在津巴布韦,对青少年精神障碍进行干预的集群随机试验
Rhulani Beji-Chauke1, Victoria Simms2, Melanie Abas3
1Friendship Bench Zimbabwe, 4 Weale Rd, Milton Park, Harare, Email, Zimbabwe. rhulani.chauke@friendshipbench.io.
BMC psychiatry
|July 3, 2025
概括
青年友板 (YouFB) 与标准友板 (FB) 相比,在患有常见精神障碍的青少年中显示出更高的吸收和可行性. 虽然可以接受,但YouFB需要优化临床和成本效益.
科学领域:
- 全球心理健康全球心理健康
- 实施科学 实施科学
- 青少年健康 青少年健康
背景情况:
- 任务转移模型对于改善在低资源环境中获得心理健康服务的机会至关重要.
- 青少年在获得心理健康护理方面面临重大障碍,需要青少年友好的干预措施.
- 由社区卫生工作者提供的友长 (FB) 模式显示出希望,但需要适应年轻人.
研究的目的:
- 将以青少年为中心的友板 (YouFB) 干预措施的吸收,有效性,覆盖范围,忠诚度,可接受性和成本与16-19岁青少年的标准成年FB模型进行比较.
- 为了评估受过培训的大学生的同行交付YouFB是否会导致更大的吸收和更好的管理常见精神障碍 (CMDs) 与标准FB相比.
- 评估在津巴布韦哈拉雷的YouFB模型的实施结果和成本效益.
主要方法:
- 在26个初级保健诊所进行了一项开放标签,集群随机化,混合型-2实施试验.
- 吸收是主要结果,定义为在接受干预的16-19岁青少年中完成至少一个FB会话.
- 临床有效性是使用肖纳症状问卷 (SSQ-14) 在六个月后进行评估,并从社会角度进行成本分析.
主要成果:
- 与标准FB (86.6%) 相比,YouFB的吸收率显著更高 (95.6%).
- 通过完成的会议来衡量可行性,在YouFB组中也更高 (96.7%与85.8%相比).
- 用SSQ-14分数测量六个月后的临床有效性,在YouFB和FB手臂之间是相似的,尽管YouFB承担了更高的程序成本.
结论:
- 以青年为中心的友长 (YouFB) 干预措施是可行的,并且对青少年来说非常可接受,他们重视同行联系和可访问性.
- 接受者发现与同龄人建立联系特别有益.
- 需要进一步优化,以提高YouFB模型的临床和成本效益,以便广泛实施.
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