郑玉娟、欧诗琪诗、朱璐明、欧娇丽霞、欧冲娜娜、欧灿雅生、欧惠芝、欧罗耀华、王楠、何文儒、红姑PY - 2022 DA - 2022/3/11 TI -基于网络和家庭的产后心理教育干预的成本效益:经济评估与随机对照试验JO - J医学互联网Res SP - e25821 VL - 24 IS - 3kw -焦虑KW -成本效益KW -抑郁KW -第一次母亲KW -家庭KW -产后KW -心理教育KW -自我效能KW -社会支持KW -网络AB -背景:干预措施的成本效益已引起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。结果:基于网络的干预计划以最低成本(基于网络、基于家庭和对照组的调整成本分别为376.50新元、457.60新元和417.90新元)主导了其他2个计划(基于家庭的计划和常规护理); 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 SN - 1438-8871 UR - //www.mybigtv.com/2022/3/e25821 UR - https://doi.org/10.2196/25821 UR - http://www.ncbi.nlm.nih.gov/pubmed/35275078 DO - 10.2196/25821 ID - info:doi/10.2196/25821 ER -