The Engagement Interview Protocol (EIP): improving the acceptance of mental health treatment among Chinese immigrants.
The Engagement Interview Protocol (EIP): improving the acceptance of mental health treatment among Chinese immigrants.
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DOI：
10.1080/17542863.2010.507933
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发表时间：
2011-12-01
影响因子：
--
通讯作者：
Fava M
中科院分区：
文献类型：
--
作者：
Yeung A;Trinh NH;Chang TE;Fava M
许多抑郁的中国移民不熟悉西方精神病学术语，对精神疾病有很高的成见，这使得他们很难接受精神病治疗。我们设计了参与式访谈协议（EIP），这是一种半标准化的协议，将文化成分纳入标准的精神病评估。EIP收集患者的叙述，并使用人类学问题来探索患者的疾病信念，这些信念与患者的病史和精神病史，心理社会背景和精神状态检查等信息相结合，以便以文化敏感的方式协商治疗方案。在我们对抑郁症中国移民的现场测试中，EIP模型被发现是一种实用的工具，可以在分配的一小时时间内完成，并且在促进抑郁症患者的治疗方面非常有效。EIP是一种简洁、省时、用户友好的协议，可用于研究和现实世界的临床环境，具有不同的患者人群。
Many depressed Chinese immigrants are unfamiliar with Western psychiatric terminology and have high levels of stigma toward psychiatric illnesses, making it difficult to engage them into psychiatric treatment. We have designed the Engagement Interview Protocol (EIP), a semi-standardized protocol that incorporates cultural components to a standard psychiatric evaluation. The EIP elicits patients’ narratives and uses anthropological questions to explore patients’ illness beliefs, which are integrated with patients’ information on medical and psychiatric history, psychosocial background and mental status examination so that treatment options can be negotiated in a culturally sensitive manner. In our field testing on depressed Chinese immigrants, the EIP model was found to be a practical tool that can be completed within the allotted one-hour time frame and was highly effective in facilitating the enrollment of patients in treatment for depression. The EIP is a concise, time-effective, user-friendly protocol that can be used both in research and real-world clinical settings with diverse patient populations.