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农村卫生培训中心下“认证社会健康活动家”心理健康方面的能力建设:一项干预性研究。

Capacity Building of "Accredited Social Health Activist" under Rural Health Training Center Regarding Mental Health: An Interventional Study.

作者信息

Patel Mehul, Misra Shobha

机构信息

Department of Community Medicine, Pacific Institute of Medical Sciences, Udaipur, Rajasthan, India.

Department of Community Medicine, PDU Medical College, Rajkot, Gujarat, India.

出版信息

Indian J Community Med. 2022 Apr-Jun;47(2):240-243. doi: 10.4103/ijcm.ijcm_726_21. Epub 2022 Jul 11.

Abstract

BACKGROUND

Mental health is one of the critical health requirements that society needs to address in the present century. Accredited Social Health Activist (ASHA) can play an important role in identifying mental health problems at the earliest and help in improving community health status.

OBJECTIVES

The objective of this study was to evaluate the effectiveness of a mental health education program on knowledge, attitude, and practices (KAP) of ASHAs.

MATERIALS AND METHODS

An intervention study was conducted to empower ASHAs for providing mental health services at a district located in Western India during 2016 and 2017. A semi-structured questionnaire was administered to assess KAP regarding mental health in intervention and control groups before and post intervention. An educational program was imparted in two batches. Hybrid methods for imparting teaching/training were utilized. "Paired -test" was applied to compare pre- and post-results in intervention group and "unpaired -test" for baseline comparison.

RESULTS

There was a statistically significant improvement in KAP of ASHAs after intervention. Majority of ASHAs referred cases of mental health problems to government tertiary care hospitals.

CONCLUSIONS

The study indicates that it is possible to empower ASHAs with a short course related to mental health to achieve effective outcomes in terms of improved knowledge, attitudes, and practices.

摘要

背景

心理健康是本世纪社会需要解决的关键健康需求之一。经认可的社会健康活动家(ASHA)能够在尽早识别心理健康问题并帮助改善社区健康状况方面发挥重要作用。

目的

本研究的目的是评估一项心理健康教育计划对ASHA的知识、态度和实践(KAP)的有效性。

材料与方法

2016年至2017年期间,在印度西部的一个地区开展了一项干预研究,以增强ASHA提供心理健康服务的能力。在干预前后,对干预组和对照组进行半结构化问卷调查,以评估其关于心理健康的KAP。分两批开展了一项教育计划。采用了混合教学/培训方法。应用“配对检验”比较干预组干预前后的结果,应用“非配对检验”进行基线比较。

结果

干预后,ASHA的KAP有统计学意义上的显著改善。大多数ASHA将心理健康问题案例转诊至政府三级医疗机构。

结论

该研究表明,通过与心理健康相关的短期课程增强ASHA的能力,在改善知识、态度和实践方面能够取得有效成果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77b5/9400340/ced45d5c0c73/IJCM-47-240-g001.jpg

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