Abstract：
BACKGROUND: Severe mental disorders can cause significant and lasting distress for patients and their families and generate high costs through the need for care and loss of productivity. This study tests DIALOG+, an app-based intervention to make routine patient-clinician meetings therapeutically effective. It combines a structured evaluation of patient satisfaction with a solution-focused approach.
METHODS: We conducted a qualitative study, based on a controlled clinical trial, in which 9 psychiatrists and 18 patients used DIALOG+ monthly over a six-month period. Semi-structured interviews were used to explore the experiences of participants and analysed in an inductive thematic analysis focusing on the feasibility and effects of the intervention in the Colombian context.
RESULTS: Experiences were grouped into five overall themes: a) impact of the intervention on the consultation and the doctor-patient relationship; b) impact on patients and in promoting change; c) use of the supporting app, and d) adaptability of the intervention to the Colombian healthcare system.
CONCLUSIONS: DIALOG+ was positively valued by most of the participants. Participants felt that it was beneficial to the routine consultation, improved communication and empowered patients to take a leading role in their care. More work is required to identify the patient groups that most benefit from DIALOG+, and to adjust it, particularly to fit brief consultation times, so that it can be rolled out successfully in the Colombian healthcare system.
METHODS: We conducted a qualitative study, based on a controlled clinical trial, in which 9 psychiatrists and 18 patients used DIALOG+ monthly over a six-month period. Semi-structured interviews were used to explore the experiences of participants and analysed in an inductive thematic analysis focusing on the feasibility and effects of the intervention in the Colombian context.
RESULTS: Experiences were grouped into five overall themes: a) impact of the intervention on the consultation and the doctor-patient relationship; b) impact on patients and in promoting change; c) use of the supporting app, and d) adaptability of the intervention to the Colombian healthcare system.
CONCLUSIONS: DIALOG+ was positively valued by most of the participants. Participants felt that it was beneficial to the routine consultation, improved communication and empowered patients to take a leading role in their care. More work is required to identify the patient groups that most benefit from DIALOG+, and to adjust it, particularly to fit brief consultation times, so that it can be rolled out successfully in the Colombian healthcare system.
摘要：
背景：严重的精神障碍会给患者及其家人造成严重而持久的困扰，并因需要护理和生产力损失而产生高昂的成本。本研究测试DIALOG+，基于应用程序的干预措施，使常规的患者-临床医生会议在治疗上有效。它将患者满意度的结构化评估与以解决方案为中心的方法相结合。
方法：我们进行了一项定性研究，基于一项对照临床试验，其中9名精神科医生和18名患者在六个月内每月使用DIALOG+。半结构化访谈用于探索参与者的经验，并在归纳主题分析中进行了分析，重点是哥伦比亚背景下干预的可行性和效果。
结果：经验分为五个总体主题：a）干预措施对咨询和医患关系的影响；b）对患者的影响和促进变化；c）使用支持应用程序，和d)干预措施对哥伦比亚医疗保健系统的适应性。
结论：DIALOG+被大多数参与者正面评价。与会者认为,这对例行磋商是有益的,改善沟通，使患者能够在护理中发挥主导作用。需要做更多的工作来确定最受益于DIALOG+的患者群体，并调整它，特别是为了适应简短的咨询时间，这样它就可以在哥伦比亚的医疗保健系统中成功推出。
方法：我们进行了一项定性研究，基于一项对照临床试验，其中9名精神科医生和18名患者在六个月内每月使用DIALOG+。半结构化访谈用于探索参与者的经验，并在归纳主题分析中进行了分析，重点是哥伦比亚背景下干预的可行性和效果。
结果：经验分为五个总体主题：a）干预措施对咨询和医患关系的影响；b）对患者的影响和促进变化；c）使用支持应用程序，和d)干预措施对哥伦比亚医疗保健系统的适应性。
结论：DIALOG+被大多数参与者正面评价。与会者认为,这对例行磋商是有益的,改善沟通，使患者能够在护理中发挥主导作用。需要做更多的工作来确定最受益于DIALOG+的患者群体，并调整它，特别是为了适应简短的咨询时间，这样它就可以在哥伦比亚的医疗保健系统中成功推出。
