一个数字行为激活干预 (JuNEX) 为孕妇患有临床下抑郁症症状:探索性联合设计研究
Elisa Mancinelli1,2, Silvia Gabrielli2, Silvia Salcuni1
1Department of Developmental and Socialization Psychology, University of Padova, Padova, Italy.
JMIR human factors
|May 16, 2024
概括
对于围产期抑郁症的数字行为激活干预措施,由于高退学率和可用性问题,其可行性较低. 孕妇希望获得数字支持,但目前的电子学习格式需要改进,以提高参与度和可访问性.
科学领域:
- 数字心理健康干预数字心理健康干预
- 围产期心理学 围产期心理学
- 行为激活疗法是一种行为激活疗法.
背景情况:
- 数字干预提供结构化,可访问,自我管理的心理健康支持.
- 围产期妇女对数字心理干预表示兴趣.
- 行为激活 (BA) 是适合数字化适应的一种模式.
研究的目的:
- 探索针对孕妇的基于互联网的指导与未指导的简短行为激活治疗抑郁症修订 (BA-D) 的可行性.
- 通过以用户为中心的设计方法来评估可用性和用户参与度.
- 确定必要的调整,以根据孕妇的需求定制数字干预措施.
主要方法:
- 11名意大利怀孕妇女患有亚临床抑郁症状 (PHQ-9 <15).
- 参与者被随机分配到通过Moodle提供的基于互联网的BA-D干预指导 (n=6) 或无指导 (n=5).
- 干预包括6个核心和3个可选模块;指导小组每周接受聊天支持. 通过可用性,参与度和半结构面试来评估可行性.
主要成果:
- 指导干预得到了更好的接受,但高学率 (50%指导,80%未指导) 表示电子学习格式的可行性较低.
- 据报道,平台可用性降低和家庭作业被认为是耗时/耗费大量精力.
- 参与者认为核心内容是相关和令人满意的,建议可以删除可选模块.
结论:
- 目前,使用非专业工具以数字方式复制面对面的BA协议是不合适的,也是不可行的.
- 孕妇希望获得数字心理支持,特别是基于应用程序的解决方案.
- 调查结果强调了需要精致的平台和共同设计的干预措施,以适应孕妇的需求.
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