思考地方,思考健康:尼泊尔思考健康计划的文化和上下文适应
Prasansa Subba1,2,3, Pragya Shrestha2, Rupa Rai4,5
1Department of Primary Care and Mental Health, Faculty of Health and Life Sciences, University of Liverpool, UK.
Global mental health (Cambridge, England)
|January 29, 2026
概括
思考健康计划 (THP) 用mhCACI框架适应尼泊尔,使其适合社区卫生工作者. 这种针对围产期抑郁症的文化定制干预措施在试点研究中被证明是可行的和可接受的.
科学领域:
- 全球心理健康全球心理健康
- 心理干预适应心理干预适应
- 围产期精神健康护理是指围产期精神健康护理.
背景情况:
- 思考健康计划 (THP) 是对围产期抑郁症的基于证据的心理干预.
- THP是为非专业卫生工作者进行分娩而设计的.
- 为了确保THP在尼泊尔的相关性,需要对THP进行调整.
研究的目的:
- 在尼泊尔使用心理健康文化适应和上下文化实施 (mhCACI) 框架,适应围产期抑郁症的健康思维计划 (THP).
- 评估适应的THP在围产妇女,家庭成员和女性社区卫生志愿者 (FCHVs) 中的可行性和可接受性.
主要方法:
- 使用了10步mhCACI框架,采用参与式方法和多学科团队.
- 在试点试验中进行了定性研究,包括深入采访和重点小组讨论.
- 通过围产妇女 (n=20),家庭成员 (n=11) 和FCHV (n=16) 的反来评估可行性和可接受性.
主要成果:
- 女性社区卫生志愿者 (FCHVs) 被确定为有效的交付代理人.
- 调整包括将会议从16个减少到8个,增加基础帮助技能培训,修订文化相关内容的手册.
- 基于性别的暴力,自杀和严重精神疾病的转诊途径被整合起来,适应的THP得到了很好的接受.
结论:
- 适应过程成功地为低资源环境量身定制了一个全球心理健康干预措施,同时保持治疗完整性.
- 适应的THP为尼泊尔的社区精神卫生保健提供了一个可扩展的模型.
- 这证明了mhCACI框架在语境化干预方面的有效性.
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