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In their own voices: Latinas' experiences with a randomized controlled trial

机译：用自己的话说：拉美裔人的随机对照试验经历

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We conducted exit interviews with a random sample of 39 predominantly Central American immigrant mothers who had completed a longitudinal randomized controlled trial to prevent perinatal depression. We found that rates and levels of perinatal depression in the intervention and control groups were lower than expected and did not differ between groups at 1 year postpartum. Therefore, we conducted extensive semistructured interviews to (a) understand why these high-risk women had such low rates of major depressive episodes and depressive symptoms, and (b) determine if the mechanisms responsible for reductions in depression differed between the intervention and usual care groups. We discovered that the intervention group learned specific mood-management skills from their participation in the intervention, and that the control group experienced their participation in the study as a "low-dose" intervention. Our experience highlights the importance of conducting qualitative studies to understand quantitative outcomes of intervention studies.
机译：我们对39名主要是中美洲移民母亲进行了随机抽样，以完成预防围生期抑郁症的纵向随机对照试验，进行了随机访谈。我们发现干预组和对照组的围产期抑郁症发生率和水平均低于预期，并且产后1年之间两组之间没有差异。因此，我们进行了广泛的半结构化访谈，以（a）了解为什么这些高风险妇女的主要抑郁发作和抑郁症状发生率如此低，并且（b）确定干预和常规护理之间造成抑郁症减轻的机制是否有所不同组。我们发现，干预组从参与干预中学习了特定的情绪管理技能，而对照组则以“低剂量”干预方式参与了本研究。我们的经验凸显了进行定性研究以了解干预研究定量结果的重要性。

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