{"id":34509,"date":"2024-11-26T16:41:06","date_gmt":"2024-11-26T16:41:06","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34509"},"modified":"2025-01-16T22:06:57","modified_gmt":"2025-01-16T22:06:57","slug":"interact-integrated-therapist-and-online-cbt-for-depression-in-primary-care","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/tr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/interact-integrated-therapist-and-online-cbt-for-depression-in-primary-care\/","title":{"rendered":"INTERACT: Birinci basamak sa\u011fl\u0131k hizmetlerinde depresyon i\u00e7in entegre terapist ve \u00e7evrimi\u00e7i Bili\u015fsel Davran\u0131\u015f\u00e7\u0131 Terapi"},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_text-module assembler_module assembler_text-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34509\/#module-1\" class=\"anchor\"><span class=\"hidden\">Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-12 sm:pt-24 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <header class=\"local_header\">\n<div class=\"local_header__inner\">\n<h1 class=\"local_header__title\">INTERACT: Birinci basamak sa\u011fl\u0131k hizmetlerinde depresyon i\u00e7in entegre terapist ve \u00e7evrimi\u00e7i Bili\u015fsel Davran\u0131\u015f\u00e7\u0131 Terapi<\/h1>\n<\/div>\n<\/header>\n<article class=\"page_content\">\n<h2><\/h2>\n<h2 class=\"page_content__inner\">Finansman<\/h2>\n<\/article>\n<p>Ulusal Sa\u011fl\u0131k Enstit\u00fcs\u00fc (NIHR) Uygulamal\u0131 Ara\u015ft\u0131rma Program\u0131 Hibeleri (PGfAR) Ref. RP-PG-0514-20012<\/p>\n<h2>Ara\u015ft\u0131rma sorusu nedir?<\/h2>\n<p>Akredite bir Bili\u015fsel Davran\u0131\u015f\u00e7\u0131 Terapi (BDT) uzman\u0131n\u0131n katk\u0131s\u0131yla, \u00e7evrimi\u00e7i BDT materyalleri entegre edilerek, \u0130ngiltere&#039;deki birinci basamak sa\u011fl\u0131k hizmetlerinde depresyon hastalar\u0131 i\u00e7in y\u00fcksek yo\u011funluklu BDT&#039;ye eri\u015fim art\u0131r\u0131labilir mi?<\/p>\n<h2>Sorun nedir?<\/h2>\n<p>Son y\u0131llarda, \u00f6zellikle daha hafif depresyon sorunlar\u0131 olanlar i\u00e7in, psikolojik tedavi se\u00e7eneklerinin eri\u015filebilirli\u011fi artm\u0131\u015ft\u0131r. Bununla birlikte, NICE taraf\u0131ndan geni\u015f bir yelpazedeki ki\u015filer i\u00e7in (psikolojik tedaviyi tercih edenler ve daha \u015fiddetli depresyonu olanlar dahil) \u00f6nerilen bu terapiye ra\u011fmen, bir\u00e7ok depresyon hastas\u0131 bireysel bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi (BDT) alamamaktad\u0131r.<\/p>\n<p>Antidepresanlara yan\u0131t vermeyen ki\u015filerde etkili oldu\u011funu g\u00f6sterdik. Bunun nedenlerinden biri bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi uzman\u0131 eksikli\u011fi, di\u011feri ise maliyettir.<\/p>\n<p>Bu sorunu \u00e7\u00f6zmek i\u00e7in, bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapiye dayal\u0131 bilgisayar destekli kendi kendine yard\u0131m paketleri geli\u015ftirilmi\u015ftir. Ancak bunlar\u0131n etkinli\u011fi s\u0131n\u0131rl\u0131d\u0131r ve hastalar genellikle bunlarla ilgilenmezler.<\/p>\n<h2>Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/h2>\n<p>Amac\u0131m\u0131z, \u00e7evrimi\u00e7i Bili\u015fsel Davran\u0131\u015f\u00e7\u0131 Terapi (BDT) materyallerini ve akredite bir BDT terapistinin katk\u0131s\u0131n\u0131 entegre ederek, ihtiya\u00e7 duyanlara etkili BDT sunmakt\u0131r.<\/p>\n<p>Bu durum, maliyet tasarrufuna ve eri\u015filebilirli\u011fin artmas\u0131na yol a\u00e7abilir; bu da tam zamanl\u0131 \u00e7al\u0131\u015fanlar, uzak b\u00f6lgelerde ya\u015fayanlar, bak\u0131m sorumluluklar\u0131 olanlar ve ula\u015f\u0131lmas\u0131 zor gruplar gibi eri\u015fimin zor oldu\u011fu ki\u015filer i\u00e7in de ge\u00e7erli olabilir.<\/p>\n<h2>Bu nas\u0131l ba\u015far\u0131lacak?<\/h2>\n<p>Terapist ilk seans i\u00e7in hastayla y\u00fcz y\u00fcze g\u00f6r\u00fc\u015fecek, ancak daha sonra \u00f6nceden belirlenmi\u015f randevularda anl\u0131k mesajla\u015fma yoluyla ger\u00e7ek zamanl\u0131 olarak \u00e7evrimi\u00e7i terapi uygulayacakt\u0131r; daha \u00f6nce bunun etkili ve kabul edilebilir oldu\u011funu g\u00f6sterdik.<\/p>\n<p>Hastalar ayr\u0131ca seanslar aras\u0131nda kullanabilecekleri y\u00fcksek kaliteli materyallere de sahip olacaklar.<\/p>\n<p>Terapistle kurulan ili\u015fkiyi temel alarak \u00e7evrimi\u00e7i terapiye kat\u0131l\u0131m\u0131 art\u0131raca\u011f\u0131z. \u0130nsanlar\u0131n d\u00fc\u015f\u00fcncelerini ve duygular\u0131n\u0131 do\u011fru ve an\u0131nda kaydedebilmeleri ve uygun zamanlarda psikolojik egzersizler yapabilmeleri i\u00e7in ak\u0131ll\u0131 telefonlar ve tabletler de dahil olmak \u00fczere en yeni \u00e7evrimi\u00e7i teknolojiyi ve cihazlar\u0131 kullanaca\u011f\u0131z.<\/p>\n<p>\u00c7al\u0131\u015fma program\u0131m\u0131z d\u00f6rt unsurdan olu\u015facakt\u0131r:<\/p>\n<ol>\n<li>Geli\u015fim a\u015famas\u0131: Payda\u015flarla birlikte BT platformunu, \u00e7evrimi\u00e7i materyalleri ve terapistler i\u00e7in bir e\u011fitim paketini geli\u015ftirece\u011fiz.<\/li>\n<li>Rastgele kontroll\u00fc \u00e7al\u0131\u015fma: Paketimizi genel t\u0131p prati\u011finden al\u0131nan depresyon hastalar\u0131nda test edece\u011fiz. Depresyon hastalar\u0131na \u00e7al\u0131\u015fmaya kat\u0131lmak isteyip istemediklerini soraca\u011f\u0131z ve ard\u0131ndan onlar\u0131 rastgele olarak ya bizim geli\u015ftirdi\u011fimiz paketi alacak ya da ola\u011fan bak\u0131m\u0131 (destekli bilgisayarl\u0131 bili\u015fsel davran\u0131\u015f\u00e7\u0131 terapi dahil) alacak \u015fekilde gruplara ay\u0131raca\u011f\u0131z. Bu, m\u00fcdahalemizin etkinli\u011finin tarafs\u0131z bir de\u011ferlendirmesini yapaca\u011f\u0131m\u0131z anlam\u0131na gelir.<\/li>\n<li>Paketin maliyet etkinli\u011finin de\u011ferlendirilmesi ve paran\u0131n kar\u015f\u0131l\u0131\u011f\u0131n\u0131 verip vermedi\u011finin incelenmesi.<\/li>\n<li>Derinlemesine g\u00f6r\u00fc\u015fme \u00e7al\u0131\u015fmas\u0131: Hastalara ve terapistlere paket hakk\u0131nda ne d\u00fc\u015f\u00fcnd\u00fcklerini soraca\u011f\u0131z.<\/li>\n<\/ol>\n<h2>Ara\u015ft\u0131rmay\u0131 kim y\u00fcr\u00fct\u00fcyor?<\/h2>\n<p>Dr. Nicola Wiles, Bristol \u00dcniversitesi Epidemiyoloji ve Halk Sa\u011fl\u0131\u011f\u0131 Bilimleri B\u00f6l\u00fcm\u00fc \u00d6\u011fretim \u00dcyesi.<\/p>\n<h2>Daha fazla bilgi:<\/h2>\n<p><a href=\"http:\/\/www.bristol.ac.uk\/psychiatry\/research\/interact-delphi\/\" target=\"_blank\" rel=\"nofollow noopener\">Delphi<\/a><\/p>\n<p>Daha fazla bilgi almak veya bu projeye kat\u0131lmak i\u00e7in l\u00fctfen e-posta g\u00f6nderin. <a href=\"mailto:bnssg.research@nhs.net\" target=\"_blank\" rel=\"noopener\">bnssg.research@nhs.net<\/a>.<\/p>\n<p>Burada ifade edilen g\u00f6r\u00fc\u015fler yazar(lar)a aittir ve NIHR veya Sa\u011fl\u0131k ve Sosyal Bak\u0131m Bakanl\u0131\u011f\u0131&#039;n\u0131n g\u00f6r\u00fc\u015flerini yans\u0131tmayabilir.<\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_1.assembler_module_1..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>Section titled module-1 INTERACT: Integrated therapist and online CBT for depression in primary care Funding National Institute for Health (NIHR) Programme Grants for Applied Research (PGfAR) Ref. RP-PG-0514-20012 What is the research question? Can online Cognitive Behavioural Therapy (CBT) materials be integrated, with input from an accredited CBT therapist, in order to increase the availability [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32881,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-34509","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34509","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/comments?post=34509"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34509\/revisions"}],"predecessor-version":[{"id":36165,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34509\/revisions\/36165"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32881"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=34509"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=34509"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}