解决问题治疗方案的改编用于预防低收入、文化多元的母亲群体中的抑郁。
Adaptation of problem-solving treatment for prevention of depression among low-income, culturally diverse mothers.
机构信息
Boston University School of Public Health, Boston, Massachusetts 02118, USA.
出版信息
Fam Community Health. 2012 Jan-Mar;35(1):57-67. doi: 10.1097/FCH.0b013e3182385d48.
Abstract
Adapting evidence-based interventions to be more accessible and culturally sensitive to the needs of diverse populations is a potential strategy to address disparities in mental health care. We adapted an evidence-based depression-treatment strategy, Problem-Solving Treatment, to prevent depression among low-income mothers with vulnerable children. Intervention adaptations spanned 3 domains: (1) the intervention's new prevention focus, (2) conducting a parent-focused intervention in venues oriented to children; and (3) cultural competency. The feasibility of adaptations was assessed through 2 pilot-randomized trials (n = 93), which demonstrated high participant adherence, satisfaction, and retention, demonstrating the feasibility of our adaptations.
摘要
将基于证据的干预措施进行调整，使其更容易为不同人群所接受，并更加关注文化敏感性，是解决心理健康护理差异的一种潜在策略。我们对一种基于证据的抑郁症治疗策略——问题解决治疗进行了调整，以预防低收入、有弱势儿童的母亲患上抑郁症。干预措施的调整涵盖了 3 个领域：（1）干预措施的新预防重点；（2）在以儿童为导向的场所开展以父母为中心的干预；（3）文化能力。通过两项试点随机试验（n=93）评估了调整的可行性，这些试验表明参与者的依从性、满意度和保留率都很高，证明了我们的调整是可行的。
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