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探索在孟加拉国使用数字技术提供心理健康护理服务的潜力:一项定性分析。

Exploring the potential of delivering mental health care services using digital technologies in Bangladesh: A qualitative analysis.

作者信息

Koly Kamrun Nahar, Saba Jobaida, Muzaffar Rasma, Modasser Rifath Binta, M Tasdik Hasan, Colon-Cabrera David, Warren Narelle

机构信息

Health System & Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), Mohakhali, Dhaka 1212, Bangladesh.

Department of Public Health, North South University, Bashundhara, Dhaka 1229, Bangladesh.

出版信息

Internet Interv. 2022 May 7;29:100544. doi: 10.1016/j.invent.2022.100544. eCollection 2022 Sep.

Abstract

BACKGROUND

Bangladesh is a lower-middle-income country affected by a severe lack of mental health service availability due to a scarcity of mental health experts, limited mental health literacy, and community stigma. In other low and middle-income countries, the online provision of mental health care services has addressed issues affecting service availability, accessibility, mass awareness of services, and stigma.

OBJECTIVE

The current study sought to understand stakeholders' perceptions of the potential of digital media-based mental health care delivery in strengthening Bangladesh's mental health system.

METHOD

Online in-depth interviews were conducted with seven psychiatrists and eleven people with lived experiences of mental health issues. In addition, two online focus groups were conducted with ten psychologists and nine mental health entrepreneurs. A thematic analysis of the audio transcriptions was used to identify themes.

RESULT

Stakeholders perceived that the benefits of digital media-based mental health services included the potential of increasing the awareness, availability, and accessibility of mental health services. Participants recommended: the rehabilitation of existing pathways; the use of social media to raise awareness; and the implementation of strategies that integrate different digital-based services to strengthen the mental health system and foster positive mental health-seeking behaviors.

CONCLUSION

Growing mental health awareness, combined with the appropriate use of digital media as a platform for distributing information and offering mental services, can help to promote mental health care. To strengthen mental health services in Bangladesh, tailored services, increased network coverage, and training are required on digital mental health.

摘要

背景

孟加拉国是一个中低收入国家,由于心理健康专家匮乏、心理健康知识普及有限以及社区存在污名化现象,心理健康服务严重不足。在其他低收入和中等收入国家,在线提供心理健康护理服务解决了影响服务可及性、可获得性、服务大众认知度以及污名化等问题。

目的

本研究旨在了解利益相关者对基于数字媒体的心理健康护理服务在加强孟加拉国心理健康系统方面潜力的看法。

方法

对7名精神科医生和11名有心理健康问题亲身经历的人进行了在线深入访谈。此外,对10名心理学家和9名心理健康企业家进行了两个在线焦点小组访谈。对音频转录进行主题分析以确定主题。

结果

利益相关者认为,基于数字媒体的心理健康服务的好处包括提高心理健康服务的认知度、可及性和可获得性的潜力。参与者建议:修复现有途径;利用社交媒体提高认知度;实施整合不同数字服务的策略,以加强心理健康系统并促进积极寻求心理健康的行为。

结论

心理健康意识的提高,加上适当地利用数字媒体作为传播信息和提供心理服务的平台,有助于促进心理健康护理。为加强孟加拉国的心理健康服务,需要提供量身定制的服务、扩大网络覆盖范围并开展数字心理健康培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f11/9125629/a9bb1d0c5977/gr1.jpg

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