Novel implementation research designs for scaling up global mental health care: overcoming translational challenges to address the world's leading cause of disability
Novel implementation research designs for scaling up global mental health care: overcoming translational challenges to address the world's leading cause of disability
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DOI：
10.1186/s13033-016-0049-7
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发表时间：
2016-03-08
影响因子：
3.6
通讯作者：
Verdeli, Helen
中科院分区：
文献类型：
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作者：
Meffert, Susan M.;Neylan, Thomas C.;Verdeli, Helen
尽管人们已经认识到低收入和中等收入国家（LMICs）承担了世界上大部分精神障碍的负担，并且十多年的疗效研究表明，最常见的疾病，如抑郁症和焦虑症，可以通过LMICs随时可用的当地人员进行治疗，以应用循证治疗，但仍然存在巨大的心理健康治疗差距，75%的中低收入国家的人从未得到过照顾。在这里，我们讨论了使用一种新型的实施科学研究设计，有效性，实施的混合动力车，以加快翻译和扩大LMIC的精神卫生保健。我们使用我们目前的人际心理治疗（IPT）的研究，由当地人员提供的抑郁症和创伤相关的疾病在肯尼亚的艾滋病毒阳性妇女作为一个例子的有效性，实施混合设计的精神卫生服务研究在中低收入国家。
Despite established knowledge that Low and Middle Income Countries (LMICs) bear the majority of the world's burden of mental disorders, and more than a decade of efficacy research showing that the most common disorders, such as depression and anxiety, can be treated using readily available local personnel in LMICs to apply evidence-based treatments, there remains a massive mental health treatment gap, such that 75 % of those in LMICs never receive care. Here, we discuss the use of a new type of implementation science study design, the effectiveness-implementation hybrids, to speed the translation and scale up of mental health care in LMICs. We use our current study of Interpersonal Psychotherapy (IPT) delivered by local personnel for depression and trauma-related disorders among HIV+ women in Kenya as an example of effectiveness-implementation hybrid design for mental health services research in LMICs.