Stakeholder engagement to inform evidence-based treatment implementation for children's mental health: a scoping review.

Stakeholder engagement to inform evidence-based treatment implementation for children's mental health: a scoping review.
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DOI:
10.1186/s43058-022-00327-w
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发表时间:
2022-07-29
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在地球仪上,儿童心理健康治疗普遍存在差距。让利益攸关方参与儿童心理健康循证治疗(EBT)实施项目可能会增加成功实施EBT的可能性,从而更好地解决治疗差距。然而,很少有人知道利益相关者的参与程度,以告知儿童心理健康EBT的实施。我们进行了范围审查,以描述利益相关者参与儿童心理健康EBT实施项目的特征,包括利益相关者参与的内容,他们如何参与,何时参与,在哪里参与(即,项目地点)、参与的原因以及报告的利益攸关方参与的影响。我们检索了7个数据库:MEDLINE、PsycInfo、Embase、ERIC、CINAHL Complete、Scopus和Web of Science Core Collection。为了被纳入,研究必须报告某种形式的利益相关者参与,以告知或解释儿童心理健康EBT的实施。我们进行了数据提取和综合,以描述关键研究和利益相关者的特征、利益相关者参与的方法和理由、报告的利益相关者参与的影响以及利益相关者参与报告的质量。总共有122篇论文符合我们的纳入标准,从中我们确定了103个独特的儿童心理健康EBT实施项目。项目涉及22个国家,其中包括低收入、中低收入、中上收入和高收入国家。项目数量最多的是在美国,在公共精神卫生环境中进行。大多数项目在积极执行阶段与经济、技术和贸易服务提供者接触,但深度有限,往往从利益攸关方收集信息,但在执行工作中没有分享决策权。在所有项目中,利益相关者参与的影响涵盖了所有普罗克特及其同事的实施成果。鉴于利益攸关方的参与往往很浅,共同决策有限,应作出更多努力,增加参与,以预先应对实施EBT的挑战,并确保实施成功。这些努力可以确保在EBT实施工作中公正分配权力。在进行文献检索(DOI 10.17605/OSF.IO/GR 9AP)之前,所有程序都在开放科学框架上进行了预注册。在线版本包含补充材料,可通过10.1186/s43058-022-00327-w获得。
There is a pervasive mental health treatment gap for children across the globe. Engaging stakeholders in child mental health evidence-based treatment (EBT) implementation projects may increase the likelihood of successful EBT implementation, thereby better addressing the treatment gap. However, little is known about the extent of stakeholder engagement to inform the implementation of child mental health EBTs. We conducted a scoping review to characterize stakeholder engagement in child mental health EBT implementation projects, including what stakeholders are engaged, how they are engaged, when they are engaged, where they are engaged (i.e., location of projects), why they are engaged, and the reported impacts of stakeholder engagement. We searched seven databases: MEDLINE, PsycInfo, Embase, ERIC, CINAHL Complete, Scopus, and Web of Science Core Collection. To be included, studies had to report on some form of stakeholder engagement that was undertaken to inform or explain the implementation of a child mental health EBT. We performed data extraction and synthesis to describe key study and stakeholder characteristics, stakeholder engagement methods and rationales, reported impacts of stakeholder engagement, and quality of reporting on stakeholder engagement. In total, 122 manuscripts met our inclusion criteria, from which we identified a total of 103 unique child mental health EBT implementation projects. Projects spanned 22 countries, which included low-, lower-middle, upper-middle, and high-income countries. The largest number of projects was in the USA and conducted in public mental health settings. Most projects engaged EBT providers during the active implementation phase and with limited depth, often gathering information from stakeholders without sharing decision-making power in implementation efforts. Across projects, impacts of stakeholder engagement spanned all of Proctor and colleague’s implementation outcomes. Given that stakeholder engagement is often shallow and with limited shared decision-making, additional effort should be made to increase engagement to preempt challenges to EBT implementation and ensure implementation success. Such efforts may ensure the just distribution of power in EBT implementation efforts. All procedures were pre-registered on the Open Science Framework prior to conducting the literature search (DOI 10.17605/OSF.IO/GR9AP). The online version contains supplementary material available at 10.1186/s43058-022-00327-w.
DOI: 10.1097/qai.0000000000002204
发表时间: 2019-12-01
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