Ewha Research Institute of Nursing Science, College of Nursing, Ewha Womans University, Seoul, South Korea.
College of Nursing, Ewha Womans University, Seoul, South Korea.
Front Public Health. 2022 Jun 2;10:882576. doi: 10.3389/fpubh.2022.882576. eCollection 2022.
Although middle-aged adults in Korea are vulnerable to depression, there are few preventive interventions for depression in middle adulthood. Studies consistently suggest that interventions that include both spouses are effective in decreasing depression and relationship distress. Considering the busy lives of middle-aged couples, it is essential to develop an online-coaching blended couple-oriented intervention. This study aimed to describe the development, implementation, and evaluation of an online-coaching blended couple-oriented intervention using an online program and coaching videoconference to prevent middle-aged couples' depression; this was done using an intervention mapping (IM) protocol.
Six steps of IM were used to systematically develop a tailored multi-level intervention specific to middle-aged couples' depression. These steps of the IM protocol involve needs assessment, formulation of change objectives, theory-based methods, and practical strategies for program design, program development, program implementation, and program evaluation.
The results of the six steps were as follows: (a) middle-aged couples' needs and mental health problems were identified through a scoping review study, mixed-method study, and expert interviews; (b) six performance objectives (POs) were formulated based on the results of Step 1, and intrapersonal, interpersonal, and temporal/transpersonal determinants were identified based on the self-transcendence theory. Change objectives were developed by combining POs with determinants; (c) self-regulated learning was chosen for theoretical teaching methods and practical strategies to change the determinants of each level; (d) four modules consisting of 16 sessions were developed based on the self-transcendence theory; (e) experts evaluated the program and coaches were trained; and (f) the evaluation plan for the program's feasibility, acceptability, usability, and preliminary effects was developed.
The systematic process using IM allowed us to develop an online-coaching blended couple-oriented intervention to prevent depression and promote couples' relationships. The primary effects of this newly developed program should be evaluated in future studies. This may lead to the increased adoption and implementation of evidence-based and tailored interventions for psychological wellbeing in middle adulthood.
尽管韩国的中年成年人易患抑郁症，但针对中年成年人的抑郁症预防干预措施却很少。研究一致表明，包括配偶双方的干预措施可有效减轻抑郁和夫妻关系困扰。考虑到中年夫妻忙碌的生活，开发一种在线辅导混合夫妇为导向的干预措施至关重要。本研究旨在描述一种使用在线程序和辅导视频会议来预防中年夫妇抑郁症的在线辅导混合夫妇为导向的干预措施的开发、实施和评估，该研究使用了干预映射（IM）方案。
使用 IM 的六个步骤系统地开发针对中年夫妇抑郁症的量身定制的多层次干预措施。IM 协议的这六个步骤包括需求评估、变化目标制定、基于理论的方法以及针对方案设计、方案开发、方案实施和方案评估的实际策略。
六个步骤的结果如下：（a）通过范围综述研究、混合方法研究和专家访谈确定了中年夫妇的需求和心理健康问题；（b）根据步骤 1 的结果制定了六个绩效目标（PO），并根据自我超越理论确定了内在、人际和时间/超个人决定因素。通过将 PO 与决定因素相结合，制定了变化目标；（c）选择自我调节学习作为理论教学方法和改变每个层次决定因素的实用策略；（d）根据自我超越理论开发了包含 16 个课程的四个模块；（e）专家评估了方案，并培训了教练；（f）制定了方案可行性、可接受性、可用性和初步效果的评估计划。
使用 IM 的系统过程使我们能够开发一种在线辅导混合夫妇为导向的干预措施，以预防抑郁症并促进夫妻关系。未来的研究应评估这种新开发的方案的主要效果。这可能会导致在中年成年人的心理幸福感方面增加采用和实施基于证据和量身定制的干预措施。
