引导还是自我引导?:对促进产后心理健康的数字资源的引导介绍的偏好预测因素

IF 1.2 Q4 PSYCHIATRY
Ariana M. Albanese, Betsy E. Smith, P. Geller, J. Bloch, Chris Sikes, Anthony J. Kondracki, J. Barkin
{"title":"引导还是自我引导?:对促进产后心理健康的数字资源的引导介绍的偏好预测因素","authors":"Ariana M. Albanese, Betsy E. Smith, P. Geller, J. Bloch, Chris Sikes, Anthony J. Kondracki, J. Barkin","doi":"10.3390/psychiatryint4030021","DOIUrl":null,"url":null,"abstract":"The first postpartum year presents threats to the mental health of birthing parents and obstacles to accessing care. Digital mental health interventions (DMHIs) hold potential to increase postpartum mental healthcare access. However, DMHIs tend to promote limited engagement particularly when they are self-guided (when they do not involve contact with a provider). Yet, given that provider support is a limited resource, a balance must be struck between accessibility and intervention intensity (i.e., involving more human contact). Towards achieving this balance, this analysis seeks to identify characteristics that are associated with a reported preference for a human-guided introduction to digital resources aimed at promoting postpartum mental health. In a sample of largely White, non-Latinx, employed, married, and graduate school-educated individuals, multivariate logistic regression revealed that age (p = 0.0095), level of postpartum functioning (p = 0.0057), depression symptoms (p = 0.0099), and anxiety symptoms (p = 0.03) were associated with guide preference. Specifically, more anxious or lower-postpartum-functioning individuals were more likely to report preferring a guide while older or more depressed individuals were less likely to report preferring a guide. These findings can inform clinical recommendations surrounding who is most likely to engage with, and thus benefit from, exclusively self-guided DMHIs during the postpartum period.","PeriodicalId":93808,"journal":{"name":"Psychiatry international","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"To Guide or to Self-Guide?: Predictors of Preferring a Guided Introduction to Digital Resources That Promote Postpartum Mental Health\",\"authors\":\"Ariana M. Albanese, Betsy E. Smith, P. Geller, J. Bloch, Chris Sikes, Anthony J. Kondracki, J. Barkin\",\"doi\":\"10.3390/psychiatryint4030021\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The first postpartum year presents threats to the mental health of birthing parents and obstacles to accessing care. Digital mental health interventions (DMHIs) hold potential to increase postpartum mental healthcare access. However, DMHIs tend to promote limited engagement particularly when they are self-guided (when they do not involve contact with a provider). Yet, given that provider support is a limited resource, a balance must be struck between accessibility and intervention intensity (i.e., involving more human contact). Towards achieving this balance, this analysis seeks to identify characteristics that are associated with a reported preference for a human-guided introduction to digital resources aimed at promoting postpartum mental health. In a sample of largely White, non-Latinx, employed, married, and graduate school-educated individuals, multivariate logistic regression revealed that age (p = 0.0095), level of postpartum functioning (p = 0.0057), depression symptoms (p = 0.0099), and anxiety symptoms (p = 0.03) were associated with guide preference. Specifically, more anxious or lower-postpartum-functioning individuals were more likely to report preferring a guide while older or more depressed individuals were less likely to report preferring a guide. These findings can inform clinical recommendations surrounding who is most likely to engage with, and thus benefit from, exclusively self-guided DMHIs during the postpartum period.\",\"PeriodicalId\":93808,\"journal\":{\"name\":\"Psychiatry international\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2023-07-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychiatry international\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3390/psychiatryint4030021\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatry international","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3390/psychiatryint4030021","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

摘要

产后第一年对分娩父母的心理健康构成威胁,对获得护理存在障碍。数字心理健康干预(DMHIs)具有增加产后心理保健机会的潜力。然而,DMHIs倾向于促进有限的参与,特别是当他们是自我引导的时候(当他们不涉及与提供者联系的时候)。然而,鉴于提供者的支持是一种有限的资源,必须在可及性和干预强度(即涉及更多的人接触)之间取得平衡。为了实现这一平衡,本分析试图确定与报告偏好以人为指导介绍旨在促进产后心理健康的数字资源相关的特征。在一个主要由白人、非拉丁裔、在职、已婚和研究生学历的个体组成的样本中,多因素logistic回归显示,年龄(p = 0.0095)、产后功能水平(p = 0.0057)、抑郁症状(p = 0.0099)和焦虑症状(p = 0.03)与指南偏好相关。具体来说,更焦虑或产后功能较低的个体更有可能报告喜欢指南,而年龄较大或更抑郁的个体不太可能报告喜欢指南。这些发现可以为临床建议提供信息,以确定谁最有可能参与产后期间完全自主指导的DMHIs,从而从中受益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
To Guide or to Self-Guide?: Predictors of Preferring a Guided Introduction to Digital Resources That Promote Postpartum Mental Health
The first postpartum year presents threats to the mental health of birthing parents and obstacles to accessing care. Digital mental health interventions (DMHIs) hold potential to increase postpartum mental healthcare access. However, DMHIs tend to promote limited engagement particularly when they are self-guided (when they do not involve contact with a provider). Yet, given that provider support is a limited resource, a balance must be struck between accessibility and intervention intensity (i.e., involving more human contact). Towards achieving this balance, this analysis seeks to identify characteristics that are associated with a reported preference for a human-guided introduction to digital resources aimed at promoting postpartum mental health. In a sample of largely White, non-Latinx, employed, married, and graduate school-educated individuals, multivariate logistic regression revealed that age (p = 0.0095), level of postpartum functioning (p = 0.0057), depression symptoms (p = 0.0099), and anxiety symptoms (p = 0.03) were associated with guide preference. Specifically, more anxious or lower-postpartum-functioning individuals were more likely to report preferring a guide while older or more depressed individuals were less likely to report preferring a guide. These findings can inform clinical recommendations surrounding who is most likely to engage with, and thus benefit from, exclusively self-guided DMHIs during the postpartum period.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
1.90
自引率
0.00%
发文量
0
审稿时长
11 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信