在印度一家公立医院接受非国大治疗的遭受家庭暴力妇女的随机对照试验研究中对行为干预的依从性分析

Dialogues in health Pub Date : 2023-03-20 DOI:10.1016/j.dialog.2023.100126

Meerambika Mahapatro, Sudeshna Roy, Poonam Nayar, Suruchi Panchkaran, Ashwini Jadhav

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引用次数: 0

摘要

背景:本文旨在确定在公立医院接受家庭暴力治疗的妇女有效实施和遵守行为干预一揽子计划的因素。方法对211名在新德里LN医院接受产前护理的家暴孕妇进行定性研究。干预措施是在随机对照试验研究中招募的妇女。在阻碍因素和促进因素这两大主题下，对这些叙述进行了分析，并提出了九个次级主题。阻碍因素是参与者结构性互动产生的外部因素，而促进因素是试验内部提供的，消除阻碍因素的影响，使所研究的因素单一。我们的研究结果显示，尽管有过多的阻碍因素(9个)，但阻碍因素的总体影响总和低于促进因素(9个)的积极影响，促进因素是微小的调整，但以97%的随访率加强了试验的参与和依从性。我们的研究结果有望重新制定治疗方案，这需要将阻碍因素转化为促进因素，以实现适当的依从性和依从性，并充分获得和利用公共服务。需要使医疗保健提供者认识到人际交往质量对患者的影响及其对医疗保健服务的接受和依从性的影响，特别是在印度的公立医院。该研究收到的资金来自印度政府新德里的印度医学研究委员会。

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Adherence to behavioural intervention in RCT study by the women experiencing domestic violence and attending ANC in a public hospital in India-an analysis

Background

The paper aims to identify the factors for effective implementation and adherence to the behavioural intervention package by women experiencing domestic violence (DV) and attending ANC in a public hospital.

Methods

A qualitative study was undertaken with 211 pregnant women experiencing DV and attending antenatal care (ANC) at the LN Hospital, New Delhi. The intervention was given to women recruited under the RCT study. The narratives were analysed under two broad themes, impeding and facilitating factors, with nine sub-themes.

Findings

Impeding factors are external factors generated by the structural interaction of the participants, whereas facilitating factors are supplied internally in the trial to eliminate the influence of impeding factors and singulate the factors under study. Our results show that despite the plethora of impeding factors (nine), the overall sum impact of impeding factors falls short of the positive impact of facilitating factors (nine), which were minor adjustments but reinforce participation in the trial and adherence with 97% follow-up rates.

Interpretation

Our study findings are expected to reset the treatment protocol, which entails converting impeding factors into facilitating factors for appropriate adherence and compliance and adequate access and utilization of public services. The sensitization of healthcare providers to the impact of the quality of human interaction on the patient and its impact on the uptake of healthcare services and adherence is needed, particularly in the public hospitals of India.