Using cognitive-behavioural techniques to improve exclusive breastfeeding in a low-literacy disadvantaged population
Using cognitive-behavioural techniques to improve exclusive breastfeeding in a low-literacy disadvantaged population
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DOI：
10.1111/j.1740-8709.2011.00362.x
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发表时间：
2012-01-01
影响因子：
3.4
通讯作者：
Hafeez, Assad
中科院分区：
文献类型：
--
作者：
Rahman, Atif;Haq, Zaeem;Hafeez, Assad
尽管纯母乳喂养是巴基斯坦初级保健方案的一个重要组成部分，但6个月纯母乳喂养率仍然是世界上最低的。人们发现，妇女识字率低以及根深蒂固的文化信仰和习俗是造成巴基斯坦社区保健工作者普遍提供的例行咨询无效的原因。我们的目标是通过将认知行为疗法（CBT）技术纳入常规咨询过程来解决这个问题。我们对利益攸关方（母亲、社区卫生工作者、他们的培训人员和方案管理人员）的意见进行了定性研究，并利用这些数据制定了一种心理教育方法，将教育与可以纳入卫生工作者日常工作的CBT技术相结合。工人们接受了使用这种方法的培训，并在实施后获得了反馈。新的干预措施已成功地纳入社区保健工作者方案，并被认为在文化上是可接受的、可行的和有用的。将CBT技术纳入日常咨询可能有助于在识字率低的传统社会促进健康行为。
Despite being an important component of Pakistan's primary health care programme, the rates of exclusive breastfeeding at 6 months remain among the lowest in the world. Low levels of literacy in women and deeply held cultural beliefs and practices have been found to contribute to the ineffectiveness of routine counselling delivered universally by community health workers in Pakistan. We aimed to address this by incorporating techniques of cognitive-behavioural therapy (CBT) into the routine counselling process. We conducted qualitative studies of stakeholders' opinions (mothers, community health workers, their trainers and programme managers) and used this data to develop a psycho-educational approach that combined education with techniques of CBT that could be integrated into the health workers' routine work. The workers were trained to use this approach and feedback was obtained after implementation. The new intervention was successfully integrated into the community health worker programme and found to be culturally acceptable, feasible and useful. Incorporating techniques of CBT into routine counselling may be useful to promote health behaviours in traditional societies with low literacy rates.