University of Nottingham, School of Health Sciences, Queen's Medical Centre, Nottingham, NG7 2HA, UK.
Moya CBT, Loughborough, Leicestershire, UK.
BMC Pregnancy Childbirth. 2022 Aug 25;22(1):662. doi: 10.1186/s12884-022-04996-2.
The RAPID-2 intervention has been developed to support women with symptoms of mild-to-moderate anxiety in pregnancy. The intervention consists of supportive discussions with midwives, facilitated discussion groups and access to self-management materials. This paper reports the development of a training programme to prepare midwives and maternity support workers to facilitate the intervention.
Kern's six-step approach for curriculum development was used to identify midwives and maternity support workers training needs to help support pregnant women with anxiety and facilitate a supportive intervention. The stages of development included feedback from a preliminary study, stakeholder engagement, a review of the literature surrounding midwives' learning and support needs and identifying and supporting the essential process and functions of the RAPID intervention.
Midwives' reported training needs were mapped against perinatal mental health competency frameworks to identify areas of skills and training needed to facilitate specific intervention mechanisms and components. A training plan was developed which considered the need to provide training with minimal additional resources and within midwives' scope of practice. The training plan consists of two workshop teaching sessions and a training manual.
Future implementation is planned to include a post-training evaluation of the skills and competencies required to fully evaluate the comprehensive programme and deliver the RAPID-2 intervention as planned. In addition, the RAPID-2 study protocol includes a qualitative evaluation of facilitators' views of the usefulness of the training programme.
RAPID-2 干预措施旨在为有轻度至中度焦虑症状的孕妇提供支持。该干预措施包括与助产士进行支持性讨论、促进讨论小组的参与以及获得自我管理材料。本文报告了一项培训计划的开发,旨在培训助产士和产妇支持人员,以促进干预措施的实施。
采用 Kern 的六步课程开发方法确定助产士和产妇支持人员的培训需求,以帮助支持有焦虑症的孕妇并促进支持性干预。发展阶段包括初步研究的反馈、利益相关者参与、对助产士学习和支持需求的文献回顾,以及确定和支持 RAPID 干预的基本过程和功能。
将助产士报告的培训需求与围产期心理健康能力框架进行了映射,以确定促进特定干预机制和组成部分所需的技能和培训领域。制定了培训计划,考虑了在不增加额外资源的情况下,并在助产士的实践范围内提供培训的需求。培训计划包括两次讲习班教学和一份培训手册。
未来的实施计划包括对全面计划所需的技能和能力进行培训后评估,并按计划提供 RAPID-2 干预措施。此外,RAPID-2 研究方案包括对促进者对培训计划有用性的看法进行定性评估。