在集团问题管理+中培训和监督非专家的实施策略的比较:哥伦比亚的混合有效性-实施试验
M Claire Greene1, Diany Castellar2, Manaswi Sangraula3
1Program on Forced Migration and Health, Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, NY, USA.
Global mental health (Cambridge, England)
|October 28, 2024
概括
任务共享模式可以有效地为弱势群体提供心理健康干预措施,如集团问题管理加 (gPM+). 非专家领导的支持显示出高保真性和较低的成本,这表明基于社区的精神卫生保健是可行的.
科学领域:
- 全球心理健康全球心理健康
- 实施科学 实施科学
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 移民和难民的精神健康问题率很高.
- 对这些人群来说,获得心理健康服务仍然是一个重大障碍.
- 需要可扩展的心理干预来解决这个差距.
研究的目的:
- 为了比较两个任务共享策略,为患有心理困扰的女性提供集团问题管理加 (gPM+).
- 评估非专业主持人专业技术支持与非专业技术支持的有效性和实施结果.
主要方法:
- 一项混合方法研究随机选择了128名女性,接受由心理学家 (专业支持) 或受过培训的非专业人士 (非专业支持) 监督的非专业人士的gPM +.
- 评估了有效性,忠诚度,出席率,成本,采用和实施结果.
主要成果:
- 在专业技术支持的情况下,干预出席率更高.
- 非专业技术支持对gPM+的忠实性更高,实施成本更低.
- 其他有效性和实施指标在两个条件中都是可比的.
结论:
- 通过低资源,社区嵌入式的任务共享模式实施像gPM+这样的心理健康干预措施是可行的.
- 非专家领导的支持模型可以保持干预的安全性和忠实性.
- 需要进一步的研究来证实这些模型的相对成本效益.
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