埃塞俄比亚农村双相情感障碍患者情境化简短心理干预的可行性和可接受性。

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Mekdes Demissie, Charlotte Hanlon, Lauren C Ng, Rosie Mayston, Abebaw Fekadu
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引用次数: 0

摘要

背景:低收入和中等收入国家对双相情感障碍(BD)的适当心理干预有很大的未满足需求。我们利用医学研究委员会的复杂干预措施发展和评估框架,在埃塞俄比亚的初级卫生保健(PHC)环境中开发了一种BD心理干预措施。本研究的目的是调查埃塞俄比亚中南部PHC环境中这种新开发的BD心理干预的可行性、可接受性和保真度。方法:共有12名双相情感障碍患者和5名护理人员参加了每周5次20分钟的心理干预。我们进行了一项混合方法评估,包括深入的定性访谈,随机选择25%的录音干预会话的保真度评分,以及自我报告症状严重程度的变化。我们对定性数据采用专题分析,对定量数据采用描述性分析。结果:除一名护理人员外,所有参与者都完成了所有五个疗程。干预提供者和接受者对干预表示满意。干预提供者报告说,虽然20分钟被认为不够,但在PHC环境中干预是可行的。虽然参与者承认照顾者参与干预的重要性,但他们提出了隐私问题。干预提供者对手册的遵守程度中等。初步研究结果表明,干预后抑郁症状有所减轻,提供者感知到的知识和技能有所改善。结论:这种情境发展的双相情感障碍心理干预具有良好的可行性、可接受性和潜在的效用。进一步的研究应评估时间和有效性。试验注册:该试验于2024年8月16日在泛非临床试验注册数据库[PACTR202408896160144]上回顾性注册,网址为https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=31727。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Feasibility and acceptability of a contextualized brief psychological intervention for people with bipolar disorder in rural Ethiopia.

Feasibility and acceptability of a contextualized brief psychological intervention for people with bipolar disorder in rural Ethiopia.

Background: There is a very large unmet need for appropriate psychological interventions for bipolar disorder (BD) for use in low- and middle-income countries. We developed a psychological intervention for BD in a primary health care (PHC) setting in Ethiopia using the Medical Research Council's framework for the Development and Evaluation of Complex Interventions. The aim of this study is to investigate the feasibility, acceptability, and fidelity of this newly developed psychological intervention for BD in a PHC setting in south-central Ethiopia.

Method: A total of 12 euthymic people with bipolar disorder and five caregivers participated in five 20-min weekly sessions of the psychological intervention. We conducted a mixed-method evaluation, including in-depth qualitative interviews, fidelity ratings of a random selection of 25% of the audio recorded intervention sessions, and self-reported change in symptom severity. We used thematic analysis for qualitative data and descriptive analysis for quantitative data.

Results: Except for one caregiver, all participants completed all five sessions. Intervention providers and recipients expressed satisfaction with the intervention. Intervention providers reported that the intervention can be feasibly delivered in the PHC setting, although 20 min was considered insufficient. While participants acknowledged the importance of involving caregivers in the intervention, they raised privacy concerns. Intervention providers' adherence to the manual was moderate. Preliminary findings indicate a reduction in depressive symptoms post-intervention and improvement in providers' perceived knowledge and skills.

Conclusions: This contextually developed psychological intervention for bipolar disorder has promising feasibility, acceptability, and potential utility. Further studies should evaluate time considerations and effectiveness.

Trial registration: The trial was registered on 16 August 2024, retrospectively on the Pan African Clinical Trial Registry database [PACTR202408896160144],  https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=31727 .

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来源期刊
Pilot and Feasibility Studies
Pilot and Feasibility Studies Medicine-Medicine (miscellaneous)
CiteScore
2.70
自引率
5.90%
发文量
241
审稿时长
9 weeks
期刊介绍: Pilot and Feasibility Studies encompasses all aspects of the design, conduct and reporting of pilot and feasibility studies in biomedicine. The journal publishes research articles that are intended to directly influence future clinical trials or large scale observational studies, as well as protocols, commentaries and methodology articles. The journal also ensures that the results of all well-conducted, peer-reviewed, pilot and feasibility studies are published, regardless of outcome or significance of findings. Pilot and feasibility studies are increasingly conducted prior to a full randomized controlled trial. However, these studies often lack clear objectives, many remain unpublished, and there is confusion over the meanings of the words “pilot” and “feasibility”. Pilot and Feasibility Studies provides a forum for discussion around this key aspect of the scientific process, and seeks to ensure that these studies are published, so as to complete the publication thread for clinical research.
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