Psychosocial Intervention to Promote Treatment Adherence in CMCH

社会心理干预促进 CMCH 治疗依从性

• 批准号: 7551686
• 负责人: JOSEPH R CALABRESE
• 金额: $ 26.15万
• 依托单位: CASE WESTERN RESERVE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-06-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7551686
• 关键词: Adherence; Adult; Adverse event; Affect; Attitude; Behavior; Borderline Personality Disorder; Bronchopulmonary Dysplasia; Caring; Community Mental Health Centers; Family; Financial cost; Goals; Health Status; Individual; Intervention; Intervention Trial; Life; Medical; Mental Health; Modeling; Outcome; Outcome Measure; Outpatients; Patients; Pharmaceutical Preparations; Pharmacotherapy; Play; Purpose; Randomized Controlled Trials; Reporting; Role; System; Testing; base; experience; improved; programs; prospective; psychoeducational intervention; psychosocial

Lack of adherence with treatment plays an important role in outcome of BPD, and is associated with substantial humanitarian and financial costs. It has been reported that 20-55% of individuals with BPD have major lapses in treatment adherence. Psychosocial interventions in BPD may improve treatment adherence, particularly when combined with pharmacotherapy. The purpose of this study is to examine how a psychosocial intervention based upon a collaborative treatment model affects treatment adherence attitudes and behaviors. This is a prospective, randomized, controlled study of effects on treatment adherence attitudes and behaviors associated with the addition of a standardized psychoeducational intervention (The Life Goals Program) to the medical management (Usual Care) of 166 adult outpatients with BPD who attend a CMHC. Unlike many mental health treatment systems tested in controlled trials, this intervention is efficient, practical, and based entirely within the confines of the CMHC. In addition to evaluating the primary outcome measures of treatment adherence attitudes and behaviors, the study will also evaluate the effects of adding the Life Goals Program to Usual Care on general health status, occurrence of adverse events during treatment, and in family functioning.

缺乏对治疗的依从性在BPD的结果中起重要作用，并且与 大量的人道主义和财务成本。据报道，有20-55％的BPD患者具有主要 治疗依从性的失误。 BPD中的社会心理干预措施可能会提高治疗依从性，特别是 与药物疗法结合使用。这项研究的目的是研究如何进行社会心理干预 基于协作治疗模型，会影响治疗的依从性态度和行为。这是一个 前瞻性，随机，对照研究对治疗依从性态度和行为的影响 将标准化的心理教育干预措施（人寿目标计划）添加到医疗管理 （通常护理）参加CMHC的166名成人门诊病人患有BPD。与许多心理健康治疗系统不同 在对照试验中测试，该干预措施是有效的，实用的，并且完全基于CMHC的范围。 除了评估治疗依从性态度和行为的主要结果测量外，该研究还 还将评估将生命目标计划添加到通常护理中对一般健康状况的影响， 治疗期间和家庭功能中的不良事件。