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An implementation and effectiveness study evaluating Conflict Analysis in VA residential substance abuse services: Whole Health informed self-guided online care.
Levis, Maxwell; Ludmer, Dana J; Cornelius, Sarah; Scott, Robert; Watts, Bradley V; Shiner, Brian.
  • Levis M; Veterans Affairs Medical Center, White River Junction, VT, United States of America; Department of Psychiatry, Geisel School of Medicine, Hanover, NH, United States of America. Electronic address: Maxwell.e.levis@dartmouth.edu.
  • Ludmer DJ; Clinical Psychology, Antioch University of New England, Keene NH, United States of America.
  • Cornelius S; Veterans Affairs Medical Center, White River Junction, VT, United States of America.
  • Scott R; Veterans Affairs Medical Center, White River Junction, VT, United States of America.
  • Watts BV; Veterans Affairs Medical Center, White River Junction, VT, United States of America; Department of Psychiatry, Geisel School of Medicine, Hanover, NH, United States of America; VA Office of Systems Redesign and Improvement, 215 North Main Street, White River Junction, VT 05009, United States of Amer
  • Shiner B; Veterans Affairs Medical Center, White River Junction, VT, United States of America; Department of Psychiatry, Geisel School of Medicine, Hanover, NH, United States of America; National Center for PTSD, 215 North Main Street, White River Junction, VT  05009, USA.
Explore (NY) ; 18(6): 688-697, 2022.
Статья в английский | MEDLINE | ID: covidwho-2122470
ABSTRACT
CONTEXT Whole Health is an emerging healthcare framework that emphasizes wellbeing in place of illness. Conflict Analysis (CA), an online self-guided assessment, leverages innovative diagnostic and therapeutic resources that shares Whole Health objectives, including helping users explore their identity and develop a personalized health plan and helping users develop resources to optimize their health.

OBJECTIVES:

Paper presents CA implementation-effectiveness study in a Veteran Affairs inpatient substance recovery care.

DESIGN:

Patients were randomized to CA or mindfulness control. Patients completed Whole Health outcomes measures at baseline, completion (post), and three-week follow-up. Interventions took 2.5 h. Attending psychologist assessed CA protocols and completed outcome evaluation. Due to Coronavirus, recruitment and follow-up were curtailed.

SETTING:

Study took place in a rural northern New England Veteran Affairs inpatient substance recovery unit. OUTCOME

MEASURES:

Measures include The Personal Growth Initiative Scale, The Beck Cognitive Insight Scale, Perceived Stress Scale, The Patient Health Questionnaire, Perceived Psychological Wellbeing, and Perceived Therapeutic and Diagnostic Benefit.

RESULTS:

12 patients were randomized, 11 completed post measures (CA=5; Mindfulness = 6), and 7 completed follow-up measures (CA=3; Mindfulness=4). CA offered significant Whole Health benefits when compared to control. Additionally, participant and clinician evaluations indicated that CA can be personally relevant, meaningful, and motivate therapeutic growth. Implications include extending CA research and expanding Whole Health related interventions. Although initial results suggest implementation feasibility and Whole Health benefit, more research is necessary to establish CA's utility within inpatient substance recovery care in particular and psychiatric rehabilitation in general.
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Полный текст: Имеется в наличии Коллекция: Международные базы данных база данных: MEDLINE Основная тема: Substance-Related Disorders / Mindfulness Тип исследования: Когортное исследование / Экспериментальные исследования / Наблюдательное исследование / Прогностическое исследование / Рандомизированные контролируемые испытания Пределы темы: Люди Язык: английский Журнал: Explore (NY) Тематика журнала: Комплементарные методы лечения Год: 2022 Тип: Статья

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Полный текст: Имеется в наличии Коллекция: Международные базы данных база данных: MEDLINE Основная тема: Substance-Related Disorders / Mindfulness Тип исследования: Когортное исследование / Экспериментальные исследования / Наблюдательное исследование / Прогностическое исследование / Рандомизированные контролируемые испытания Пределы темы: Люди Язык: английский Журнал: Explore (NY) Тематика журнала: Комплементарные методы лечения Год: 2022 Тип: Статья