在Head Start中实施"健康的,健康的孩子"计划:应用RE-AIMQuEST框架以股权为中心
Abigail Palmer Molina1, Lawrence Palinkas2, Yuliana Hernandez2
1Erikson Institute, Chicago, IL, USA. apalmermolina@erikson.edu.
Administration and policy in mental health
|October 29, 2023
概括
健康的,健康的孩子计划减少了参与母亲的抑郁和压力. 然而,在头部开始设置中,接触所有有资格的母亲,特别是黑人母亲,仍然是这种两代人的方法的一个挑战.
科学领域:
- 母亲心理健康 母亲心理健康
- 公共卫生干预措施 公共卫生干预
- 在幼儿园环境中的健康公平.
背景情况:
- 边缘化的母亲经历了更高的抑郁率,并面临着严重的障碍,心理健康护理.
- 头部起步计划正在探索两代人解决母亲抑郁症的方法,但它们在减少不平等方面的有效性尚未得到充分证实.
- 健康的,健康的孩子 (HMHK) 计划旨在在Head Start设置中为少数民族母亲提供基于证据的抑郁症治疗.
研究的目的:
- 检查HMHK两代计划的实施结果和流程.
- 评估基于证据的抑郁症治疗在Head Start中对少数民族母亲的有效性.
- 识别程序参与和影响的促进者和障碍.
主要方法:
- 一个融合的混合方法设计,集成定量和定性数据收集.
- 使用RE-AIM系统翻译质量评估 (RE-AIM QUEST) 框架进行分析.
- 通过采访52个利益相关者和分析176个会议记录,以及干预和行政数据,收集数据.
主要成果:
- 参与计划的比例很低 (16.8%的符合条件的母亲),难以接触到目标人群.
- 参与的母亲显示,抑郁症症状和育儿压力有所减少.
- 该计划在吸引拉丁裔母亲 (西班牙语/双语) 方面比说英语的母亲和黑人/非裔美国母亲更成功,这表明影响力有限.
结论:
- 人际关系疗法 (IPT) 团体会议有效地减少了参加母亲的抑郁症状和压力.
- 未来的努力必须解决参与障碍,并探索各种交付模式,以满足参与者的需求.
- 需要文化相关的策略来有效地参与和支持黑人母亲在此类计划.
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