Mind4Health:通过使用文化相关的短信干预来解体守门员培训.
Colbie Caughlan1, Amanda Kakuska1, Jane Manthei1
1Northwest Portland Area Indian Health Board, Portland, OR, United States.
Frontiers in public health
|September 17, 2024
概括
Mind4Health,一个文化定制的守门员培训,改善了美国印第安人/阿拉斯加原住民年轻人的心理健康支持. 该计划增强了成年人讨论心理健康的技能,并向年轻人推资源.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务 心理健康服务
- 数字健康干预措施 数字健康干预措施
背景情况:
- 自杀对家庭和社区产生深远的影响,在社交媒体上观察到,年轻人中精神健康危机增加.
- 文化定制的守门员培训是响应自杀预防和心理健康支持的重要策略.
- 西北波特兰地区印第安人卫生委员会 (NPAIHB) 开发了Mind4Health,这是一个针对美国印第安人/阿拉斯加原住民 (AI/AN) 青年的在线和基于文本的干预措施.
研究的目的:
- 评估Mind4Health干预措施在提高成年人支持AI/AN青年心理健康的能力方面的有效性.
- 评估参与者在与年轻人讨论心理健康方面的知识,信仰,舒适度和自我效能方面的变化.
- 确定文化定制的数字守门员培训计划的可行性和影响.
主要方法:
- 在Mind4Health干预中采用了多阶段,单臂,前后测试研究设计.
- 干预通过90分钟的在线自主培训或基于短信 (SMS) 的程序进行.
- 数据通过前后调查,移动共享数据和谷歌分析收集,使用主题内容分析分析定性数据.
主要成果:
- 280人参加了短信培训,其中250人完成了为期8周的干预;交换了超过21,500条消息.
- 调查前的数据显示,高比例的女性参与者 (94%) 愿意与年轻人 (92%) 讨论心理健康问题.
- 调查后的结果显示,参与者的知识,信仰,舒适度和自我效能在心理健康对话和青少年资源推方面有显著的改善.
结论:
- "心灵4健康"干预有效地提高了参与者在解决青年心理健康问题方面的技能.
- 该计划在提高成年人参与心理健康对话的能力和将AI/AN青年与社区资源联系方面取得了成功.
- 在文化上量身定制的数字守门员培训显示,作为一个可扩展的解决方案,在服务不足的社区预防自杀和心理健康支持的承诺.
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