Effectiveness of Mental Health First Aid Training in Sweden. A Randomized Controlled Trial with a Six-Month and Two-Year Follow-Up
Effectiveness of Mental Health First Aid Training in Sweden. A Randomized Controlled Trial with a Six-Month and Two-Year Follow-Up
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DOI：
10.1371/journal.pone.0100911
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发表时间：
2014-06-25
期刊：
影响因子：
3.7
通讯作者：
Hansson, Lars
中科院分区：
文献类型：
--
作者：
Svensson, Bengt;Hansson, Lars
背景：根据欧洲脑理事会和欧洲神经精神药理学同事最近的一份报告，欧洲成年人口中某种精神障碍的一年患病率约为 27%。研究表明，一般人群缺乏心理健康素养，因此，找到提高公众知识和技能的方法，为精神障碍患者提供第一手支持非常重要。心理健康急救 (MHFA) 是一项在知识和帮助行为方面显示出积极变化的培训计划。本研究调查了瑞典背景下的 MHFA 培训是否能够持续提高有关精神障碍的知识、更好地帮助与病人接触的能力以及是否能朝积极的方向改变态度。方法和结果：培训计划的引入是按照施工人员的指示进行的。参与者主要是来自瑞典西部一个县的公共部门雇员。该研究是一项随机对照试验，实验组 (n = 199) 和对照组 (n = 207) 在 6 个月的随访期间被列入等待名单。对来自干预组和等候名单组的参与者（n = 155）进行了为期两年的随访，这些参与者完成了培训并且在随访期间与精神障碍患者有过接触。干预小组的知识和为有需要的人提供帮助的信心都得到了提高。两年的随访表明，这种改善在很大程度上得到了维持。结论：心理健康急救可能会提高人们对精神障碍的认识水平，并影响能够接受专业治疗的人数。
Background: According to a recent report from the European Brain Council and the European Colleague of Neuropsychopharmacology the one year prevalence of some kind of mental disorder is around 27% among the adult population in Europe. Research has shown a lack of mental health literacy in the population in general and it is thus important to find ways to improve the public's knowledge and skills to provide first hand support to people with mental disorders. Mental Health First Aid (MHFA) is a training program that has shown positive changes in knowledge and helping behavior. This study investigates if MHFA training in a Swedish context provides a sustained improvement in knowledge about mental disorders, a better ability to be helpful in contacts with people who are ill and if it changes attitudes in a positive direction.Methods and Findings: The introduction of the training program was made in accordance with the constructor's instructions. Participants were mainly public sector employees from a county in the west of Sweden. The study was a randomized controlled trial with an experiment group (n = 199) and a control group (n = 207) placed on a waiting list during a 6-month follow-up. A two-year follow-up was conducted for participants (n = 155) from both the intervention and waiting list group who had completed the training and during the follow-up been in contact with persons with mental disorders. The intervention group improved in knowledge as well as in confidence in providing help for someone in need. The two-year follow-up showed that the improvements were to a great extent maintained.Conclusions: Mental Health First Aid might raise the level of awareness of mental disorders and have an influence on the number of people who can receive professional treatment for their problems.