Using participatory action research to pilot a model of service user and caregiver involvement in mental health system strengthening in Ethiopian primary healthcare: a case study.
Using participatory action research to pilot a model of service user and caregiver involvement in mental health system strengthening in Ethiopian primary healthcare: a case study.
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使用参与式行动研究试点模式的服务用户和照顾者参与精神卫生系统加强在埃塞俄比亚的初级卫生保健：案例研究。
DOI：
10.1186/s13033-022-00545-8
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发表时间：
2022-07-11
影响因子：
3.6
通讯作者：
Hanlon, Charlotte
中科院分区：
文献类型：
--
作者：
Abayneh, Sisay;Lempp, Heidi;Kohrt, Brandon A.;Alem, Atalay;Hanlon, Charlotte
对于低收入和中等收入国家精神卫生系统的实际参与或如何实现服务使用者和照护者的加强，人们所知甚少。本研究描述了过程，并探讨了在埃塞俄比亚南部农村地区加强服务用户参与精神卫生系统的新模式的试点研究参与者的参与经验。我们采用参与式行动研究（PAR）的案例研究设计。PAR过程包括三个阶段，每个阶段都有计划、行动、观察和反思的迭代活动。两个利益相关者小组，研究咨询小组（RAG）和研究参与者小组（RPG），成立并在PAR过程中合作。数据收集涉及会议和活动的过程文档：出席人数、研讨会纪要、讨论产出、反思笔记、会议的参与性观察以及对12名RPG成员的深度访谈。我们对工艺数据进行了描述性分析。定性数据采用专题分析。对调查结果进行三角测量和综合，以开展案例研究。利益相关者团体确定了他们的首要研究重点，制定了干预和行动计划，并公开介绍了初步调查结果。用于包容性参与的关键机制包括能力建设和将不同利益攸关方聚集在一起，将研究固定在已建立的强大社区参与结构中，以及在PAR过程中利用参与性战略和活动。关于参与PAR的经验，提出了四个主题：(i)期望和动机，（ii） PAR过程动态的经验，（iii）参与PAR过程的感知影响，以及（iv）实施挑战和未来方向。本案例研究证明了在资源有限的情况下，实施服务使用者参与精神卫生系统强化的复杂模型的可行性和可接受性。在将服务使用者参与纳入初级卫生保健系统的日常工作中，需要做更多的工作，同时在多个层面持续支持和加强多方利益攸关方的合作。在线版本包含补充材料，可在10.1186/s13033-022-00545-8获得。
Little is known about actual involvement or how to achieve service user and caregiver in mental health systems strengthening in low-and middle-income countries. This study describes the processes and explores involvement experiences of participants in a pilot study of a new model of service user involvement in mental health system strengthening in a rural district in southern Ethiopia. We applied a case study design using participatory action research (PAR). The PAR process comprised of three stages, each with iterative activities of plan, act, observe and reflect. Two stakeholder groups, a Research Advisory Group (RAG) and Research Participant Group (RPG), were established and collaborated in the PAR process. Data collection involved process documentation of meetings and activities: attendances, workshop minutes, discussion outputs, reflective notes, participatory observation of sessions, and in-depth interviews with 12 RPG members. We analyzed the process data descriptively. Thematic analysis was used for qualitative data. Triangulation and synthesis of findings was carried out to develop the case study. The stakeholder groups identified their top research priorities, developed an intervention and action plan and made a public presentation of preliminary findings. Key mechanisms used for inclusive participation included capacity building and bringing together diverse stakeholders, anchoring the study in established strong community involvement structures, and making use of participatory strategies and activities during the PAR process. Four themes were developed about experiences of involvement in PAR: (i) expectations and motivation, (ii) experiences of the dynamics of the PAR process, (iii) perceived impacts of involvement in the PAR process, and (iv) implementation challenges and future directions. This case study demonstrated the feasibility and acceptability of implementing a complex model of service-user involvement in mental health system strengthening in a resource constrained setting. More needs to be done to embed service-user involvement into routines of the primary healthcare system, alongside sustained support and strengthening multi-stakeholder collaboration at multiple levels. The online version contains supplementary material available at 10.1186/s13033-022-00545-8.
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影响因子：
1.2
作者：
Bevan, Ann L
通讯作者：
Bevan, Ann L
影响因子：
0.8
作者：
Chen, Huey T.;Pan, Hui-Ling Wendy;Turner, Nannette
通讯作者：
Turner, Nannette
DOI：
10.3402/qhw.v9.23606
发表时间：
2014
影响因子：
1.8
作者：
Hyett N;Kenny A;Dickson-Swift V
通讯作者：
Dickson-Swift V
DOI：
10.1192/bjp.bp.114.153676
发表时间：
2016-01
期刊：
The British journal of psychiatry : the journal of mental science
影响因子：
--
作者：
Fekadu A;Hanlon C;Medhin G;Alem A;Selamu M;Giorgis TW;Shibre T;Teferra S;Tegegn T;Breuer E;Patel V;Tomlinson M;Thornicroft G;Prince M;Lund C
通讯作者：
Lund C
影响因子：
4.4
作者：
Abayneh, Sisay;Lempp, Heidi;Hanlon, Charlotte
通讯作者：
Hanlon, Charlotte