Mental healthcare is largely unavailable throughout Haiti, particularly in rural areas. The aim of the current study is to explore perceived feasibility, acceptability, and effectiveness of potential culturally adapted interventions to improve mental health among Haitian women. The study used focus group discussions (n = 12) to explore five potential interventions to promote mental health: individual counseling, income-generating skills training, peer support groups, reproductive health education, and couples' communication training. Findings indicate that individual counseling, support group, and skills training components were generally anticipated to be effective, acceptable, and feasible by both male and female participants. That being said, participants expressed doubts regarding the acceptability of the couples' communication training and reproductive health education due to: a perceived lack of male interest, traditional male and female gender roles, lack of female autonomy, and misconceptions about family planning. Additionally, the feasibility, effectiveness, and acceptability of the components were described as dependent on cost, proximity to participants, and inclusion of a female health promoter that is known in the community. Given the lack of research on intervention approaches in Haiti, particularly those targeting mental health, this study provides a foundation for developing prevention and treatment approaches for mental distress among Haitian women.

中文翻译：

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海地农村地区心理健康干预的可行性、可接受性和文化适应。

海地各地基本上无法获得心理保健服务，特别是在农村地区。本研究的目的是探讨潜在的文化适应干预措施的可行性、可接受性和有效性，以改善海地妇女的心理健康。该研究利用焦点小组讨论（n = 12）探索五种促进心理健康的潜在干预措施：个人咨询、创收技能培训、同伴支持小组、生殖健康教育和夫妻沟通培训。研究结果表明，男性和女性参与者普遍认为个人咨询、支持小组和技能培训内容是有效的、可接受的和可行的。尽管如此，参与者对夫妻沟通培训和生殖健康教育的可接受性表示怀疑，因为：认为缺乏男性兴趣、传统的男女性别角色、缺乏女性自主权以及对计划生育的误解。此外，各组成部分的可行性、有效性和可接受性被描述为取决于成本、与参与者的接近度以及社区中已知的女性健康促进者的纳入。鉴于海地缺乏关于干预方法的研究，特别是针对心理健康的干预方法，本研究为制定海地妇女精神困扰的预防和治疗方法奠定了基础。