社区卫生工作者为没有保险的拉丁裔移民提供抑郁症干预的有效性
Mayra L Sánchez González1,2, Monica Guerrero Vazquez3,2, Marzena Maksym3,2
1Department of Physical Medicine and Rehabilitation, School of Medicine, Johns Hopkins University , Baltimore, USA.
Journal of community health
|December 23, 2025
概括
社区卫生工作者有效地实施了强有力的思维干预措施,以改善拉丁裔移民的抑郁症状. 这项以证据为基础的计划显示了可获得的心理健康护理的前景.
科学领域:
- 公共卫生 公共卫生
- 心理健康差异的差异
- 移民健康 移民健康
背景情况:
- 获得基于证据的心理健康护理是拉丁裔移民人口面临的重大挑战.
- 拉丁裔移民经常面临传统心理健康服务的障碍,包括成本,语言和文化能力.
- 社区卫生工作者 (CHW) 越来越多地被认为有潜力弥合这些护理差距.
研究的目的:
- 评估由医疗保健工作者提供的强大思维干预措施在未保险的西班牙语拉丁裔移民成年人中减少抑郁症症状的有效性.
- 评估干预对焦虑症状的影响作为次要结果.
- 通过检查完成干预与停止干预的参与者的基线特征来探索潜在的选择偏差.
主要方法:
- 采用了一个单臂,测试前后测试设计.
- 强大思维干预,从认知行为疗法改编,由10个单独的会议组成.
- 使用线性混合效应模型进行纵向分析,追踪了五个时间点的抑郁和焦虑症状轨迹.
主要成果:
- 在129名参与者中,有73人 (56.6%) 完成了干预.
- 完成强大思维计划与抑郁和焦虑症状的显著改善有关.
- 具有更严重的基线抑郁症状的个体更有可能完成干预.
结论:
- 医疗保健中心提供的心理健康干预措施,如"坚强的思想",有效地改善了美国拉丁裔移民的心理健康结果.
- 这些发现支持医疗保健工作者在为服务不足的人群提供可访问和有效的心理健康护理方面的作用.
- 需要进一步的研究,以确定CHW提供的干预措施是公平,临床有效,可持续和可扩展的替代传统心理健康护理模式.
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