背景:自然灾害的发生频率增加,和远程健康干预可以提供容易获得的帮助,以减少幸存者经历的心理健康症状。然而,提供给自然灾害幸存者的项目很少,并且没有关于为自然灾害幸存者提供混合干预措施的治疗师经验的研究。
目的:我们的定性案例研究旨在描述心理学家与在线,为艾伯塔省麦克默里堡野火的幸存者提供治疗师辅助的混合干预,加拿大。
方法:在一项随机对照试验的框架内开发了RESILIENT干预措施,以通过为幸存者提供12个模块的免费访问来提高麦克默里堡野火后的复原力。治疗师辅助干预,旨在改善创伤后的压力,失眠,抑郁症状。焦点小组设计用于从治疗师那里收集数据,通过专题分析确定了新出现的共同主题。
结果:治疗师认为他们可以建立强大的联盟,有效地传达情感和同理心,尽管缺乏非语言线索带来了一些挑战。干预,根据参与的治疗师,不太适合高压力情况下的参与者,以及客户期望和干预内容之间存在差异的情况。此外,治疗师认为特定干预措施易于使用或更具挑战性,这是因为它们的复杂性和执行它们所需的治疗师支持。客户参与该计划成为对联盟产生根本影响的基本主题,通信,最终,治疗效率。治疗师的培训和监督被认为是项目交付成功的关键。
结论:从治疗师的角度来看,我们的研究结果为优化自然灾害幸存者的混合干预措施提供了一些启示。
BACKGROUND: Natural disasters happen in an increased frequency, and telemental health interventions could offer easily accessible help to reduce mental health symptoms experienced by survivors. However, there are very few programs offered to natural disaster survivors, and no research exists on therapists\' experiences with providing blended interventions for natural disaster survivors.
OBJECTIVE: Our qualitative
case study aims to describe psychologists\' experiences with an online, therapist-assisted blended intervention for survivors of the Fort McMurray wildfires in Alberta, Canada.
METHODS: The RESILIENT intervention was developed in the frames of a randomized controlled trial to promote resilience after the Fort McMurray wildfires by providing survivors free access to a 12-module, therapist-assisted intervention, aiming to improve post-traumatic stress, insomnia, and depression symptoms. A focus group design was used to collect data from the therapists, and emerging common themes were identified by thematic analysis.
RESULTS: Therapists felt they could build strong alliances and communicate emotions and empathy effectively, although the lack of nonverbal cues posed some challenges. The intervention, according to participating therapists, was less suitable for participants in high-stress situations and in
case of discrepancy between client expectations and the intervention content. Moreover, the therapists perceived specific interventions as easy-to-use or as more challenging based on their complexity and on the therapist support needed for executing them. Client engagement in the program emerged as an underlying theme that had fundamental impact on alliance, communication, and ultimately, treatment efficiency. Therapist training and supervision was perceived as crucial for the success of the program delivery.
CONCLUSIONS: Our findings provided several implications for the optimalization of blended interventions for natural disaster survivors from our therapists\' perspective.