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Abstract：
OBJECTIVE: We evaluated a pilot multi-component reintegration intervention to improve women\'s physical and psychosocial quality of life after genital fistula surgery.
METHODS: Twelve women undergoing fistula repair at Mulago Specialized Women and Neonatal Hospital (Kampala, Uganda) anticipated in a 2-week multi-component intervention including health education, psychosocial therapy, physiotherapy, and economic investment. We assessed feasibility through recruitment, retention, and adherence, acceptability through intervention satisfaction, and preliminary effectiveness through reintegration, mental health, physical health, and economic status. We collected quantitative data at enrollment, 6 weeks, 3 months, and 6 months. We conducted in-depth interviews with six participants. Quantitative data are presented descriptively, and qualitative data analyzed thematically.
RESULTS: Participants had a median age of 34.5 years (25.5-38.0), 50% were married/partnered, 42% were separated, 50$ had completed less than primary education, and 67% were unemployed. Mean number of sessions received was 12 for health education (range 5-15), 8 for counseling (range 8-9), and 6 for physiotherapy (range 4-8). Feasibility was demonstrated by study acceptance among all those eligible (100%); comfort with study measures, data collection frequency and approach; and procedural fidelity. Acceptability was high; all participants reported being very satisfied with the intervention and each of the components. Participant narratives echoed quantitative findings and contributed nuanced perspectives to understanding approach and content.
CONCLUSIONS: Our results suggest that the intervention and associated research were both feasible and acceptable, and suggested certain modifications to the intervention protocol to reduce participant burden. Further research to determine the effectiveness of the intervention above and beyond surgery alone with regard to the health and well-being of women with fistulas is warranted.
METHODS: Twelve women undergoing fistula repair at Mulago Specialized Women and Neonatal Hospital (Kampala, Uganda) anticipated in a 2-week multi-component intervention including health education, psychosocial therapy, physiotherapy, and economic investment. We assessed feasibility through recruitment, retention, and adherence, acceptability through intervention satisfaction, and preliminary effectiveness through reintegration, mental health, physical health, and economic status. We collected quantitative data at enrollment, 6 weeks, 3 months, and 6 months. We conducted in-depth interviews with six participants. Quantitative data are presented descriptively, and qualitative data analyzed thematically.
RESULTS: Participants had a median age of 34.5 years (25.5-38.0), 50% were married/partnered, 42% were separated, 50$ had completed less than primary education, and 67% were unemployed. Mean number of sessions received was 12 for health education (range 5-15), 8 for counseling (range 8-9), and 6 for physiotherapy (range 4-8). Feasibility was demonstrated by study acceptance among all those eligible (100%); comfort with study measures, data collection frequency and approach; and procedural fidelity. Acceptability was high; all participants reported being very satisfied with the intervention and each of the components. Participant narratives echoed quantitative findings and contributed nuanced perspectives to understanding approach and content.
CONCLUSIONS: Our results suggest that the intervention and associated research were both feasible and acceptable, and suggested certain modifications to the intervention protocol to reduce participant burden. Further research to determine the effectiveness of the intervention above and beyond surgery alone with regard to the health and well-being of women with fistulas is warranted.
摘要：
目的：我们评估了一项试点的多成分重返社会干预措施，以改善生殖器瘘手术后妇女的身体和社会心理生活质量。
方法：12名在Mulago专业妇女和新生儿医院接受瘘管修复的妇女（坎帕拉，乌干达）预计将进行为期2周的多部分干预，包括健康教育，社会心理疗法,物理治疗,和经济投资。我们通过招募评估可行性，保留,和坚持，通过干预满意度的可接受性，通过重返社会取得初步成效，心理健康,身体健康,和经济地位。我们在注册时收集了定量数据，6周,3个月,和6个月。我们对六名参与者进行了深入访谈。定量数据以描述性方式呈现，和定性数据分析。
结果：参与者的中位年龄为34.5岁（25.5-38.0），50%的人已婚/有伴侣关系，分别为42％，50美元完成了不到小学教育，67%的人失业。接受健康教育的平均次数为12次（范围5-15次），8用于咨询（范围8-9），和6的物理治疗（范围4-8）。通过所有符合条件的人(100%)接受研究证明了可行性；对研究措施感到满意，数据收集频率和方法；以及程序保真度。可接受性很高；所有参与者报告对干预和每个组成部分都非常满意。参与者的叙述呼应了定量的发现，并为理解方法和内容贡献了细微差别的观点。
结论：我们的结果表明，干预措施和相关研究既可行又可接受。并建议对干预方案进行某些修改，以减轻参与者的负担。有必要进行进一步的研究，以确定仅在手术之外的干预措施对瘘管妇女的健康和福祉的有效性。
方法：12名在Mulago专业妇女和新生儿医院接受瘘管修复的妇女（坎帕拉，乌干达）预计将进行为期2周的多部分干预，包括健康教育，社会心理疗法,物理治疗,和经济投资。我们通过招募评估可行性，保留,和坚持，通过干预满意度的可接受性，通过重返社会取得初步成效，心理健康,身体健康,和经济地位。我们在注册时收集了定量数据，6周,3个月,和6个月。我们对六名参与者进行了深入访谈。定量数据以描述性方式呈现，和定性数据分析。
结果：参与者的中位年龄为34.5岁（25.5-38.0），50%的人已婚/有伴侣关系，分别为42％，50美元完成了不到小学教育，67%的人失业。接受健康教育的平均次数为12次（范围5-15次），8用于咨询（范围8-9），和6的物理治疗（范围4-8）。通过所有符合条件的人(100%)接受研究证明了可行性；对研究措施感到满意，数据收集频率和方法；以及程序保真度。可接受性很高；所有参与者报告对干预和每个组成部分都非常满意。参与者的叙述呼应了定量的发现，并为理解方法和内容贡献了细微差别的观点。
结论：我们的结果表明，干预措施和相关研究既可行又可接受。并建议对干预方案进行某些修改，以减轻参与者的负担。有必要进行进一步的研究，以确定仅在手术之外的干预措施对瘘管妇女的健康和福祉的有效性。
