由非专家为围产期常见精神障碍提供社区心理社会干预的可行性和可接受性:使用实施科学框架进行系统审查
Prasansa Subba1,2,3, Pragya Shrestha2,4, Atif Rahman1,5
1Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
Global mental health (Cambridge, England)
|June 25, 2025
概括
与非专业卫生工作者 (NSHW) 分享任务对围产期心理健康有希望. 然而,需要实施科学研究,以了解如何有效地将这些干预措施整合到医疗保健系统中.
科学领域:
- 实施科学 实施科学
- 围产期心理健康 围产期心理健康
- 全球健康 全球健康
背景情况:
- 任务共享对于解决围产期精神健康状况的治疗差距至关重要.
- 非专业卫生工作者 (NSHWs) 提供的心理干预措施是有效的,但实施因素的研究不足.
- 现有的研究缺乏全面了解整合NSHW提供的干预措施的可行性,可接受性和可持续性.
研究的目的:
- 系统地审查NSHW为围产期抑郁和焦虑提供心理干预的实施结果和流程.
- 通过Proctor的实施科学框架来综合发现,检查八个关键构造.
- 确定有关这些干预措施实施的证据中的空白.
主要方法:
- 对2000年至2022年间发表的研究进行系统审查.
- 在控制试验的PubMed,科学网和Cochrane中心注册表中进行的搜索.
- 来自56项纳入研究的定性证据的叙述综合.
主要成果:
- 可行性,可接受性,适当性和忠实性是最常被评估的实施结果.
- 在任何研究中都没有报告透;可持续性,采用和成本很少被报告.
- 没有研究使用实施科学框架进行评估.
结论:
- 尽管有证据表明其有效性,但NSHW提供的围产期心理健康干预措施尚未得到广泛采用.
- 通过系统思维和实施科学框架进行进一步的研究对于成功的整合至关重要.
- 在既定框架内开发和评估干预措施可以弥合证据与实践的差距.
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