社区保健人员减压方法(SAMBHAV):为印度农村社区卫生工作人员开发减压数字程序。

IF 4.1 Q1 PSYCHIATRY SSM. Mental health Pub Date : 2023-12-15 Epub Date: 2023-06-17 DOI:10.1016/j.ssmmh.2023.100230
Ritu Shrivastava, Abhishek Singh, Azaz Khan, Shivangi Choubey, Juliana Restivo Haney, Eirini Karyotaki, Deepak Tugnawat, Anant Bhan, John A Naslund
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引用次数: 0

摘要

背景:社区保健工作者(CHWs)面临着很大的压力(包括职业压力和个人压力)和职业倦怠风险,因此需要努力促进他们的心理健康和福祉。本研究旨在为印度农村地区的社区保健员开发一项数字减压计划:方法:采用循序渐进的设计过程,改编世界卫生组织的 "自助+"(SH+)干预措施并将其数字化,以解决印度中央邦社区保健员的心理压力问题。这包括与社区保健工作者一起举办参与式设计研讨会,以确保数字化减压干预措施符合他们的需求以及当地的文化和环境。由社区保健员组成的小组对改编后的程序内容进行了审查,使研究小组能够对其进行改进,如简化语言、根据当地环境调整内容,以及确保程序材料既有趣又相关。与此同时,研究小组将视频和图表内容结合起来,将内容数字化,并上传到 Sangath 学习管理系统,这是一个可通过智能手机应用程序访问的数字平台:共有 18 名社区保健工作者参与了 SH+ 内容的改编和数字干预的开发。参与者认为有些术语难以理解,建议简化语言并提供详细解释。参与者对改编后的内容提出了积极的反馈意见,表示他们认为材料中涉及的例子既贴近生活,又与自己在家中和工作场所的亲身经历相关。通过将参与者的见解和评论与内容专家的反馈意见相结合,最终确定了针对印度农村地区保健社工的 SH+ 干预措施的印地语数字版本:鉴于 COVID-19 大流行带来的持续性有害影响,这项研究非常及时,它提供了一个前景广阔且具有潜在可扩展性的数字程序,以减轻一线卫生工作者的心理压力。
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Stress Alleviation Methods for community-Based Health ActiVists (SAMBHAV): Development of a digital program for stress reduction for community health workers in rural India.

Background: Community health workers (CHWs) face high levels of stress (both professional and personal) and risk of burnout, highlighting the need for efforts to promote their mental health and well-being. This study seeks to develop a digital stress reduction program for CHWs in rural India.

Methods: A stepwise design process was employed to adapt and digitize the evidence-based World Health Organization's Self-Help Plus (SH+) intervention for addressing psychological distress among CHWs in Madhya Pradesh, India. This involved participatory design workshops with CHWs to ensure that the digital stress reduction intervention would be relevant for their needs and the local culture and context. Small groups of CHWs reviewed the adapted program content, allowing the research team to make refinements such as simplifying language, tailoring content to the local setting, and ensuring that program materials are both interesting and relevant. Simultaneously, the research team digitized the content, leveraging a combination of video and graphical content, and uploaded it to the Sangath Learning Management System, a digital platform accessible on a smartphone app.

Results: In total, 18 CHWs contributed to the adaptation of the SH+ content and digital intervention development. Participants commented on finding some terms difficult to follow and recommended simplifying the language and providing detailed explanations. Participants offered positive feedback on the adapted content, expressing that they found the examples covered in the material both relatable and relevant to their own personal experiences at home and in the workplace. By combining participants' insights and comments with feedback from content experts, it was possible to finalize a digital Hindi version of the SH+ intervention for CHWs in rural India.

Conclusions: This study is timely given the continued detrimental impacts of the COVID-19 pandemic, and offers a promising and potentially scalable digital program to alleviate psychological distress among frontline health workers.

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来源期刊
SSM. Mental health
SSM. Mental health Social Psychology, Health
CiteScore
2.30
自引率
0.00%
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0
审稿时长
118 days
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