PDF(Pubmed)
Abstract：
OBJECTIVE: To construct a psychosocial intervention programme for women diagnosed with foetal anomalies based on their needs in China.
METHODS: A three round-modified Delphi survey from September to November 2020.
METHODS: In Round 1, based on literature review and qualitative interviews, a face-to-face meeting with eight taskforce members was conducted to generate the initial intervention indicators. In Round 2 and 3, 15 experts and three stakeholders (women undergoing termination of pregnancy for foetal anomalies) were invited by email to evaluate the importance of the indicators and built the final psychosocial intervention programme.
RESULTS: The response rate for both two rounds is 100%. The experts\' authority coefficient was 0.86. The Kendall W value of the two rounds ranged between 0.191 and 0.339. A needs-based psychosocial intervention programme was established, including four periods (denial, confirmation, decision-making and recovery), three needs-based supports (information, social and acceptance commitment therapy) and 27 intervention indicators. The mean value of the importance of each index was 4.00-5.00. Further research is required to evaluate whether this programme is realistic and effective for the target audiences.
METHODS: A three round-modified Delphi survey from September to November 2020.
METHODS: In Round 1, based on literature review and qualitative interviews, a face-to-face meeting with eight taskforce members was conducted to generate the initial intervention indicators. In Round 2 and 3, 15 experts and three stakeholders (women undergoing termination of pregnancy for foetal anomalies) were invited by email to evaluate the importance of the indicators and built the final psychosocial intervention programme.
RESULTS: The response rate for both two rounds is 100%. The experts\' authority coefficient was 0.86. The Kendall W value of the two rounds ranged between 0.191 and 0.339. A needs-based psychosocial intervention programme was established, including four periods (denial, confirmation, decision-making and recovery), three needs-based supports (information, social and acceptance commitment therapy) and 27 intervention indicators. The mean value of the importance of each index was 4.00-5.00. Further research is required to evaluate whether this programme is realistic and effective for the target audiences.
摘要：
目的：根据中国胎儿畸形诊断妇女的需求，为她们构建心理社会干预方案。
方法：2020年9月至11月进行了三轮修改的德尔菲调查。
方法：在第一轮中，基于文献综述和定性访谈，与八名专责小组成员举行了面对面会议，以产生初步干预指标。在第2轮和第3轮中，通过电子邮件邀请了15名专家和3名利益相关者（因胎儿异常而终止妊娠的妇女）评估指标的重要性，并建立了最终的社会心理干预计划。
结果：两轮的反应率为100％。专家的权威系数为0.86。两轮的KendallW值介于0.191和0.339之间。建立了基于需求的社会心理干预方案，包括四个时期(否认，确认,决策和恢复)，三个基于需求的支持(信息，社会和接受承诺疗法)和27项干预指标。各指标重要性的平均值为4.00-5.00。需要进一步研究，以评估该方案对目标受众是否现实和有效。
方法：2020年9月至11月进行了三轮修改的德尔菲调查。
方法：在第一轮中，基于文献综述和定性访谈，与八名专责小组成员举行了面对面会议，以产生初步干预指标。在第2轮和第3轮中，通过电子邮件邀请了15名专家和3名利益相关者（因胎儿异常而终止妊娠的妇女）评估指标的重要性，并建立了最终的社会心理干预计划。
结果：两轮的反应率为100％。专家的权威系数为0.86。两轮的KendallW值介于0.191和0.339之间。建立了基于需求的社会心理干预方案，包括四个时期(否认，确认,决策和恢复)，三个基于需求的支持(信息，社会和接受承诺疗法)和27项干预指标。各指标重要性的平均值为4.00-5.00。需要进一步研究，以评估该方案对目标受众是否现实和有效。
