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在Head Start中实施普遍的母亲抑郁症查:一个融合的混合方法研究研究.

Abigail Palmer Molina1, Lawrence Palinkas2, Yuliana Hernandez3

  • 1Crown Family School of Social Work, Policy, and Practice, University of Chicago, 969 E. 60 Street, Chicago, IL 60637, USA.

Children and youth services review
|October 21, 2024
PubMed
概括

在头部开始计划中,普遍的母亲抑郁症查达到85%的母亲. 然而,像耻辱和缺乏培训这样的障碍阻碍了持续的实施,需要加强员工能力以获得未来的成功.

关键词:
抑郁症 抑郁症 抑郁症少数民族和种族少数群体.实施科学 实施科学孕产妇健康 孕产妇健康产妇和婴儿健康服务少数群体的健康问题

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科学领域:

  • 实施科学 实施科学
  • 公共卫生 公共卫生
  • 孕产妇心理健康 孕产妇心理健康

背景情况:

  • 母亲抑郁症对儿童发育和家庭福祉产生重大影响.
  • 儿童服务计划提供了一个重要的场所,用于识别和支持患有抑郁症的母亲.
  • 头部起步计划为低收入家庭提供服务,该人口面临更高的母亲抑郁症风险.

研究的目的:

  • 检查在社区基础的Head Start计划中实施普遍的孕产妇抑郁症查.
  • 评估母亲抑郁查的覆盖范围,采用,实施和维护 (RE-AIM).
  • 确定成功实施查的障碍和促进者.

主要方法:

  • 融合混合方法设计,整合定量和定性数据.
  • 利用利益相关者采访和会议记录来获得定性见解.
  • 采用干预结果和用于定量分析的行政数据.

主要成果:

  • 在符合条件的母亲中,查达到了85%;英语母语的母亲更有可能拒绝.
  • 障碍包括耻辱,隐私问题和缺乏信任;收养是强制性的.
  • 实施情况差异很大,员工角色的担忧和缺乏培训被认为是障碍.
  • 由于组织优先事项和员工购买不足,选没有持续.

结论:

  • 普遍的母性抑郁查可以有效地接触到低收入的Head Start母亲.
  • 提高工作人员的能力和培训对于让母亲参与查至关重要.
  • 解决实施障碍对于长期维持查计划至关重要.