对初级保健中患有饮食障碍的男性的污名化进行干预 (iSMEsH):随机混合方法评估试验的协议
Martin S Lehe1,2, Georg Halbeisen1, Georgios Paslakis1
1University Clinic for Psychosomatic Medicine and Psychotherapy, Medical Faculty, Campus East-Westphalia, Ruhr-University Bochum, Lübbecke, Germany.
PloS one
|October 9, 2025
概括
这项研究评估了iSMEsH的干预措施,以减少全科医生 (GPs) 对患有饮食障碍 (ED) 的男性的耻辱. 这项干预改善了全科医生的知识,态度和对男性EDS的自我有效性.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 医学教育 医学教育
背景情况:
- 饮食障碍 (EDs) 是一个重要的公共卫生问题,由于社会耻辱和研究中的代表性不足,不成比例地影响男性.
- 在男性中,ED的污名化导致寻求帮助的行为减少,诊断延迟.
- 有针对性的干预措施至关重要,为医疗保健专业人员提供必要的技能,以应对男性的ED.
研究的目的:
- 评估iSMEsH干预措施在提高全科医生对男性ED敏感度方面的有效性.
- 改善全科医生的知识,态度和自我有效性,以识别和管理男性患者的ED.
- 减少在初级保健机构中将ED视为"女性疾病"的看法.
主要方法:
- 采用了一种顺序解释混合方法设计 (QUAN → qual).
- 干预开发涉及焦点小组和与经验丰富的ED个人和全科医生的小组讨论.
- 对全科医生和医学学生进行了一项在线培训的随机等候名单对照试验,随后进行了定性访谈.
主要成果:
- iSMEsH的干预旨在通过提高全科医生和医学学生的知识来减少对ED男性的耻辱.
- 该研究将评估参与GP的偏见态度,知识和自我有效性的变化.
- 定量数据将使用混合测量ANOVA和线性混合模型进行分析;定性数据通过专题分析进行分析.
结论:
- 在初级保健中,iSMEsH的干预有望减少与男性饮食障碍相关的耻辱感.
- 一个全面的混合方法方法和包括具有实践经验的个人加强了研究的有效性.
- 需要进一步的研究来证实iSMEH干预措施的长期有效性和适用性,以便在医疗保健中更广泛地减少耻辱的战略.
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