Mhango Wezi, Michelson Daniel, Gaysina Darya
School of Psychology, Pevensey 1 Building, University of Sussex, Falmer BN1 9QH, UK.
Department of Psychology and Medical Humanities, P.O. Box 280, Zomba, University of Malawi, Malawi.
Int Health. 2025 Jul 1;17(4):573-582. doi: 10.1093/inthealth/ihaf007.
This study aimed to gain insights into stakeholders' priorities and preferences for a scalable intervention for common mental problems among perinatal adolescents in Malawi.
Participatory stakeholder workshops (n=9) were conducted iteratively according to the principles of the Person-Based Approach. Three stakeholder groups were recruited from one urban and one rural primary health centre in Zomba district, Malawi: perinatal adolescents (n=10), their family members (n=8) and healthcare workers (n=10). Framework analysis was conducted using intervention descriptors from the Template for Intervention Description and Replication checklist.
Participants emphasized the need for information on causes and symptoms of common mental problems and for developing coping strategies: a) those focused on external stressors-problem-solving, financial literacy and interpersonal skills-and b) emotion-focused approach behaviours-behavioural activation, relaxation and anger management. There was a strong preference for healthcare workers as intervention providers. Participants agreed on a brief antenatal intervention delivered weekly using both group and individual formats. There were positive views on both self-help and guided formats. All stakeholder groups felt there was a need for follow-up to ensure that adolescents correctly engaged with the intervention material.
Findings informed the design of a brief multicomponent guided intervention for adolescents in the antenatal period.
本研究旨在深入了解利益相关者对于马拉维围产期青少年常见心理问题可扩展干预措施的优先事项和偏好。
根据以人为本方法的原则反复开展参与式利益相关者研讨会（共9次）。从马拉维松巴区的一个城市和一个农村初级卫生中心招募了三个利益相关者群体：围产期青少年（10名）、他们的家庭成员（8名）和医护人员（10名）。使用干预描述与复制模板清单中的干预描述符进行框架分析。
参与者强调需要有关常见心理问题的成因和症状的信息以及制定应对策略：a）侧重于外部压力源的策略——解决问题、金融知识和人际交往能力，以及b）侧重于情绪的方法行为——行为激活、放松和愤怒管理。强烈倾向于由医护人员作为干预提供者。参与者一致认可采用小组和个人形式每周进行一次简短的产前干预。对自助和指导形式都有积极看法。所有利益相关者群体都认为需要进行随访，以确保青少年正确使用干预材料。
研究结果为产前青少年简短多成分指导干预措施的设计提供了依据。
