Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example
Research Methods
The research on the effectiveness of combined psychotherapy (CBT) and pharmacological intervention (fluvoxamine) in anxiety and depression treatment among adolescents will involve a survey research methodology. Nayak and Narayan (2019) explain that a survey is a type of qualitative research which consists of the collection and analysis of non-numerical data like texts and videos to determine trends or generalized outcomes of an intervention across a particular population. The survey is a research method which involves the distribution of surveys to collect participant responses on the research topic (Singh, 2022). In this case, the survey method will incorporate open-ended questions highlighting various aspects of the combined psychotherapy intervention for anxiety and depression. The non-numerical data will be collected by interviewing mental health practitioners and patients under the combined therapy treatment. It can also be obtained from non-profit organizations like Mental Health America (MHA) volunteers.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Support of Methods
The survey research method is suitable for collecting individuals’ perceptions on the impact of combined CBT and fluvoxamine, especially psychiatric health practitioners and patients enrolled in the combined psychotherapy intervention. According to Sing (2022), the research method will allow for a comprehensive collection of first-hand information from patients and mental health practitioners who have experienced the impacts of the treatment intervention. Also, the detailed information will allow the development of a detailed context of the intervention, including its potential side effects (Nayak & Narayan, 2019). Additionally, samples for the survey method will be selected based on a simple random sampling technique, giving every individual in the population equal chances of selection.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Moreover, the data will be collected through questionnaires and interviews containing open-ended questions to allow for the collection of detailed responses (Singh, 2022). Finally, the survey results will be analyzed through thematic analysis, which involves developing themes based on patterns and trends in the responses provided. Thematic analysis will identify themes on the strengths and shortcomings of the intervention (Braun & Clarke, 2022). Therefore, these techniques in the survey research method will provide extensive outcomes of the impacts of combined psychotherapy and pharmacological intervention on depression and anxiety among adolescents.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Strengths and Weaknesses
The survey research method is versatile since it incorporates various strategies for collecting the responses, such as through online and mobile surveys and focus groups (Singh, 2022). The variety of strategies makes it easy to reach many participants. Besides, the method allows for the secure protection of respondents’ details through anonymity, enabling the respondents to provide honest responses without fear of breach of confidentiality (Das & Emery, 2023). Additionally, using questionnaires and open-ended questions in the surveys allows respondents to provide comprehensive answers beyond what is contained in the survey questions, enabling researchers to collect detailed information on the topic (Singh, 2022).(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
However, Singh (2022) observes that surveys are associated with various shortcomings, such as errors caused by mistakes in constructing, implementing, and interpreting the survey results, compromising the accuracy and conclusions of the research study. Also, Hennink et al. (2020) illustrate that surveys involve data collection at a single location within a specific time, hence cannot be used to determine changing intervention trends within a particular population. This requires researchers to administer two or three separate surveys, which could be time-consuming and costly. Therefore, the survey research method will increase the reliability and credibility of the study due to the honest and detailed responses collected (Singh, 2022). Assessment of the impacts of combined therapy on depression requires honest and detailed perceptions from individuals who have first-hand experience with the treatment intervention. Henceforth, the survey methodology will ensure the study’s validity, reliability, and credibility.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Data Collection Tools
The data collection tools for the study will include paper questionnaires and computer-assisted personal interviews (CAPI). The respondents will be required to fill out the questionnaires containing open-ended questions. Afterwards, they will be engaged through CAPI and allowed to give personal experiences and concepts not captured in the questionnaires, with responses recorded using a tablet or mobile phone. The validity of the paper questionnaires will be determined through test-retest reliability, which involves the administration of the survey to a group of participants and repeating it later for the same group (Singh, 2022). The correlations between the responses are then determined to ascertain the disparities among them. Consequently, Das and Emery (2023) explain that the reliability of the CAPI can be ensured by using well-trained interviewers throughout the research process. Also, a standardized evaluation process with scoring guides incorporating behavioral benchmarks will be utilized throughout the interview.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Population and Sampling Procedures
The population for the study will be mental healthcare practitioners, such as psychotherapists. These participants have interacted with different mentally-ill patient situations and are knowledgeable about the impacts of combined psychotherapy on anxiety and depression treatment among adolescents. Besides, patients who have been enrolled in the combined therapy intervention will also provide crucial insights into the impacts of the intervention. These patients will include those who have recovered or those undergoing the combined psychotherapy process. The patients are crucial for the study since they can honestly share their experiences with the intervention, including how they managed its side effects and the costs involved. Consequently, the choice for the simple random sampling procedure is due to its efficiency in eliminating hints of bias that could compromise objectivity in the sampling process (Singh, 2022). It provides equal and fair chances for participant selection, resulting in unbiased samples.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Data Collection
The researcher will recruit participants through crowdsourcing, whereby non-profit organizations like MHA and mental health practitioners like psychiatrists working in mental health hospitals and rehabilitation centers will be contacted about the study. Also, the researcher will utilize social media and group pages to reach out to potential participants about the recruitment process. Consequently, the researcher will clarify the survey questions and consistently provide the necessary information to help manage the participants during the research process (Singh, 2022). Besides, participant safety will be ensured through counseling and support to assure patients of the outcomes of their treatment process. Their confidentiality and anonymity will also be maintained to reduce potential repercussions from those not pleased with their participation in such studies.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Moreover, the researcher will review the survey results to ensure all the questions are answered before storing them in a secure database, such as the cloud, to reduce the risk of third-party access or corruption (Singh, 2022). Access to the raw data will be restricted to authorized individuals until the data is analyzed and ready for dissemination to the public. Before the survey, participants will be issued consent forms indicating how their responses will be managed, used, and disseminated. Consenting to the study will be voluntary, and those who wish to withdraw must notify the research team and give concrete reasons for withdrawal. Bolland et al. (2021)(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example) assert that the reason for withdrawal can help the researchers improve the survey research process to avoid future withdrawal incidences. Finally, participant confidentiality will be protected by encrypting their records and using numbers to identify them. Singh (2022) illustrates that anonymity is crucial in encouraging the participants to provide honest and detailed responses.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Data Analysis Process
The survey results will be analyzed through thematic analysis, which involves the development of patterns and themes from the collected information (Braun & Clarke, 2022). It requires the researcher to identify, analyze, and interpret data patterns. In this case, the researcher will utilize a reflexivity journal to identify specific codes for the data based on the research questions and objectives. They will use the codes to develop themes for analyzing the responses. Additionally, the audio recordings from CAPI will be transcribed using verbatim to ensure the production of a complete record of the responses.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Justification of Statistical Analysis and/or Qualitative Analysis
Braun and Clarke (2022) observe that thematic analysis is the most suitable method for the collected data since it is flexible and allows the researchers to apply various personalized approaches during analysis, increasing the potential of identifying many themes and patterns in the data. Besides, the survey will produce large data sets, which require thematic analysis for improved reliability coding and interpretation of the themes. Additionally, Kiger and Varpio (2020) illustrate that the method is suitable for research questions that do not rely on o the experiences of an individual participant. For instance, participants in the study on the impacts of combined psychotherapy and pharmacological intervention will be required to provide responses beyond their personal experiences, such as the mental health practitioners who have not directly been involved in applying the treatment intervention. Basically, the reliability of the thematic analysis will be ensured through comprehensive and reflexive accountability of the processes and methods involved in the analysis process (Roberts et al., 2019). The codebook for theme identification must be detailed to enhance the replicability of the findings by other researchers.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Limitations and Assumptions
The study is associated with various limitations, such as over-dependence on the subjective experiences of the researcher, which may contribute to a biased understanding of the impacts of the combined therapy on depression and anxiety treatment among adolescents (Singh, 2022). Besides, investigating the causality in the study is challenging since it does not incorporate mathematical analysis (Hennink et al., 2020)(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example). This results in a unique study relying mostly on the opinions of others, hence challenging to replicate. Additionally, the respondents, especially those who have recovered from mental illness, may not be comfortable talking about their past, which could delay the process and result in less detailed responses. Consequently, the research is based on assumptions that combined CBT and pharmacological medications like fluvoxamine produce positive outcomes in depression and anxiety treatment among adolescents. Hennink et al. (2020) observe that such an assumption could influence the researchers’ opinions and judgments to overlook the shortcomings of the combined intervention.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Dissemination of Findings
Singh (2022) observes that survey research results can be disseminated to relevant stakeholders such as the public, mental healthcare policymakers, practitioners, and researchers dealing with mental health. The researcher will share the findings through workshops and seminars involving public and mental healthcare. It will also be shared through the social media pages used during the participant recruitment. The findings will also be presented to local community groups and volunteers to non-government organizations like MHA. Finally, the findings will be published in policy briefs and journals covering public health and mental health issues.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Ethical Considerations
The research will identify gaps in mental health treatment, which could affect the focus of depression and anxiety treatment among adolescents. As a result, it is essential to observe the principle of justice in implementing the research findings across communities. This involves ensuring equal implementation of the treatment intervention among individuals (Manderius et al., 2023). Besides, the autonomy and confidentiality of the affected individuals and communities should be maintained. The patient’s medical records in the treatment process should be secured to prevent third-party access (Manderius et al., 2023).(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Additionally, the healthcare practitioners implementing the treatment intervention should uphold the ethical principle of informed consent by educating them on the risks, benefits, and alternatives to the treatment intervention. Manderius et al. (2023) explain that informed consent can help them make informed choices regarding their involvement in the treatment program. Finally, the practitioners should observe the principle of nonmaleficence when implementing the research findings to prevent patient harm. Healthcare practitioners are morally obligated to ensure that the treatment intervention satisfies the patient’s healthcare needs without harming or causing pain and suffering.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
References
Bolland, M. J., Gamble, G. D., Avenell, A., Cooper, D. J., & Grey, A. (2021). Participant withdrawals were unusually distributed in randomized trials with integrity concerns: A statistical investigation. Journal of Clinical Epidemiology, 131, 22-29. (Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)https://doi.org/10.1016/j.jclinepi.2020.11.012
Braun, V., & Clarke, V. (2022). Conceptual and design thinking for thematic analysis. Qualitative Psychology, 9(1), 3. (Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)https://psycnet.apa.org/doi/10.1037/qup0000196
Das, M., & Emery, T. (2023). Digital technologies and the future of social surveys. J, Skopek (E.D.). Research handbook for digital sociology. Cheltenham, U.K.: Edward Elgar Publishing(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Hennink, M., Hutter, I., & Bailey, A. (2020). Qualitative research methods. United Kingdom: SAGE Publications.
Kiger, M. E., & Varpio, L. (2020). Thematic analysis of qualitative data: AMEE Guide No. 131. Medical Teacher, 42(8), 846-854. (Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)https://doi.org/10.1080/0142159X.2020.1755030
Manderius, C., Clintståhl, K., Sjöström, K., & Örmon, K. (2023). The psychiatric mental health nurse’s ethical considerations regarding the use of coercive measures–a qualitative interview study. BMC nursing, 22(1), 23(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example). https://doi.org/10.1186/s12912-023-01186-z
Nayak, M. S. D. P., & Narayan, K. A. (2019). Strengths and weaknesses of online surveys. Technology, 6(7), 0837-2405053138. Doi: 10.9790/0837-2405053138(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
Roberts, K., Dowell, A., & Nie, J. B. (2019). Attempting rigour and replicability in the thematic analysis of qualitative research data: A case study of codebook development. BMC Medical Research Methodology, 19, 1-8(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example). https://doi.org/10.1186/s12874-019-0707-y
Singh, K., K. (2022). Research methodology in social science. India: K.K. Publications.(Effectiveness of Combined Psychotherapy and Pharmacological Intervention in Anxiety and Depression Treatment Among Adolescents Comprehensive Nursing Essay Example)
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