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首页> 外文期刊>BMC Psychiatry >Mental health first aid training of the public in a rural area: a cluster randomized trial [ISRCTN53887541]
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Mental health first aid training of the public in a rural area: a cluster randomized trial [ISRCTN53887541]

机译：农村地区公众的心理健康急救培训：一项整群随机试验[ISRCTN53887541]

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Background A Mental Health First Aid course has been developed which trains members of the public in how to give initial help in mental health crisis situations and to support people developing mental health problems. This course has previously been evaluated in a randomized controlled trial in a workplace setting and found to produce a number of positive effects. However, this was an efficacy trial under relatively ideal conditions. Here we report the results of an effectiveness trial in which the course is given under more typical conditions. Methods The course was taught to members of the public in a large rural area in Australia by staff of an area health service. The 16 Local Government Areas that made up the area were grouped into pairs matched for size, geography and socio-economic level. One of each Local Government Area pair was randomised to receive immediate training while one served as a wait-list control. There were 753 participants in the trial: 416 in the 8 trained areas and 337 in the 8 control areas. Outcomes measured before the course started and 4 months after it ended were knowledge of mental disorders, confidence in providing help, actual help provided, and social distance towards people with mental disorders. The data were analysed taking account of the clustered design and using an intention-to-treat approach. Results Training was found to produce significantly greater recognition of the disorders, increased agreement with health professionals about which interventions are likely to be helpful, decreased social distance, increased confidence in providing help to others, and an increase in help actually provided. There was no change in the number of people with mental health problems that trainees had contact with nor in the percentage advising someone to seek professional help. Conclusions Mental Health First Aid training produces positive changes in knowledge, attitudes and behaviour when the course is given to members of the public by instructors from the local health service.
机译：背景技术已经开发了心理健康急救课程，该课程培训公众如何在心理健康危机情况下提供初步帮助并支持人们发展心理健康问题。该课程先前已在工作场所进行了一项随机对照试验进行评估，并发现可产生许多积极作用。但是，这是在相对理想的条件下进行的功效试验。在这里，我们报告了有效性试验的结果，该试验是在更典型的条件下进行的。方法该课程由地区卫生服务人员向澳大利亚广大农村地区的公众教授。组成该区域的16个地方政府区域按大小，地理和社会经济水平划分成对。每对地方政府区域中的一对被随机分配接受立即培训，而一对则作为等待名单控制。该试验有753名参与者：8个训练区域中的416人和8个控制区域中的337人。在课程开始之前和课程结束四个月后测得的结果是：对精神障碍的知识，对提供帮助的信心，提供的实际帮助以及与精神障碍患者的社交距离。分析数据时考虑了群集设计，并使用了意向性处理方法。结果发现，培训可以显着提高对疾病的认识，与医疗保健专业人员就哪种干预措施可能会有所帮助增加共识，减少社交距离，增加为他人提供帮助的信心，以及实际提供的帮助有所增加。与受训者接触过的精神健康问题人数和建议某人寻求专业帮助的百分比均没有变化。结论结论当当地卫生部门的教员向公众提供该课程时，心理健康急救培训会在知识，态度和行为方面产生积极的变化。

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