香港华人健康康复行动计划(WRAP)的成效

W. Mak, R. Chan, Ingrid H. Y. Pang, Nicola Y. L. Chung, S. Yau, J. Tang
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引用次数: 19

摘要

摘要本研究在匹配对照设计中评估了香港精神疾病康复个体的健康康复行动计划(WRAP)的有效性。我们向首批在香港工作的“全面促进文化发展计划”促进者征求意见,以便日后推行该计划。参与者是从香港最大的非政府组织(NGO)为康复人士提供服务的服务单位招募的。招募了59名服务用户学习WRAP,并将59名服务用户作为匹配的对照。WRAP项目由获得WRAP认证的非政府组织工作人员主持,每周三次。评估分别在项目开始前、结束后和结束后3个月完成。基于重复测量方差分析的结果显示,与匹配的对照组相比,WRAP参与者报告的感知社会支持显著增加。在赋权、希望、自我耻辱、社会网络规模、症状严重程度和康复方面没有显著变化。主持人讨论了文化适应问题和未来在中国实施WRAP所需的资源。讨论了本研究结果与以往研究结果之间的差异。这是第一次对WRAP在中国人中的有效性进行定量研究。
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Effectiveness of Wellness Recovery Action Planning (WRAP) for Chinese in Hong Kong
ABSTRACT The present study evaluated the effectiveness of the Wellness Recovery Action Planning (WRAP) in a matched controlled design among individuals in recovery of mental illness in Hong Kong. Feedback from the first batch of WRAP facilitators in Hong Kong was sought for future implementation of WRAP. Participants were recruited from the service units of the largest nongovernmental organization (NGO) serving people in recovery in Hong Kong. Fifty-nine service users were recruited to learn WRAP and 59 service users served as matched controls. The WRAP program consisted of eight weekly sessions delivered by NGO staff who were certified WRAP facilitators. Assessments were completed before, immediately after, and 3 months after the program. Findings based on repeated measures ANOVAs showed that compared with their matched controls, WRAP participants reported significant increase in perceived social support. No significant change was noted in empowerment, hope, self-stigma, social network size, symptom severity, and recovery. Facilitators discussed issues on cultural adaptation and resources needed for future implementation of WRAP for Chinese. Discrepancies between the present findings and those from previous studies were discussed. This is the first quantitative study evaluating the effectiveness of WRAP among Chinese.
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