共同开发一种以社区为基础,同行为主导的心理社会支持干预措施,以减少印尼结核病患者及其家庭中的耻辱和抑郁症:一种混合方法的参与行动研究
Ahmad Fuady1,2, Mariska Anindhita2, Matsna Hanifah2
1Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
NPJ primary care respiratory medicine
|January 27, 2025
概括
这项研究共同开发了一项同行领导的,以社区为基础的在印尼的心理社会干预,以减少结核病 (TB) 的耻辱和抑郁症. 多部门利益相关方的参与确保了干预.
科学领域:
- 公共卫生 公共卫生
- 心理社会干预 心理社会干预
- 社区健康 社区健康
背景情况:
- 对于同行支持和针对结核病 (TB) 污名和抑郁症的社区心理社会干预措施的证据有限.
- 解决结核病患者及其家庭的心理社会需求对于有效控制结核病至关重要.
- 社会文化背景和卫生系统整合是干预可持续性的关键考虑因素.
研究的目的:
- 在印度尼西亚共同开发一个以同行为主导,以社区为基础的心理社会干预.
- 确保该干预在当地结核病卫生系统内是可复制,可接受和可持续的.
- 减少结核病患者及其家属的耻辱和抑郁.
主要方法:
- 采用与国家,多部门利益相关者合作的参与式行动设计.
- 采用了四个阶段的共同设计过程:范围审查,修改的Delphi调查,全国参与性研讨会和干预完成.
- 让22个多部门利益相关者代表参与了改进干预活动.
主要成果:
- 通过范围审查和Delphi调查,确定并列出了潜在的干预活动.
- 在全国研讨会上就四个核心干预活动达成共识:个人评估/咨询,同行领导的小组咨询,同行个人支持和社区结核病谈话.
- 共同设计的干预措施被利益相关者认为在当地是适当的和可行的.
结论:
- 多部门利益相关者有意义地参与,有效地共同设计与环境相关的结核病心理社会干预措施.
- 开发的以同行为主导,以社区为基础的干预措施解决了结核病患者及其家庭的关键心理社会需求.
- 该干预措施目前正在实施,并作为TB-CAPS研究的一部分进行评估.
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