中国围产期抑郁症群体心理干预偏好:一个离散选择实验。

IF 3.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Shuanger Wu, Yanli Shi, Junfang Xu, Yuanzhu Ma, Xin Wang
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引用次数: 0

摘要

背景:围产期抑郁症(PND)是一个公共卫生问题,对卫生系统和患者家庭造成相当大的疾病负担。群体心理干预旨在预防PND。本研究旨在了解母亲对群体心理干预的偏好,为群体心理干预的设计和实施提供依据。方法:于2023年1 - 2月在华南地区进行离散选择实验(DCE)。通过文献回顾、专家咨询和质性访谈,选择了6个群体心理干预的属性:成本、护理提供者资质、护理方式(线上/线下)、护理接受者、护理机构和护理开始时间。混合logit回归模型用于分析偏好、支付意愿和潜在吸收率。结果:调查对象517人。她们报告说,她们更喜欢由心理学家提供的免费干预,这些干预可以在线上和线下获得,也可以和她们的配偶一起,在她们接受常规产科护理的医院进行。参与者对开始护理时间没有明显的偏好。邀请配偶参加干预是最重要的属性。不同亚组受访者的偏好是不同的。结论:在设计群体心理干预时考虑孕妇的需求和偏好,有助于提高孕妇参与预防产后抑郁症干预的意愿。未来的孕产妇群体心理干预可以邀请配偶和其他非正式的家庭照顾者陪伴,通过经济支持减少或免除孕妇的费用,并为妊娠晚期和产后的孕妇提供在线干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Preferences for group psychological interventions on perinatal depression in China: a discrete choice experiment.

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.

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来源期刊
Archives of Public Health
Archives of Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
4.80
自引率
3.00%
发文量
244
审稿时长
16 weeks
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.
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