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首页> 外文期刊>BMC Women s Health >Women’s circles as a culturally safe psychosocial intervention in Guatemalan indigenous communities: a community-led pilot randomised trial
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Women’s circles as a culturally safe psychosocial intervention in Guatemalan indigenous communities: a community-led pilot randomised trial

机译：妇女圈是危地马拉土著社区文化安全的社会心理干预措施：一项社区主导的飞行员随机试验

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Indigenous Maya women in Guatemala show some of the worst maternal health indicators worldwide. Our objective was to test acceptability, feasibility and impact of a co-designed group psychosocial intervention (Women’s Circles) in a population with significant need but no access to mental health services. A parallel group pilot randomised study was undertaken in five rural Mam and three periurban K’iche’ communities. Participants included 84 women (12 per community, in seven of the communities) randomly allocated to intervention and 71 to control groups; all were pregnant and/or within 2?years postpartum. The intervention consisted of 10 sessions co-designed with and facilitated by 16 circle leaders. Main outcome measures were: maternal psychosocial distress (HSCL-25), wellbeing (MHC-SF), self-efficacy and engagement in early infant stimulation activities. In-depth interviews also assessed acceptability and feasibility. The intervention proved feasible and well accepted by circle leaders and participating women. 1-month post-intervention, wellbeing scores (p-value 0.008) and self-care self-efficacy (0.049) scores were higher among intervention compared to control women. Those women who attended more sessions had higher wellbeing (0.007), self-care and infant-care self-efficacy (0.014 and 0.043, respectively), and early infant stimulation (0.019) scores. The pilot demonstrated acceptability, feasibility and potential efficacy to justify a future definitive randomised controlled trial. Co-designed women’s groups provide a safe space where indigenous women can collectively improve their functioning and wellbeing. ISRCTN13964819 . Registered 26 June 2018, retrospectively registered.
机译：危地马拉的土著玛雅妇女在全球范围内表现出一些最差的孕产妇健康指标。我们的目标是测试共同设计的团体心理社会干预措施（女性圈子）在有大量需求但无法获得心理健康服务的人群中的可接受性，可行性和影响。在五个Mam农村地区和三个郊区K'iche'社区进行了平行小组试点随机研究。参与者包括84名妇女（每个社区12名，其中七个社区）随机分配给干预措施，71名妇女分配给对照组。全部都怀孕和/或产后2年内。干预包括与16个圈级领导人共同设计和协助的10场会议。主要结局指标包括：产妇心理困扰（HSCL-25），幸福感（MHC-SF），自我效能感和参与早期婴儿刺激活动。深入访谈还评估了可接受性和可行性。干预被证明是可行的，并得到了各界领导人和参与妇女的广泛接受。干预后1个月，干预组的幸福感评分（p值0.008）和自我护理自我效能感（0.049）得分均高于对照组。参加更多课程的妇女的幸福感更高（0.007），自我保健和婴儿保健的自我效能感（分别为0.014和0.043），以及早期婴儿刺激得分（0.019）。该飞行员表现出可接受性，可行性和潜在功效，以证明未来的确定性随机对照试验的合理性。共同设计的妇女团体提供了一个安全的空间，使土著妇女可以集体改善其功能和福祉。 ISRCTN13964819。已于2018年6月26日注册，并追溯注册。

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