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Outcome of treatment seeking rural gamblers attending a nurse-led cognitive-behaviour therapy service:A pilot study

International Journal of Nursing Sciences 2016年第1期3卷 89-95页

作者： Barry Tolchard School of Nursing University at BuffaloNY 14214USA School of Health University of New EnglandArmidaleNSW 2350Australia

Objectives:Little is known about the differences between urban and rural gamblers in Australia,in terms of comorbidity and treatment *** disparities exist between urban and rural areas in terms of accessibility,availability,and acceptability of treatment programs for problem ***,evidence supporting cognitivebehaviour therapy as the main treatment for problem gamblers is *** pilot study aimed to assess the outcome of a Cognitive-Behavioural Therapy(CBT)treatment program offered to urban and rural treatment-seeking ***:People who presented for treatment at a nurse-led Cognitive-Behavioural Therapy(CBT)gambling treatment service were invited to take part in this study.A standardised clinical assessment and treatment service was provided to all participants.A series of validated questionnaires were given to all participants at(a)assessment,(b)discharge,(c)at a one-month,and(d)at a 3-month follow-up ***:Differences emerged between urban and rural treatment-seeking *** overall treatment outcomes were much the same at three months after treatment,rural gamblers appeared to respond more rapidly and to have sustained improvements over ***:This study suggests that rural problem gamblers experience different levels of co-morbid anxiety and depression from their urban counterparts,but once in treatment appear to respond *** approach was found to be effective in treating rural gamblers and outcomes were *** better availability and access to such treatment in rural areas is *** are in a position as the majority health professional in rural areas to provide such help.

关键词： Evidence based health care Health program evaluation models of care Rural health services delivery Rural mental health

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