Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Centro SOL-Center for Salud/Health and Opportunity for Latinos, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
J Immigr Minor Health. 2024 Oct;26(5):945-952. doi: 10.1007/s10903-024-01612-7. Epub 2024 Jul 4.
Standard models of well-child care may not sufficiently address preventive health needs of immigrant families. To augment standard individual well-child care, we developed a virtual group-based psychoeducational intervention, designed to be delivered in Spanish as a single, stand-alone session to female caregivers of 0-6 month-olds. The intervention included a video testimonial of an individual who experienced perinatal depression followed by a facilitated discussion by the clinic social worker and an orientation to relevant community resources by a community health worker. To assess feasibility and acceptability of the intervention, we conducted an open pilot within an academic pediatric practice serving predominantly Latinx children in immigrant families. Participants included 19 female caregivers of infants attending the practice, of whom 16 completed post-intervention measures and 13 completed post-intervention semi-structured interviews. Quantitative measures of acceptability and satisfaction with the intervention were high. We found preliminary effects of the intervention on postpartum depression knowledge and stigma in the expected direction. In interviews, participants described increases in their familiarity with postpartum depression and about relevant community resources, including primary care for caregivers. Participants reported an appreciation for the opportunity to learn from other caregivers and provided suggestions for additional topics of interest. Trial registration: Registered 6/21/22 as NCT05423093.
标准的儿童保健模式可能无法充分满足移民家庭的预防保健需求。为了补充标准的个体儿童保健,我们开发了一种虚拟的基于小组的心理教育干预措施,旨在以西班牙语为单一语言,为 0-6 个月大婴儿的女性照顾者提供一次单独的服务。该干预措施包括一个经历围产期抑郁的个体的视频证言,随后由诊所的社会工作者进行有针对性的讨论,并由社区卫生工作者介绍相关社区资源。为了评估干预措施的可行性和可接受性,我们在一家主要为拉丁裔移民家庭的儿童提供服务的学术儿科诊所内进行了一项开放性试点研究。参与者包括参加该实践的 19 名婴儿女性照顾者,其中 16 名完成了干预后的测量,13 名完成了干预后的半结构化访谈。干预措施的可接受性和满意度的定量衡量标准很高。我们发现干预措施对产后抑郁知识和耻辱感有初步的预期效果。在访谈中,参与者表示对产后抑郁及其相关社区资源(包括照顾者的初级保健)的熟悉程度有所提高。参与者表示赞赏有机会向其他照顾者学习,并提出了其他感兴趣的话题的建议。试验注册:于 2022 年 6 月 21 日注册为 NCT05423093。