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      Towards online delivery of Dialectical Behaviour Therapy: A scoping review

      review-article
      Author(s): , DipCompNsg, BN, BA Hons, MMH (psychotherapy), DNSci, FACMHN 1 , , , BN, GradDipComPsyNurs, PhD 2 , , BCouns, MSc, PhD, FACMHN 1 , , MBChB, FRCPsych, PhD, FRANZCP 3 , , MBBS, MPhil, PhD, FRANZCP 3 , , MMHN 1 , , MD, MPH 2
      Publication date (Electronic):
      Journal: International Journal of Mental Health Nursing
      Publisher: John Wiley and Sons Inc.
      Keywords: borderline personality disorder, COVID‐19, DBT, dialectical behaviour therapy, telehealth

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          Abstract

          Dialectical Behaviour Therapy (DBT) programmes are often the only available treatment for people diagnosed with borderline personality disorder and were rapidly converted to online delivery during the COVID‐19 pandemic. Limited research exists surrounding how the major elements of DBT are delivered in an online environment. This scoping review considered the operationalization of online delivery of DBT and its effectiveness. EBSCO host databases were searched using free text. Of 127 papers, 11 studies from 2010 to 2021 investigating online DBT for any clinical population were included in the review. A narrative synthesis of papers selected was undertaken. Seven articles reported results from five clinical trials ( n = 437). Most adaptations mirrored face‐to‐face programmes although there was considerable variation in how therapy was facilitated. Attendance was reported to be greater online with comparable clinical improvements to face‐to‐face for those who remained in therapy. Additional challenges included managing risk, therapist preparedness and technology difficulties. Online delivery of DBT programmes is feasible and may be more accessible, acceptable and as safe and effective as face‐to‐face delivery. However, mirroring face to face delivery in an online environment may not be the most effective and efficient way to adapt DBT to online provision. Research is needed to identify areas which require further adaptation.

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          PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

          Adrian Aldcroft, Chantelle Garritty, Simon Lewin … (2018)
          Scoping reviews, a type of knowledge synthesis, follow a systematic approach to map evidence on a topic and identify main concepts, theories, sources, and knowledge gaps. Although more scoping reviews are being done, their methodological and reporting quality need improvement. This document presents the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist and explanation. The checklist was developed by a 24-member expert panel and 2 research leads following published guidance from the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network. The final checklist contains 20 essential reporting items and 2 optional items. The authors provide a rationale and an example of good reporting for each item. The intent of the PRISMA-ScR is to help readers (including researchers, publishers, commissioners, policymakers, health care providers, guideline developers, and patients or consumers) develop a greater understanding of relevant terminology, core concepts, and key items to report for scoping reviews.
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            Development and Validation of a Brief Version of the Difficulties in Emotion Regulation Scale: The DERS-16.

            Johan Bjureberg, Brjánn Ljótsson, Matthew T Tull … (2016)
            The Difficulties in Emotion Regulation Scale (DERS) is a widely-used, theoretically-driven, and psychometrically-sound self-report measure of emotion regulation difficulties. However, at 36-items, the DERS may be challenging to administer in some situations or settings (e.g., in the course of patient care or large-scale epidemiological studies). Consequently, there is a need a briefer version of the DERS. The goal of the present studies was to develop and evaluate a 16-item version of the DERS - the DERS-16. The reliability and validity of the DERS-16 were examined in a clinical sample (N = 96) and two large community samples (Ns = 102 and 482). The validity of the DERS-16 was evaluated comparing the relative strength of the association of the two versions of the DERS with measures of emotion regulation and related constructs, psychopathology, and clinically-relevant behaviors theorized to stem from emotion regulation deficits. Results demonstrate that the DERS-16 has retained excellent internal consistency, good test-retest reliability, and good convergent and discriminant validity. Further, the DERS-16 showed minimal differences in its convergent and discriminant validity with relevant measures when compared to the original DERS. In conclusion, the DERS-16 offers a valid and brief method for the assessment of overall emotion regulation difficulties.
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              Undertaking a scoping review: A practical guide for nursing and midwifery students, clinicians, researchers, and academics Translated title: 执行范围界定审查: 为护理和助产学生、临床医生、研究人员及学者提供实用指南

              Danielle Pollock, Ellen L. Davies, Micah D J Peters … (2021)
              Aim The aim of this study is to discuss the available methodological resources and best‐practice guidelines for the development and completion of scoping reviews relevant to nursing and midwifery policy, practice, and research. Design Discussion Paper. Data Sources Scoping reviews that exemplify best practice are explored with reference to the recently updated JBI scoping review guide (2020) and the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses Scoping Review extension (PRISMA‐ScR). Implications for nursing and midwifery Scoping reviews are an increasingly common form of evidence synthesis. They are used to address broad research questions and to map evidence from a variety of sources. Scoping reviews are a useful form of evidence synthesis for those in nursing and midwifery and present opportunities for researchers to review a broad array of evidence and resources. However, scoping reviews still need to be conducted with rigour and transparency. Conclusion This study provides guidance and advice for researchers and clinicians who are preparing to undertake an evidence synthesis and are considering a scoping review methodology in the field of nursing and midwifery. Impact With the increasing popularity of scoping reviews, criticism of the rigour, transparency, and appropriateness of the methodology have been raised across multiple academic and clinical disciplines, including nursing and midwifery. This discussion paper provides a unique contribution by discussing each component of a scoping review, including: developing research questions and objectives; protocol development; developing eligibility criteria and the planned search approach; searching and selecting the evidence; extracting and analysing evidence; presenting results; and summarizing the evidence specifically for the fields of nursing and midwifery. Considerations for when to select this methodology and how to prepare a review for publication are also discussed. This approach is applied to the disciplines of nursing and midwifery to assist nursing and/or midwifery students, clinicians, researchers, and academics. 目的 本研究旨在讨论可用的方法论资源和最佳实践指南, 以便确定和执行涉及护理和助产政策、实践及研究的范围审查。 设计 讨论稿。 数据来源 参考最近更新的JBI范围审查指南 (2020年) 以及系统审查和荟萃分析范围审查扩展的首选报告项目 (PRISMA‐ScR) , 以便探讨最佳实践的范围审查程序。 护理和助产学启示 范围审查可用于合成证据, 目前越来越普遍。其主要用于解决大量研究问题, 并汇集通过不同来源获得的证据。范围审查是一种有用的证据合成方式, 适用于护理和助产程序, 并可为研究人员提供机会, 帮助其审查广泛的证据和资源。然而, 仍应严格执行范围审查程序, 且应保证其透明度。 结论 本研究可为研究人员、临床医师提供指导和建议, 帮助其合成证据, 并在护理和助产领域应用范围审查方法。 影响 伴随着范围审查日益普及, 多个学术和临床学科人员提出应保证方法的严谨性、透明度和适当性, 包括护理和助产学。本讨论稿的重点在于范围审查的各组成部分, 包括: 提出研究问题和目标; 制定方案; 确定资格标准和拟议搜索方法; 寻找和选择证据; 提取和分析证据; 展示结果以及概述护理和助产领域的具体证据。此外, 讨论内容包括方法选择时间和评论发表方法。此方法适用于护理和助产学科, 可用于协助护理和/或助产学生、临床医生、研究人员和学术人员。
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                Author and article information

                Contributors
                Richard Lakeman:
                ORCID: https://orcid.org/0000-0002-4304-5431
                Richard.lakeman@scu.edu.au
                Journal
                Journal ID (nlm-ta): Int J Ment Health Nurs
                Journal ID (iso-abbrev): Int J Ment Health Nurs
                Journal ID (doi): 10.1111/(ISSN)1447-0349
                Journal ID (publisher-id): INM
                Title: International Journal of Mental Health Nursing
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Print): 1445-8330
                ISSN (Electronic): 1447-0349
                Publication date (Electronic): 19 January 2022
                Publication date (Print): August 2022
                Volume: 31
                Issue: 4 ( doiID: 10.1111/inm.v31.4 )
                Pages: 843-856
                Affiliations
                [ 1 ] ringgold 4571; Faculty of Health Southern Cross University Bilinga Queensland Australia
                [ 2 ] Australian DBT Institute Southport Queensland Australia
                [ 3 ] Mid North Coast Local Health District Port Macquarie Base Hospital Port Macquarie New South Wales Australia
                Author notes
                [*] [* ] Correspondence: Richard Lakeman, Faculty of Health, Southern Cross University, Southern Cross Drive, Bilinga, Qld 4225, Australia. Email: Richard.lakeman@ 123456scu.edu.au

                Author information
                https://orcid.org/0000-0002-4304-5431
                https://orcid.org/0000-0001-6989-4741
                https://orcid.org/0000-0001-9205-2331
                https://orcid.org/0000-0001-6947-3840
                https://orcid.org/0000-0003-3503-4617
                Article
                Publisher ID: INM12976
                DOI: 10.1111/inm.12976
                PMC ID: 9305106
                PubMed ID: 35048482
                SO-VID: d3787171-dcc7-4fce-9b72-04352be293d2
                Copyright © © 2022 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd.
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                Date revision received : 24 December 2021
                Date received : 26 October 2021
                Date accepted : 03 January 2022
                Page count
                Figures: 1, Tables: 1, Pages: 856, Words: 7709
                Funding
                Funded by: Council of Australian University Librarians
                Categories
                Subject: Review Article
                Subject: Review Articles
                Custom metadata
                source-schema-version-number 2.0
                cover-date August 2022
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.7 mode:remove_FC converted:21.07.2022

                ScienceOpen disciplines: Nursing
                Keywords: borderline personality disorder,covid‐19,dbt,dialectical behaviour therapy,telehealth
                Data availability:
                ScienceOpen disciplines: Nursing
                Keywords: borderline personality disorder, covid‐19, dbt, dialectical behaviour therapy, telehealth

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