农村友长椅:津巴布韦扎卡地区的定性研究
K Kidia1, D Machando2, V Dzoro2
1Kushinga, Harare, Zimbabwe; Division of Global Health Equity, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, USA.
Social science & medicine (1982)
|March 24, 2024
概括
在津巴布韦农村,友长椅干预常见精神障碍是可以接受的,但不是可行的或可持续的. 适应农村心理健康干预需要社区的投入,并利用社会结构取得成功.
科学领域:
- 全球心理健康全球心理健康
- 公共卫生干预 公共卫生干预
- 任务共享模型的模型
背景情况:
- "友长"是针对常见精神障碍的基于证据的干预措施,在津巴布韦农村进行了试点.
- 这种干预方法将解决问题的治疗与创造收入的活动相结合.
- 该研究评估了干预措施在农村环境中的可接受性,可行性和可持续性,以及当地对心理健康的态度.
研究的目的:
- 评估在津巴布韦农村地区实施友好板干预的情况.
- 了解当地对心理健康和干预的整合的看法.
- 识别农村环境中任务共享心理健康干预措施的障碍和促进因素.
主要方法:
- 与患者 (n=9),乡村卫生工作者 (n=12),护士 (n=6) 和社区领导人 (n=5) 进行了半结构面试.
- 总共进行了32次深入采访,使用了四个不同的采访指南.
- 专题分析,采用整合性演-诱导方法与多样化的编码团队,用于数据分析.
主要成果:
- 出现了五个主要主题:精神疾病的解释模型,临床工作流程和文档,友长椅的积极反,可访问性和可行性.
- 这种干预被社区认为是可以接受的.
- 然而,目前的干预形式在农村环境中既不可行也不可持续.
结论:
- 在目前的形式中,友长椅干预是可以接受的,但在津巴布韦农村地区是不可行的或不可持续的.
- 社会文化背景对于制定有效的农村任务共享心理健康干预措施至关重要.
- 建议包括一个强大的试点阶段,社区参与和适应,以利用社会结构深入融入社区.
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