初始方案理论的发展:对于面临心理社会风险的未来丹麦父母进行跨部门干预的现实评估的第一步
Sara Mandahl Ellehave1,2, Louise Lund Holm Thomsen1, Marianne Stistrup Frederiksen1
1Public Health and Epidemiology Group, Department of Health Science and Technology, Aalborg University, Aalborg East, Denmark.
本研究探讨了一项针对面临心理社会风险的未来父母的新干预措施,旨在改善产妇护理. 确定的关键机制包括医疗保健专业的方法,护理的连续性,信任和社会网络,以改善出生结果.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 心理社会护理 心理社会护理
背景情况:
- 产妇护理不平等不成比例地影响着心理社会风险的妇女,增加了不良分娩结果.
- 在高收入国家推早期心理社会风险评估,以提供量身定制的家长支持.
- 2017年,在丹麦北部地区实施了一项专门的跨部门干预,用于心理社会风险的未来父母.
研究的目的:
- 引出关键的情境和变革机制,以对未来的父母进行心理社会风险干预.
- 开发一个初始的程序理论,说明干预的预期工作原则.
- 了解干预如何,为谁,在哪些背景下被设计成有效的干预.
主要方法:
- 现实主义评估的初始阶段使用初始程序理论.
- 数据收集包括干预文件,试点观察和与利益相关方的采访.
- 以回归思维为灵感的专题分析被应用来识别模式.
主要成果:
- 确定了生成机制:医疗保健专业人员的方法,连续性,信任,早期干预和社交网络.
- 主要的背景因素:跨部门合作和医疗保健专业人员的能力.
- 一个初始的程序理论被开发为指导未来的实证测试.
结论:
- 该研究提供了在产妇护理中进行心理社会干预的基础程序理论.
- 了解机制和背景对于对有风险的准父母提供有效,定制的支持至关重要.
- 这一理论将通过在随后的评估阶段进行进一步的经验测试来完善.
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