School of Nursing and Midwifery, Aga Khan University, Karachi 74800, Pakistan.
Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium.
Int J Environ Res Public Health. 2023 Apr 14;20(8):5517. doi: 10.3390/ijerph20085517.
Perinatal mental health issues in women can lead to a variety of health complications for both mother and child. Building resilience can strengthen coping mechanisms for pregnant women to improve their mental health and protect themselves and their children. The study aims to develop and validate the contextual and cultural appropriateness of the Safe Motherhood-Accessible Resilience Training (SM-ART) intervention for pregnant women in Pakistan. A three-phase approach was used to develop and validate an intervention that promotes resilience in pregnant women. Phase I comprised a needs assessment with stakeholders (pregnant women and key informants) to elicit opinions regarding module content. In Phase II, an intervention to build resilience was developed with the help of a literature review and formative assessment findings, and Phase III involved the validation of the intervention by eight mental health experts. The experts assessed the Content Validity Index (CVI) of the SM-ART intervention on a self-developed checklist. The resultant SM-ART intervention consists of six modules with strong to perfect CVI scores for each of the modules. Qualitative responses endorsed the strengths of the intervention as having innovative and engaging activities, contextual and cultural relevance, and a detailed, comprehensive facilitator guide. SM-ART was successfully developed and validated and is now ready for testing to promote the resilience of pregnant women at risk of perinatal mental illness.
围产期妇女的心理健康问题会给母婴双方带来各种健康并发症。培养韧性可以增强孕妇的应对机制，改善她们的心理健康，保护她们自己和孩子。本研究旨在为巴基斯坦的孕妇开发和验证“安全孕产可及韧性培训”（SM-ART）干预措施的情境和文化适宜性。采用三阶段方法来开发和验证促进孕妇韧性的干预措施。第一阶段是与利益攸关方（孕妇和主要知情人）进行需求评估，以征求他们对模块内容的意见。第二阶段，在文献回顾和形成性评估结果的帮助下，制定了一项增强韧性的干预措施，第三阶段则由八名心理健康专家对干预措施进行了验证。专家们使用自行制定的清单评估了 SM-ART 干预措施的内容效度指数（CVI）。最终的 SM-ART 干预措施包括六个模块，每个模块的 CVI 得分都很高，从强到完美。定性反应认可了干预措施的优势，包括创新性和参与性活动、情境和文化相关性，以及详细全面的促进者指南。SM-ART 已经成功开发和验证，现已准备好进行测试，以促进有围产期精神疾病风险的孕妇的韧性。
