Shuanger Wu, Yanli Shi, Junfang Xu, Yuanzhu Ma, Xin Wang
{"title":"中国围产期抑郁症群体心理干预偏好:一个离散选择实验。","authors":"Shuanger Wu, Yanli Shi, Junfang Xu, Yuanzhu Ma, Xin Wang","doi":"10.1186/s13690-025-01643-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Perinatal depression (PND) is a public health issue that causes a considerable disease burden on health systems and patients' families. Group psychological interventions are intended to prevent PND. This study aimed to identify maternal preferences for group psychological interventions and provide evidence for intervention design and implementation in China.</p><p><strong>Methods: </strong>A discrete choice experiment (DCE) was conducted in southern China from January to February 2023. Based on a literature review, expert consultation, and qualitative interviews, six attributes of group psychological interventions were selected for the DCE: cost, qualification of care provider, care method (online/offline), care receiver, institution for care delivery and starting time of care. A mixed-logit regression model was used to analyze preferences, willingness to pay, and potential uptake rate.</p><p><strong>Results: </strong>The survey included 517 participants. They reported preferring free interventions provided by psychologists, available online and offline, with their spouses, and at the hospital where they received routine maternity care. Participants had no significant preferences for starting time of care. Inviting spouses to attend the intervention was the most valued attribute. The preferences of the different subgroups of respondents were diverse.</p><p><strong>Conclusion: </strong>Considering pregnant women's needs and preferences when designing group psychological interventions will help to increase their willingness to participate in the intervention for PND prevention. Future maternal group psychological interventions could invite spouses and other informal family caregivers to accompany them, reduce or waive fees for pregnant women through financial support, and provide online interventions for pregnant women in the third trimester and postpartum period.</p>","PeriodicalId":48578,"journal":{"name":"Archives of Public Health","volume":"83 1","pages":"168"},"PeriodicalIF":3.2000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210621/pdf/","citationCount":"0","resultStr":"{\"title\":\"Preferences for group psychological interventions on perinatal depression in China: a discrete choice experiment.\",\"authors\":\"Shuanger Wu, Yanli Shi, Junfang Xu, Yuanzhu Ma, Xin Wang\",\"doi\":\"10.1186/s13690-025-01643-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Perinatal depression (PND) is a public health issue that causes a considerable disease burden on health systems and patients' families. Group psychological interventions are intended to prevent PND. This study aimed to identify maternal preferences for group psychological interventions and provide evidence for intervention design and implementation in China.</p><p><strong>Methods: </strong>A discrete choice experiment (DCE) was conducted in southern China from January to February 2023. Based on a literature review, expert consultation, and qualitative interviews, six attributes of group psychological interventions were selected for the DCE: cost, qualification of care provider, care method (online/offline), care receiver, institution for care delivery and starting time of care. A mixed-logit regression model was used to analyze preferences, willingness to pay, and potential uptake rate.</p><p><strong>Results: </strong>The survey included 517 participants. They reported preferring free interventions provided by psychologists, available online and offline, with their spouses, and at the hospital where they received routine maternity care. Participants had no significant preferences for starting time of care. Inviting spouses to attend the intervention was the most valued attribute. The preferences of the different subgroups of respondents were diverse.</p><p><strong>Conclusion: </strong>Considering pregnant women's needs and preferences when designing group psychological interventions will help to increase their willingness to participate in the intervention for PND prevention. Future maternal group psychological interventions could invite spouses and other informal family caregivers to accompany them, reduce or waive fees for pregnant women through financial support, and provide online interventions for pregnant women in the third trimester and postpartum period.</p>\",\"PeriodicalId\":48578,\"journal\":{\"name\":\"Archives of Public Health\",\"volume\":\"83 1\",\"pages\":\"168\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210621/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s13690-025-01643-y\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13690-025-01643-y","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Preferences for group psychological interventions on perinatal depression in China: a discrete choice experiment.
Background: Perinatal depression (PND) is a public health issue that causes a considerable disease burden on health systems and patients' families. Group psychological interventions are intended to prevent PND. This study aimed to identify maternal preferences for group psychological interventions and provide evidence for intervention design and implementation in China.
Methods: A discrete choice experiment (DCE) was conducted in southern China from January to February 2023. Based on a literature review, expert consultation, and qualitative interviews, six attributes of group psychological interventions were selected for the DCE: cost, qualification of care provider, care method (online/offline), care receiver, institution for care delivery and starting time of care. A mixed-logit regression model was used to analyze preferences, willingness to pay, and potential uptake rate.
Results: The survey included 517 participants. They reported preferring free interventions provided by psychologists, available online and offline, with their spouses, and at the hospital where they received routine maternity care. Participants had no significant preferences for starting time of care. Inviting spouses to attend the intervention was the most valued attribute. The preferences of the different subgroups of respondents were diverse.
Conclusion: Considering pregnant women's needs and preferences when designing group psychological interventions will help to increase their willingness to participate in the intervention for PND prevention. Future maternal group psychological interventions could invite spouses and other informal family caregivers to accompany them, reduce or waive fees for pregnant women through financial support, and provide online interventions for pregnant women in the third trimester and postpartum period.
期刊介绍:
rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.