作者: Jan F. Wiborg , Michel Wensing , Marcia Tummers , Hans Knoop , Gijs Bleijenberg
DOI: 10.1002/CPP.1827
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摘要: The aim of our study was to explore whether community-based mental health care centres (MHCs) are able implement and sustain cognitive behaviour therapy (CBT) for chronic fatigue syndrome (CFS) with the help an implementation manual. We monitored process treatment outcome data three Dutch MHCs that implemented or sustained CBT CFS, one in context a stepped programme. compared these findings other studies conducted CFS. All included at least 40 patients dropout rates between 15% 35% from intention-to-treat second assessment. Effect sizes ranged 0.88 1.76 changes severity 0.43 1.23 physical functioning. With exception, outcomes were within range benchmark. Contrary original expectations, we provided additional support two new concluded manual does not seem substitute external team leaders associated professions during initial CFS but may have potential make this assistance more efficient. Particular attention should be paid challenges implementing KEY PRACTITIONERS MESSAGE: Implementation monitored. External addition Participating generally capable successfully delivering low-intensity interventions might better postponed until therapists sufficient experience conventional