进行的psilocybin静修的参与者参加共同设计研讨会，使用最初访谈的见解来完善干预方案。结果是共同制作的21天数字课程（迷幻准备数字干预（DIPP）），分为四个模块：知识-期望，心理生理准备，安全规划,和意向准备。课程的基本组成部分包括日常冥想练习，与每周模块相关的补充练习，和情绪跟踪。DIPP提供全面且可扩展的解决方案，以增强迷幻准备，与向数字心理健康干预的更广泛转变保持一致。
