%0期刊文章@ 1438- 8871% I JMIR出版物V 24% 卡塔尔世界杯8强波胆分析N 3% P e25821%初次母亲基于网络和家庭的产后心理教育干预的成本效益:经济评价与随机对照试验%郑A，史琪诗，朱鲁明%朱丽霞%娇丽霞%庄娜娜%A Chong，雅生%A Chan,Sally waichi %A Chan,Yiong Huak %A Luo,Nan %A Wang,Wenru %A He,Honggu %+ Alice Lee护理研究中心，新加坡国立大学Yong Loo Lin医学院，2级，临床研究中心，10 Medical Drive，新加坡，117597，新加坡，65 65167448，nurhhg@nus.edu.sg %K焦虑%K成本-效果%K抑郁%K初次母亲%K居家%K产后%K心理教育%K自我效能%K社会支持%K网络%D 2022 %7 11.3.2022 %9原始论文%J J医学互联网Res %G英语%X背景:干预的成本-效果引起了研究人员越来越多的兴趣。虽然已经开发了基于网络和家庭的心理教育干预措施，以改善首次分娩的母亲的产后健康结果，但非常有限的研究报告了其成本效益。目的:本研究的目的是评估基于网络和基于家庭的产后心理教育干预在产后早期的成本效益。方法:采用随机对照的3组前测和后测设计，从卫生保健角度进行成本-效果分析。2016年10月至2017年8月，从新加坡一家公立三级医院招募了204名初产妇，随机分配到网络干预组(n=68)、家庭干预组(n=68)和对照组(n=68)。在基线、分娩后1个月、3个月和6个月，使用有效和可靠的仪器测量母亲父母自我效能感、社会支持、产后抑郁、焦虑和卫生保健资源利用的结果。有效性和成本的广义线性回归模型用于评估基于网络和基于家庭的干预方案与常规护理相比的增量成本-效果比。还估算了这3个项目在不同覆盖率水平(即10%、50%和100%)下5年的累计成本。 Results: The web-based intervention program dominated the other 2 programs (home-based program and routine care) with the least cost (adjusted costs of SGD 376.50, SGD 457.60, and SGD 417.90 for web-based, home-based, and control group, respectively; SGD 1=USD 0.75) and the best improvements in self-efficacy, social support, and psychological well-being. When considering the implementation of study programs over the next 5 years by multiplying the average cost per first-time mother by the estimated average number of first-time mothers in Singapore during the 5-year projection period, the web-based program was the least costly program at all 3 coverage levels. Based on the 100% coverage, the reduced total cost reached nearly SGD 7.1 million and SGD 11.3 million when compared to control and home-based programs at the end of the fifth year, respectively. Conclusions: The web-based approach was promisingly cost-effective to deliver the postnatal psychoeducational intervention to first-time mothers and could be adopted by hospitals as postnatal care support. Trial Registration: ISRCTN registry ISRCTN45202278; https://www.isrctn.com/ISRCTN45202278 %M 35275078 %R 10.2196/25821 %U //www.mybigtv.com/2022/3/e25821 %U https://doi.org/10.2196/25821 %U http://www.ncbi.nlm.nih.gov/pubmed/35275078