Social support intervention to promote resilience and quality of life in women living in Karachi, Pakistan: a randomized controlled trial

Social support intervention to promote resilience and quality of life in women living in Karachi, Pakistan: a randomized controlled trial
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DOI:
10.1007/s00038-018-1101-y
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发表时间:
2018-07-01
影响因子:
4.6
通讯作者:
Lasiuk, Gerri
Lasiuk, Gerri
中科院分区:
医学3区
文献类型:
--
作者:
Hirani, Saima S.;Norris, Colleen M.;Lasiuk, Gerri

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本研究测试了为期6周的社会支持干预的有效性,以提高韧性和生活质量的妇女生活在低社会经济领域的卡拉奇,Pakistan.120名妇女被随机分配到干预组(n = 60)或对照组(n = 60)。干预组的妇女参加了为期6周的社会支持计划,而对照组的妇女参加了一次心理健康意识会议。结果变量通过复原力量表-14项(RS-14)、成人复原力量表(RSA)和世界卫生组织生活质量量表进行测量(WHOQOL-BREF)。与对照组的参与者相比,干预组的女性报告了通过RS-14(p = 0.022)和RSA的结构化风格子量表(p = 0.043)测量的弹性改善。在结构化风格分量表上也测量了中等效应量(d = 0.6,95%CI = 0.62874,2.57126)。基于社区的社会支持干预措施是一种对性别问题有敏感认识的、文化上适当的、节约资源的方法,可以促进妇女的复原力,改善她们的心理健康。
This study tested the efficacy of a 6-week social support intervention for enhancing resilience and quality of life among women living in low socioeconomic areas of Karachi, Pakistan.One hundred and twenty women were randomly allocated to the intervention (n = 60) or control group (n = 60). Women in the intervention group attended a 6-week social support program, while those in the control group attended a single mental health awareness session. Outcome variables were measured via the resilience scale-14 item (RS-14), the resilience scale for adults (RSA), and World Health Organization quality of life brief scale (WHOQOL-BREF).Compared to participants in the control group, women in the intervention group reported improvements in resilience measured by RS-14 (p = 0.022) and the structured style subscale of the RSA (p = 0.043). A medium effect size was also measured on the structured style subscale (d = 0.6, 95% CI = 0.62874, 2.57126). No significant findings were noted on QOL scores.Community-based social support interventions are a gender-sensitive-, culturally appropriate-, and resource-sparing approach to promote women's resilience and improve their mental health.