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A Mixed-Method Modified Delphi Study Toward Identifying Key Elements of Psychotherapy in Iran Publisher Pubmed



Rezaie L1 ; Heydari S2 ; Paschall E3 ; Khazaie H1 ; Bahmani DS1, 4, 5 ; Brand S1, 4, 6, 7
Authors
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Authors Affiliations
  1. 1. Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, 6719851115, Iran
  2. 2. Student Research Committee of Kermanshah University of Medical Sciences, Kermanshah, 6719851115, Iran
  3. 3. Clinical Psychology Doctoral Fellow, Eastern Michigan University, Ypsilanti, 48197, MI, United States
  4. 4. Center of Affective, Stress and Sleep Disorders, Psychiatric Clinics, University of Basel, Basel, 4001, Switzerland
  5. 5. Departments of Physical Therapy, University of Alabama at Birmingham, Birmingham, 35209, AL, United States
  6. 6. Division of Sport Science and Psychosocial Health, Department of Sport, Exercise and Health, Faculty of Medicine, University of Basel, Basel, 4001, Switzerland
  7. 7. School of Medicine, Tehran University of Medical Sciences, Tehran, 1416753955, Iran

Source: International Journal of Environmental Research and Public Health Published:2020


Abstract

Purpose: In Iran, psychotherapy is regarded as an effective treatment for psychiatric disorders. However, no previous research has identified the key elements of psychotherapy that may be specific to Iranian society. The current study was conducted in an attempt to identify these elements. Methods: A mixed-method modified Delphi approach was used, taking place over several stages during 2017–2018. The first stage involved interviewing 12 experts in psychotherapy to identify key elements of psychotherapy in Iran by thematic analysis. Then, successive Delphi rounds were conducted to obtain consensus (75% agreement) from 70 psychotherapy experts on these key elements. Results: Key elements of psychotherapy were grouped into the following themes: (1) systematic education/training; (2) psychotherapist competency; (3) psychotherapy reflective of Iranian societal needs; and (4) the substrate (scientific/ethical principles) of psychotherapy. Consensus was reached during two Delphi rounds. In Delphi round 1, 52.8% of the statements reached consensus, and all remaining statements reached consensus in round 2. Conclusions: The key elements of psychotherapy in Iran are a set of conditions for the education and training of competent psychotherapists who can perform psychiatric interventions appropriate to Iranian society under supervised rules. These should serve as a framework for improving the current delivery of psychotherapy in Iran. © 2020 by the author.
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