对于越南抑郁症的任务转移支持的自我管理干预的客户体验
Leena W Chau1, Hayami Lou2, Jill K Murphy3
1Faculty of Health Sciences, Simon Fraser University, Vancouver, Canada. leena_chau@sfu.ca.
BMC health services research
|December 19, 2024
概括
越南抑郁症的任务转移显示了客户与提供者的关系和社区关系作为促进者. 障碍包括客户的责任,健康问题和耻辱感. 建议采用混合数字和人力支持模型.
科学领域:
- 心理健康研究 心理健康研究
- 全球健康 全球健康
- 精神病学是一个精神病学.
背景情况:
- 抑郁症在全球影响近3亿人,在像越南这样的低收入和中等收入国家有很大的治疗差距.
- 任务转移,利用非专业提供者,是一种基于证据的策略,以解决心理健康护理获取问题的问题.
- 本研究侧重于越南抑郁症的任务转移支持自我管理 (SSM) 干预的客户体验.
研究的目的:
- 描述影响越南抑郁症任务转移支持自我管理 (SSM) 干预的客户体验的促进者和障碍.
- 探索客户对 SSM 干预措施的可接受性,参与性和坚持性的观点.
主要方法:
- 与45名客户进行的半结构面试的定性描述方法和主题分析.
- 与被诊断患有抑郁症的客户 (使用自我报告问卷-20) 和非专业提供者进行了采访.
- 该研究位于一个随机对照试验中,评估越南八个省份的SSM干预措施.
主要成果:
- 客户体验的促进者包括建立强大的客户-供应商关系,增强家庭和社区联系.
- 确定的主要障碍是客户的个人责任,现有的健康状况和社会耻辱的负面后果.
- 积极的客户体验与支持性关系和社区融入有关.
结论:
- 在越南,个人参与的SSM干预面临着可持续性和可扩展性方面的挑战.
- 研究小组正在调整SSM干预措施以通过智能手机应用程序进行数字化交付.
- 将数字交付与人类支持相结合的混合模型可能对有效的心理健康护理至关重要.
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