School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.
Department of Nursing, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
PLoS One. 2020 Mar 9;15(3):e0230069. doi: 10.1371/journal.pone.0230069. eCollection 2020.
Given the relative recency of Domestic and Family Violence (DFV) management as a field of endeavour, it is not surprising that interventions for addressing DFV is still in its infancy in developing countries. In order to maximise the success of an intervention, it is important to know which aspects of the intervention are considered important and helpful by service providers and service users. This study, therefore, examined the acceptability of an antenatal-based psychosocial intervention targeting DFV in Nepal and explored suggestions for improving the program in future.
Intervention participants and health care providers (HCPs) were interviewed using semi-structured interviews. Data were audio-recorded and thematic analysis was used to analyse the data. Final codes and themes were identified using an iterative review process among the research team.
Themes emerging from the data were grouped into domains including perceptions towards DFV, impact of the intervention on women's lives and recommendations for improving the program. DFV was recognised as a significant problem requiring urgent attention for its prevention and control. Intervention participants expressed that they felt safe to share their feelings during the counselling session and got opportunity to learn new skills to cope with DFV. The majority of the participants recommended multiple counselling sessions and a continued provision of the service ensuring the intervention's accessibility by a large number of women.
This is the first study to document the perspectives of women and HCPs regarding an antenatal-based intervention targeting psychosocial consequences of DFV in Nepal. There was a clear consensus around the need to engage, support and empower victims of DFV and the intervention was well received by the participants. Ensuring good mental health and wellbeing among victims of DFV requires work across individual, organisational and community levels.
鉴于家庭和家庭暴力（DFV）管理作为一个努力的领域相对较新，发展中国家针对 DFV 的干预措施仍处于起步阶段也就不足为奇了。为了使干预措施取得最大成功，了解服务提供者和服务使用者认为干预措施的哪些方面重要和有帮助是很重要的。因此，本研究考察了在尼泊尔基于产前的针对 DFV 的心理社会干预措施的可接受性，并探讨了在未来改进该计划的建议。
使用半结构化访谈采访了干预参与者和医疗保健提供者（HCP）。数据被录音，并使用主题分析来分析数据。最终代码和主题是通过研究团队之间的迭代审查过程确定的。
从数据中提取的主题分为包括对 DFV 的看法、干预对妇女生活的影响以及改进计划的建议等领域。DFV 被认为是一个需要紧急关注的重大问题，需要预防和控制。干预参与者表示，他们在咨询会议上感到安全，可以分享自己的感受，并获得了应对 DFV 的新技能。大多数参与者建议提供多次咨询会议，并继续提供服务，以确保许多妇女能够获得该干预措施。
这是第一项记录尼泊尔基于产前针对 DFV 的心理社会后果的干预措施的妇女和 HCP 观点的研究。在需要接触、支持和赋予 DFV 受害者权力方面存在明确的共识，参与者对干预措施的接受度很高。确保 DFV 受害者的良好心理健康和幸福感需要在个人、组织和社区层面开展工作。
