TY - JOUR AU -塔塔尔，Ovidiu AU - Abdel-Baki, Amal AU - Tra, Christophe AU - Mongeau-Pérusse, Violaine AU - Arruda, Nelson AU - Kaur, Navdeep AU - Landry, Vivianne AU - Coronado-Montoya, Stephanie AU - Jutras-Aswad, Didier PY - 2021 DA - 201/4/5 TI -对早期精神病和大麻使用障碍的年轻人基于技术的心理干预:定性研究的病人和医生的角度乔- Res JMIR形式SP - e26562六世- 5 - 4 KW -心理学KW -干预KW -大麻滥用KW -大麻使用障碍KW -年轻人KW -临床医生KW -精神病KW -精神分裂症KW -双重诊断KW -定性KW -接受KW -科技型KW -远程医疗千瓦mHealth KW -数字医疗KW -电子健康KW -应用KW -智能手机KW -手机AB -背景:在首发精神病(FEP)的年轻成年人中，大麻使用障碍(CUD)的持续存在与不良的临床和功能结果相关。面对面心理干预治疗CUD有效。然而，由于临床医生培训的高工作量和异质性以及患者缺乏治疗动机等障碍，它们在精神病早期干预服务(EISs)中的使用并不一致。定制新的基于技术的心理干预(tbpi)来克服这些障碍是必要的，以确保其最佳可接受性。目的:本研究的目的有两个:探索与早期精神病患者CUD治疗相关的心理干预实践和干预目标，以及探索技术辅助心理干预发展和实施的相关因素。方法:2019年6月，共10例EISs患者接受FEP和CUD治疗。对加拿大Québec省首发诊所工作的10名临床医生进行了半结构化的个人访谈。一种混合的归纳演绎方法被用来分析数据。 For the deductive analysis, we used categories of promoting strategies found in the literature shown to increase adherence to web-based interventions for substance use (ie, tailoring, reminders, delivery strategies, social support, and incentives). For the inductive analysis, we identified new themes through an iterative process of reviewing the data multiple times by two independent reviewers. Results: Data were synthesized into five categories of factors that emerged from data collection, and a narrative synthesis of commonalities and differences between patient and clinician perspectives was produced. The categories included attitudes and beliefs related to psychological interventions (eg, behavioral stage of change), strategies for psychological interventions (eg, motivational interviewing, cognitive behavioral therapy, psychoeducation, stress management), incentives (eg, contingency management), general interest in TBPIs (eg, facilitators and barriers of TBPIs), and tailoring of TBPIs (eg, application needs and preferences, outcome measures of interest for clinicians). Conclusions: This study provides a comprehensive portrait of the multifaceted needs and preferences of patients and clinicians related to TBPIs. Our results can inform the development of smartphone- or web-based psychological interventions for CUD in young adults with early psychosis. SN - 2561-326X UR - https://formative.www.mybigtv.com/2021/4/e26562 UR - https://doi.org/10.2196/26562 UR - http://www.ncbi.nlm.nih.gov/pubmed/33818397 DO - 10.2196/26562 ID - info:doi/10.2196/26562 ER -