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一项针对初产妇的同伴支持干预措施:“妈咪伙伴”项目的可行性及初步疗效

A peer support intervention for first-time mothers: Feasibility and preliminary efficacy of the mummy buddy program.

作者信息

Law K H, Dimmock J A, Guelfi K J, Nguyen T, Bennett E, Gibson L, Tan X H, Jackson B

机构信息

Department of Psychology, College of Healthcare Sciences, James Cook University, Australia, @BrianLaw_Psych.

Department of Psychology, College of Healthcare Sciences, James Cook University, Australia, @BrianLaw_Psych.

出版信息

Women Birth. 2021 Nov;34(6):593-605. doi: 10.1016/j.wombi.2020.10.009. Epub 2020 Nov 5.

Abstract

BACKGROUND

The transition to motherhood, although joyous, can be highly stressful, and the availability of professional postpartum support for mothers is often limited. Peer volunteer support programs may offer a viable and cost-effective method to provide community-based support for new mothers.

AIM

To determine the feasibility of a peer volunteer support program-The Mummy Buddy Program-in which experienced volunteer mothers are paired with, and trained to offer social support to, first-time mothers.

METHODS

Using a single-group non-randomised feasibility trial, a total of 56 experienced mothers participated in the Mummy Buddy training program, which was focused on education and practical exercises relating to the provision of various forms of social support. Experienced mothers ('Mummy Buddies') were subsequently paired with expectant first-time mothers (n=47 pairs), and were encouraged to provide support until 24-weeks postpartum.

FINDINGS

In terms of key feasibility considerations, 95.1% of Mummy Buddies felt that they were trained sufficiently to perform their role, and 85.8% of New Mothers were satisfied with the support provided by their Buddy. Analyses of preliminary efficacy (i.e., program outcomes) revealed that the first-time mothers maintained normal levels of stress and depressive symptomology, and possessed relatively strong maternal functioning, across the program duration.

CONCLUSION

The Mummy Buddy Program appears to be a feasible and potentially valuable peer volunteer support program for first-time mothers. This study provides a foundation for program expansion and for work designed to examine program outcomes-for first-time mothers, Mummy Buddies, and entire family units-within a sufficiently-powered randomised controlled trial.

摘要

背景

过渡到母亲角色,尽管充满喜悦,但压力可能极大,而且为母亲提供的专业产后支持往往有限。同伴志愿者支持项目可能提供一种可行且具成本效益的方法,为新妈妈提供基于社区的支持。

目的

确定一项同伴志愿者支持项目——“妈咪伙伴项目”的可行性,即让有经验的志愿者妈妈与初产妇配对,并接受培训以提供社会支持。

方法

采用单组非随机可行性试验,共有56名有经验的妈妈参加了妈咪伙伴培训项目,该项目侧重于与提供各种形式社会支持相关的教育和实践练习。有经验的妈妈(“妈咪伙伴”)随后与准初产妇配对(47对),并被鼓励提供支持直至产后24周。

结果

在关键的可行性考量方面,95.1%的妈咪伙伴认为自己接受了充分的培训以履行职责,85.8%的新妈妈对其伙伴提供的支持感到满意。对初步效果(即项目成果)的分析显示,在整个项目期间,初产妇的压力和抑郁症状维持在正常水平,且具备较强的母亲功能。

结论

妈咪伙伴项目似乎是一项针对初产妇可行且可能有价值的同伴志愿者支持项目。本研究为项目扩展以及在一项有足够效力的随机对照试验中针对初产妇、妈咪伙伴和整个家庭单元来研究项目成果的工作奠定了基础。

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