在乌干达基于信仰的环境中实施数字儿童行为健康预防计划:可行性研究
Keng-Yen Huang1, Janet Nakigudde2, Tusiime Christine2
1Department of Population Health, New York University Grossman School of Medicine, 180 Madison Ave, New York, NY 10016, USA.
这项研究表明,数字育儿工具改善了乌干达父母的正念和纪律. 它还增强了儿童的情绪调节,减少了亲子冲突,为儿科心理健康提供了可扩展的解决方案.
科学领域:
- 全球心理健康全球心理健康
- 数字健康干预措施 数字健康干预措施
- 儿科行为健康 儿科行为健康
背景情况:
- 儿童精神障碍在低收入和中等收入国家 (LMICs) 构成重大负担.
- 解决这种负担的解决方案有限,数字干预需要在这些环境中进行系统测试.
- 数字工具为服务不足的社区提供了可扩展的预防服务的潜力.
研究的目的:
- 探索数字育儿干预工具对贫困社区儿科行为健康的可行性和影响.
- 评估乌干达基于信仰的组织在数字卫生服务模式的实施情况.
- 预先估计对育儿和儿童社会情感成果的影响.
主要方法:
- 一个前后评估设计被用于评估.
- 儿科行为健康数字工具的内容与当地专家共同设计,并根据社区反进行调整.
- 试点评估的重点是91个家庭和10个社区卫生工作者.
主要成果:
- 社区卫生工作者报告了数字工具的高度接受性,适当性和有用性.
- 干预父母表现出增加的正念 (d=1.61,p=.049) 和在纪律方面感知到的有效性 (d=1.29,p=.003).
- 孩子们表现出更好的社会情感结果,包括减少了亲子冲突 (d=-1.08,p=.002) 和增强了情感调节 (d=1.0,p=.049).
结论:
- 儿科行为健康数字工具显示,它是一个有希望的,具有成本效益的解决方案,用于在资源较少的环境中预防心理健康护理.
- 数字工具可以在社区计划中促进儿童的社会情感福祉和心理健康.
- 这种方法使护理人员更容易获得幼儿基本的预防性精神卫生服务.
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