Development of an intervention to improve mental health for obstetric fistula patients in Tanzania

Autor: Sarah M. Wilson, Melissa H. Watt, Margaret Bangser, Mary Vincent Mosha, Pilli M. Nyindo, Andrew Browning, Gileard Masenga, Kathleen J. Sikkema, Jennifer Velloza
Rok vydání: 2015
Předmět:
Adult
Counseling
Coping (psychology)
Adolescent
Social Psychology
Interprofessional Relations
Strategy and Management
medicine.medical_treatment
media_common.quotation_subject
Advisory Committees
Geography
Planning and Development
Population
Psychological intervention
Pilot Projects
Tanzania
Article
law.invention
Young Adult
Randomized controlled trial
Nursing
law
Adaptation
Psychological
North Carolina
medicine
Humans
Program Development
Business and International Management
education
media_common
Academic Medical Centers
education.field_of_study
Cognitive Behavioral Therapy
business.industry
Vaginal Fistula
Public Health
Environmental and Occupational Health
Focus Groups
Community Health Nursing
Mental health
Obstetrics
Cognitive behavioral therapy
Mental Health
Patient Satisfaction
Community health
Female
Grief
business
Zdroj: Evaluation and Program Planning. 50:1-9
ISSN: 0149-7189
Popis: Obstetric fistula is a debilitating childbirth injury that has been associated with high rates of psychological distress. Global efforts have helped to link women to surgical repair, but thus far no evidence-based interventions exist to address the psychological needs of these women during the hospital stay. In this paper, we describe the development of a psychological intervention for women in Tanzania who are receiving surgical care for an obstetric fistula. The intervention was developed based on theories of cognitive behavioral therapy and coping models. Content and delivery were informed by qualitative data collection with a range of stakeholders including women with fistula, and input from a study advisory board. The resulting intervention was six individual sessions, delivered by a trained community health nurse. The session topics were (1) recounting the fistula story; (2) creating a new story about the fistula; (3) loss, grief and shame; (4) specific strategies for coping; (5) social relationships; and (6) planning for the future. A trial run of the intervention revealed that the intervention could be delivered with fidelity and was acceptable to patients. A future randomized control trial will evaluate the efficacy of this intervention to address the mental health symptoms of this population.
Databáze: OpenAIRE
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