巴基斯坦残疾人文化适应问题管理加上干预的可接受性和有效性:一个试点集群随机对照试验
Basharat Hussain1,2, Muhammad Tahir Khalily3,4, Ahmed Waqas5
1Department of Psychology, International Islamic University, Islamabad, Pakistan.
Frontiers in psychiatry
|February 21, 2025
概括
这项研究表明,调整后的PM+干预显著改善了巴基斯坦残疾人的心理健康. 在文化上调整节目,包括宗教习俗,提高了它的可接受性和有效性.
科学领域:
- 全球心理健康全球心理健康
- 关于残疾人的研究.
- 整合初级卫生保健 整合初级卫生保健
背景情况:
- 巴基斯坦残疾人的心理健康护理不足,缺乏全面的方法.
- 这项研究解决了在初级保健机构内综合心理健康服务的需求.
研究的目的:
- 评估适应PM+ (IA-PM+) 干预措施的初始有效性和可接受性.
- 改善巴基斯坦残疾人的心理健康结果.
- 评估精神卫生服务与初级保健的整合情况.
主要方法:
- 一个双臂,单盲集群随机对照试验在巴基斯坦拉瓦尔宾迪进行.
- 148名残疾参与者被随机分配,接受IA-PM+干预或延迟治疗控制.
- 使用GHQ-12,WHODAS 2.0,DASS-21和客户满意度调查问卷来衡量有效性,并对可接受性进行定性反.
主要成果:
- 在IA-PM+干预组中,残疾 (WHODAS),PTSD,抑郁,焦虑和压力症状显著改善.
- 客户满意度很高,参与者发现干预措施有益,并推它.
- 定性数据表明,整合宗教实践,如阿丹,显著提高了干预的可接受性和可联系性.
结论:
- 文化适应的IA-PM+干预措施对于改善巴基斯坦残疾人的心理健康是有效和可接受的.
- 将文化敏感的心理健康干预措施纳入初级保健是一个可行的策略.
- 进一步的研究应该探索长期影响和更广泛的实施.
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