Hybrid E-zine Health Education intervention integrated within a Mental Health package for Adolescent Perinatal Depression (E-zineMH)

摘要 热带地区的高温可能会增加儿童的心理和身体健康并发症 围产期青少年及其婴儿，增加他们患抑郁症和产科不良的风险 并发症，如流产、早产、低出生体重和死产。美联队 各国建议将健康教育纳入产前合作健康套餐 诊所应对气候变化的影响。实施环境卫生保健的障碍 在尼日利亚，围产期人口作为初级保健综合方案的一部分，需求很高。 (与环境相关)、服务(提供者的能力)和消费者意识(服务的使用)级别。 这一应用程序建立在从以前的围产期工作中学到的证据和教训的基础上 尼日利亚青少年和正在进行的K43奖PI(Kola‘s-K43TW011046-4)，mhGAP-围产期 初级保健、移动健康和技术策略测试中的抑郁症综合模型，以及 实施系统开发研究。作为K43新兴全球领导者奖的一部分，我们 设计和开发了一个自我管理的手机应用程序，作为辅助治疗和 为围产期青少年提供混合式(面对面+手机跟踪护理)干预的一部分 利用年龄和文化上的适当性促进积极的心理和身体健康行为 接近了。 到目前为止，参与试验的围产期青少年和他们的照顾者报告说 对干预措施的满意度。我们的经验证明了家庭成员的重要作用 和其他照顾者(他们经常太忙，没有时间定期陪同他们的病房去诊所) 产前天数)在这一群体的服务设计中。我们现在是 提议进一步利用虚拟 家庭成员提供混合型电子锌健康教育干预的空间和关键作用 纳入围产期抑郁症的心理健康套餐( E-zineMH) ，以尽量减少 气候变化对围产期人口的可能影响。在……里面 目标1，我们将发展一种健康 年气候变化健康促进和疾病预防服务的教育干预 使用围产期青少年及其照顾者。干预将通过E-Zine进行 照片和面对面的健康教育，在现有的综合心理健康(E-zineMH) 初级保健中的模范。目标2.我们将研究E-zineMH的可行性、接受性和可用性 在围产期青少年及其照顾者中进行的先导性试验与对照组的比较 在常规产前诊所进行面对面的健康教育。这项研究的发现将提供 年建立健康教育干预服务的技术方法的可行证据 初级保健在围产期青少年人群中的测试在一项更大的研究中。

Abstract High temperatures in tropical regions could increase mental and physical health complications of perinatal adolescents and their infants, increasing their risks of depression and adverse obstetric complications such as miscarriages, preterm birth, low infant birth weight and still births. The United Nations recommend health education integrated within collaborative health packages in antenatal clinics to address the impact of climate change. Barriers to implementing environmental health care for the perinatal population as part of integrated packages in primary care in Nigeria are high at the needs (context-relevant), service(capacity of providers), and consumer awareness (uptake of services) levels. This application builds on the evidence and lessons learned from previous work on perinatal adolescents and ongoing K43 award PI (Dr. Kola's-K43TW011046-4) in Nigeria on, mhGAP -perinatal depression integrated model within primary care, mHealth and technology strategy testing, and implementation system development research. As part of a K43 emerging global leader award, we designed and developed a self-management mobile phone application as an adjunct treatment and part of a hybrid (face-to-face + mobile phone follow-up care) intervention for perinatal adolescents to promote positive mental and physical health behavior using age and culturally appropriate approaches. The perinatal adolescents who participated in the trial and their caregivers so far have reported high levels of satisfaction with the intervention. Our experiences identified the vital role of family members and other caregivers (who are often too busy to regularly accompany their wards to the clinics on antenatal days) in service designs for this population. We are now proposing to further leverage virtual space and vital role of family members to deliver a Hybrid E-zine health education intervention integrated within a Mental Health package for perinatal depression ( E-zineMH) , to minimise the possible impact of climate change in the perinatal population. In Aim 1, we will develop an Health Educational Intervention of health promotion and disease prevention services on climate change for the use of perinatal adolescents and their caregivers. The intervention will be delivered through E-zine photos and face to face health education, within an existing integrated mental health (E-zineMH) model in primary care. Aim 2. We will study the feasibility, acceptability, and usability of E-zineMH in a pilot trial among perinatal adolescents and their caregivers in comparison to a control arm that delivers face to face health education in routine antenatal clinics. The findings from this study will provide actionable evidence for technology approach for Health Education Intervention service set-up in primary care in the perinatal adolescent population for testing in a larger study.