Community-based mental health interventions in low- and middle-income countries: a qualitative study with international experts.
Community-based mental health interventions in low- and middle-income countries: a qualitative study with international experts.
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DOI：
10.1186/s12939-024-02106-6
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发表时间：
2024-02-02
影响因子：
4.8
通讯作者：
Zuluaga, Maria Isabel
中科院分区：
文献类型：
--
作者：
Giebel, Clarissa;Gabbay, Mark;Shrestha, Nipun;Saldarriaga, Gabriel;Reilly, Siobhan;White, Ross;Liu, Ginger;Allen, Dawn;Zuluaga, Maria Isabel
低收入和中等收入国家 (LMIC) 的精神卫生服务稀缺，设计和实施有效的干预措施可能很困难。这项国际研究的目的是探索中低收入国家制定、实施和评估基于社区的心理健康和福祉干预措施的关键经验教训，并特别关注老年人。 2021 年 10 月至 2022 年 1 月期间，对中低收入国家制定和实施基于社会心理社区的干预措施的研究和临床专家进行了远程采访。参与者是通过现有的全球卫生网络和已发表的文献检索招募的。参与者被问及制定和实施干预措施的经验，以及在此过程中的主要障碍和促进因素。访谈持续长达 45 分钟，并使用归纳和演绎相结合的主题分析来分析数据。十六位全球心理健康专家参加。产生了五个具有不同子主题的主题：机制和背景；障碍；协调员；公众和利益相关者的参与；透过老化的镜头看。通过融入现有卫生基础设施并与现有工作角色（作为实施机构）合作，促进中低收入国家心理健康干预措施的制定和实施。公众和利益相关者的参与在开发到实施的各个阶段都至关重要，以重点满足当地需求和维持参与者的积极性。需要解决运输、资源和位置的后勤障碍，强调当地的可持续性。这项研究为如何优化中低收入国家基于社区的心理健康和福祉干预措施的制定、实施和评估提供了重要见解，并可以补充复杂干预措施发展的一般指导。
Mental health services are scarce in low- and middle-income countries (LMICs), and designing and implementing effective interventions can be difficult. The aim of this international study was to explore the key lessons for developing, implementing, and evaluating community-based mental health and well-being interventions in LMICs, with an additional focus on older adults. Research and clinical experts in developing and implementing psychosocial community-based interventions in LMICs were interviewed remotely between October 2021 and January 2022. Participants were recruited via existing global health networks and via published literature searches. Participants were asked about their experiences of developing and implementing interventions, and about key barriers and facilitators during the process. Interviews lasted up to 45 min, and data were analysed using combined inductive and deductive thematic analysis. Sixteen global mental health experts participated. Five themes with different sub-themes were generated: Mechanisms and contexts; Barriers; Facilitators; Public and stakeholder involvement; Looking through an ageing lens. The development and delivery of mental health interventions in LMICs are facilitated through integration into existing health infrastructures and working with existing job roles as delivery agents. Public and stakeholder involvement are crucial at all stages of development through to implementation to focus on meeting local needs and sustaining participant motivation. Logistical barriers of transport, resources, and location need to be addressed, emphasising local sustainability. This study provides important insights for how the development, implementation, and evaluation of community-based mental health and well-being interventions in LMICs can be optimised, and can complement general guidance into complex interventions developments.
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DOI：
10.1136/bmj.n2061
发表时间：
2021-09-30
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Skivington K;Matthews L;Simpson SA;Craig P;Baird J;Blazeby JM;Boyd KA;Craig N;French DP;McIntosh E;Petticrew M;Rycroft-Malone J;White M;Moore L
通讯作者：
Moore L
影响因子：
3.2
作者：
Giebel, Clarissa;Tetlow, Hilary;Faulkner, Thomas;Eley, Ruth
通讯作者：
Eley, Ruth
影响因子：
3.4
作者：
Giebel, Clarissa;Cannon, Jacqueline;Gabbay, Mark
通讯作者：
Gabbay, Mark
影响因子：
2.8
作者：
Rathod, Shanaya;Pinninti, Narsimha;Naeem, Farooq
通讯作者：
Naeem, Farooq
影响因子：
4
作者：
Zwingmann, Ina;Michalowsky, Bernhard;Hoffmann, Wolfgang
通讯作者：
Hoffmann, Wolfgang