一个现实的变革模式,以社区为基础的围产期心理健康同行支持来自同行志愿者
Jenny McLeish1, Christine McCourt1, Susan Ayers1
1Centre for Maternal and Child Health Research, School of Health Sciences, City, University of London, London, UK.
Journal of reproductive and infant psychology
|October 25, 2024
概括
基于社区的围产期心理健康同行支持通过促进理解和接受,有利于母亲. 个别环境显著影响这些好处,突出了定制支持策略的重要性.
科学领域:
- 围产期心理健康问题
- 社区心理学 社区心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 围产期心理健康同行支持计划利用训练有素的志愿者来帮助母亲.
- 了解这些计划的具体机制和上下文因素对于优化其有效性至关重要.
研究的目的:
- 调查基于社区的围产期心理健康同行支持的工作机制.
- 确定为谁,在什么情况下,以及为什么这种支持是有效的.
- 开发一个详细介绍积极和消极机制和结果的变化模型.
主要方法:
- 采用了一个现实的评估方法.
- 与接受同行支持的母亲 (n=20),同行支持志愿者 (n=27) 和计划工作人员 (n=9) 进行了半结构化采访.
主要成果:
- 积极的影响源于感觉被理解,被接受和社会比较 (正常化,希望).
- 负面影响来自于负面的社会比较或缺乏关键支持机制.
- 母亲的经历因个人背景 (背景,个性,社会情况,资源,信仰,需求) 而有所不同.
结论:
- 个体背景显著影响到对母亲心理健康的同行支持机制.
- 同行支持提供了好处和风险,这些风险可以管理.
- 在志愿者培训和评估设计方面的计划改进可以通过了解上下文-机制-结果相互作用来获取信息.
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