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评价基于视频的教育干预对减少医护专业人员围产期心理健康相关污名策略的有效性:一项单组前后测试点研究。

Evaluation of the effectiveness of a video-based educational intervention on perinatal mental health related stigma reduction strategies for healthcare professionals: A single group pre-test-post-test pilot study.

机构信息

Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.

University Maternity Hospital Limerick, Limerick, Ireland.

出版信息

Midwifery. 2024 Sep;136:104089. doi: 10.1016/j.midw.2024.104089. Epub 2024 Jul 2.

DOI:10.1016/j.midw.2024.104089
PMID:38968682
Abstract

BACKGROUND

Healthcare professionals have a role to play in reducing perinatal mental health related stigma.

AIM

To assess the effectiveness of a video-based educational intervention developed to provide guidance to healthcare professionals on perinatal mental health related stigma reduction strategies.

DESIGN

A single group pre-test-post-test pilot study with no control group.

SETTING(S): A university affiliated maternity hospital in Ireland PARTICIPANTS: A convenience sample of registered midwives, nurses and doctors (n = 60) recruited from October 2020-January 2021.

INTERVENTION

A twenty-minute video-based educational intervention.

METHODS

Respondents (n = 60) completed a pre-test (time point one) and post-test (time point-two) questionnaire, and a three-month follow-up post-test questionnaire (time point-three) (n = 39). The questionnaire included the Mental Illness Clinicians' Attitudes Scale, Reported and Intended Behaviour Scale, Reynolds Empathy Scale and open-ended questions. Wilcoxon Signed Rank Test was selected to evaluate the pre-test post-test scores.

RESULTS

The difference in mean Mental Illness: Clinicians' Attitudes-4 scores were statistically significant between time points one and three (z = 3.27, df=36, P = 0.0007) suggesting more positive attitudes towards people with mental health conditions after the intervention. The mean total score for the Reported and Intended Behaviour Scale increased from 18.7 (SD 1.87) at time point one to 19.2 (SD 1.60) at time point two (z= -3.368, df=59, P = 0.0004) suggesting an increase in positive intended behaviours towards those with mental health issues immediately following the intervention. These findings were also corroborated by responses to open-ended survey questions.

CONCLUSIONS

Further research with a larger sample of healthcare professionals evaluated over a longer period would provide further evidence for the sustainability of the intervention.

TWEETABLEABSTRACT

A video-based intervention can increase healthcare professionals' knowledge of perinatal #mentalhealth related stigma reduction strategies @Journal. Link to article.

摘要

背景

医疗保健专业人员在减少围产期心理健康相关污名方面发挥着作用。

目的

评估一项基于视频的教育干预措施的有效性,该措施旨在为医疗保健专业人员提供有关减少围产期心理健康相关污名的策略的指导。

设计

无对照组的单组预测试后测试试验研究。

地点

爱尔兰一所大学附属妇产医院。

参与者

2020 年 10 月至 2021 年 1 月期间,从注册助产士、护士和医生中招募了一个方便样本(n = 60)。

干预措施

二十分钟的基于视频的教育干预。

方法

被试(n = 60)在预测试(时间点一)和后测试(时间点二)问卷中完成了问卷调查,并且在三个月后的后测试(时间点三)中完成了问卷调查(n = 39)。问卷包括精神疾病临床医生态度量表、报告和预期行为量表、Reynolds 同理心量表和开放式问题。选择 Wilcoxon 符号秩检验来评估预测试后测试得分。

结果

时间点一和时间点三之间的精神疾病:临床医生态度量表-4 得分差异具有统计学意义(z = 3.27,df = 36,P = 0.0007),表明干预后对心理健康状况患者的态度更为积极。报告和预期行为量表的总得分从时间点一的 18.7(SD 1.87)增加到时间点二的 19.2(SD 1.60)(z = -3.368,df = 59,P = 0.0004),表明干预后立即对心理健康问题患者的积极预期行为有所增加。这些发现也得到了对开放式调查问题的回答的支持。

结论

对更多医疗保健专业人员进行更大样本量的研究,并在更长时间内进行评估,可以为干预措施的可持续性提供进一步证据。

可推文摘要

基于视频的干预可以增加医疗保健专业人员对减少围产期心理健康相关污名策略的了解。#围产期心理健康 #相关污名。@Journal。文章链接。

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