加强产科保健提供者对黑人孕产妇心理健康的了解:可行性研究。

Kortney Floyd James, Keisha Reaves, Misty C Richards, Kristen R Choi
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引用次数: 0

摘要

尽管制定了筛查和治疗围产期情绪和焦虑障碍(PMAD)的指南,但系统性问题和临床医生的偏见往往导致黑人妇女的心理健康需求得不到满足。本研究评估了围产期情绪和焦虑症综合培训的可行性及其对产科医护人员的态度、知识和隐性种族偏见的影响。我们对接受现场或虚拟培训的两组医疗服务提供者进行了可行性研究。培训的重点是 PMADs、隐性偏见和文化敏感性护理。参与者完成了培训前后的评估,评估内容包括态度、知识、同理心和内隐种族偏见。两种培训模式都显示出对 PMAD 筛查的态度和同理心有改善的趋势,对治疗效果的信念也有显著提高。内隐偏见得分接近显著性,表明具有种族偏好的参与者有所减少。然而,在培训后,对白人的偏好比对黑人的偏好有所增加,这一点无法解释。培训提高了医疗服务提供者筛查 PMAD 的准备程度,增强了他们对 PMAD 的理解。然而,隐性偏见的持续存在凸显了持续、持续干预的必要性,以解决根深蒂固的偏见。未来的研究应纳入持续学习策略,并将培训与少数民族社区的医疗保健成果联系起来。
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Enhancing Obstetric Healthcare Providers' Knowledge of Black Maternal Mental Health: A Feasibility Study.

Despite guidelines for screening and treating perinatal mood and anxiety disorders (PMADs), systemic issues and clinician biases often result in unmet mental health needs in Black women. This study assessed the feasibility and impact of comprehensive PMAD training on obstetric healthcare providers' attitudes, knowledge, and implicit racial biases. We conducted a feasibility study with two cohorts of healthcare providers who received either in-person or virtual training. The training focused on PMADs, implicit bias, and culturally responsive care. Participants completed pre- and post-training assessments measuring attitudes, knowledge, empathy, and implicit racial biases. Both training modalities showed trends towards improved PMAD screening attitudes and empathy, with significant increases in beliefs about treatment efficacy. Implicit bias scores approached significance, showing a shift toward fewer participants with racial preferences. However, there was an unexplained increase in preference for White over Black post training. The training improved healthcare providers' readiness to screen for PMADs and enhanced their understanding of PMADs. However, the persistence of implicit biases highlights the need for ongoing, sustained interventions to address deeply rooted biases. Future research should incorporate continuous learning strategies and link training to healthcare outcomes for minoritized communities.

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期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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