基于互联网的人际心理治疗对孕期女性压力、焦虑和抑郁的可行性及可接受性：主题分析

Feasibility and Acceptability of Internet-Based Interpersonal Psychotherapy for Stress, Anxiety, and Depression in Prenatal Women: Thematic Analysis.

作者信息

Bright Katherine S, Stuart Scott, Mcneil Deborah A, Murray Lindsay, Kingston Dawn E

机构信息

Faculty of Nursing, University of Calgary, Calgary, AB, Canada.

Women's Mental Health Clinic, Foothills Medical Centre, Alberta Health Services, Calgary, AB, Canada.

出版信息

JMIR Form Res. 2022 Jun 10;6(6):e23879. doi: 10.2196/23879.

DOI:10.2196/23879

PMID:35687403

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9233251/

Abstract

BACKGROUND

Prenatal mental health is a global health concern. Despite the far-reaching impact of prenatal mental health issues, many women do not receive the psychological care they require. Women in their childbearing years are frequent users of the internet and smartphone apps. Prenatal women are prime candidates for internet-based support for mental health care.

OBJECTIVE

This study aimed to examine the feasibility and acceptability of internet-based interpersonal psychotherapy (IPT) for prenatal women.

METHODS

Semistructured interviews were conducted with women who had received internet-based IPT modules with guided support as a component of a randomized controlled trial evaluating the scale-up implementation of a digital mental health platform (The Healthy Outcomes of Pregnancy and Postpartum Experiences digital platform) for pregnant women. Qualitative thematic analysis was used to explore and describe women's experiences. Data were analyzed for emerging themes, which were identified and coded.

RESULTS

A total of 15 prenatal women were interviewed to examine their experiences and views on the feasibility and acceptability of internet-based IPT modules. Participants found the content informative and appreciated the ways in which the digital mental health platform made the IPT modules accessible to users. Participants voiced some differing requirements regarding the depth and the way information was presented and accessed on the digital mental health platform. The important areas for improvement that were identified were acknowledging greater depth and clarity of content, the need for sociability and relationships, and refinement of the digital mental health platform to a smartphone app.

CONCLUSIONS

This study provides useful evidence regarding treatment format and content preferences, which may inform future development. It also provides research data on the feasibility and acceptability of web-based applications for prenatal mental health care.

TRIAL REGISTRATION

ClinicalTrials.gov NCT01901796; https://clinicaltrials.gov/ct2/show/NCT01901796.

摘要

背景

产前心理健康是一个全球性的健康问题。尽管产前心理健康问题具有深远影响，但许多女性并未得到她们所需的心理护理。育龄女性经常使用互联网和智能手机应用程序。孕期女性是基于互联网的心理健康护理的主要候选对象。

目的

本研究旨在探讨基于互联网的人际心理治疗（IPT）对孕期女性的可行性和可接受性。

方法

对参与一项随机对照试验的女性进行半结构式访谈，这些女性接受了作为评估针对孕妇的数字心理健康平台（孕期及产后经历健康结果数字平台）扩大实施组成部分的、有指导支持的基于互联网的IPT模块。采用定性主题分析来探索和描述女性的经历。对数据进行分析以找出新出现的主题，并对其进行识别和编码。

结果

共访谈了15名孕期女性，以了解她们对基于互联网的IPT模块的可行性和可接受性的经历和看法。参与者认为内容信息丰富，并赞赏数字心理健康平台使IPT模块可供用户使用的方式。参与者对数字心理健康平台上信息呈现和获取的深度及方式表达了一些不同的要求。确定的重要改进领域包括内容要有更大的深度和清晰度、社交性和人际关系的需求，以及将数字心理健康平台改进为智能手机应用程序。