Systematic review of feasibility and acceptability of psychosocial interventions for schizophrenia in low and middle income countries.
Systematic review of feasibility and acceptability of psychosocial interventions for schizophrenia in low and middle income countries.
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DOI：
10.1186/s12888-015-0400-6
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发表时间：
2015-02-12
期刊：
影响因子：
4.4
通讯作者：
Lund C
中科院分区：
文献类型：
--
作者：
Brooke-Sumner C;Petersen I;Asher L;Mall S;Egbe CO;Lund C
在低收入和中等收入国家，有证据表明以社区为基础的精神分裂症心理社会干预措施的有效性。然而，许多心理社会干预措施是在高收入国家概念化的，评估其在低收入和中等收入国家的可行性和可接受性是相关的，也是本次审查的目标。使用检索词（i）“精神分裂症”;（ii）“中低收入或发展中国家”和（iii）“心理社会干预”检索了6个数据库。确定的摘要提取到EndNote数据库。两位作者根据定义的纳入和排除标准独立审查了摘要。访问符合这些标准的研究的全文，或者需要更多信息来纳入或排除它们的研究。使用预先设计的数据提取表从纳入的研究中提取数据。对定性和定量数据进行了定性综合。通过检索确定了14037篇摘要。共审查了196篇全文，其中17篇符合纳入标准。关于可行性的数据很少。注意到可行性方面的障碍，包括参与者的教育水平低，没有护理人员，以及后勤问题，如难以对参与者进行随访。高参与率和对干预措施的满意度表明了可接受性。虽然有初步证据表明，在低收入和中等收入国家，以社区为基础的精神分裂症心理社会干预是可以接受的，但目前缺乏总体可行性的证据。需要进行设计良好的干预研究，纳入可接受性和可行性的具体措施。本文的在线版本（doi：10.1186/s12888-015-0400-6）包含补充材料，可供授权用户使用。
In low and middle income countries there is evidence to suggest effectiveness of community-based psychosocial interventions for schizophrenia. Many psychosocial interventions have however been conceptualized in high income countries and assessing their feasibility and acceptability in low and middle income countries is pertinent and the objective of this review. Six databases were searched using search terms (i) “Schizophrenia”; (ii) “Low and middle income or developing countries” and (iii) “Psychosocial interventions”. Abstracts identified were extracted to an EndNote Database. Two authors independently reviewed abstracts according to defined inclusion and exclusion criteria. Full papers were accessed of studies meeting these criteria, or for which more information was needed to include or exclude them. Data were extracted from included studies using a predesigned data extraction form. Qualitative synthesis of qualitative and quantitative data was conducted. 14 037 abstracts were identified through searches. 196 full articles were reviewed with 17 articles meeting the inclusion criteria. Little data emerged on feasibility. Barriers to feasibility were noted including low education levels of participants, unavailability of caregivers, and logistical issues such as difficulty in follow up of participants. Evidence of acceptability was noted in high participation rates and levels of satisfaction with interventions. While there is preliminary evidence to suggest acceptability of community-based psychosocial interventions for schizophrenia in low and middle income countries, evidence for overall feasibility is currently lacking. Well-designed intervention studies incorporating specific measures of acceptability and feasibility are needed. The online version of this article (doi:10.1186/s12888-015-0400-6) contains supplementary material, which is available to authorized users.
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影响因子：
2.8
作者：
Balaji M;Chatterjee S;Koschorke M;Rangaswamy T;Chavan A;Dabholkar H;Dakshin L;Kumar P;John S;Thornicroft G;Patel V
通讯作者：
Patel V
影响因子：
64.8
作者：
Collins, Pamela Y.;Patel, Vikram;Joestl, Sarah S.;March, Dana;Insel, Thomas R.;Daar, Abdallah S.
通讯作者：
Daar, Abdallah S.
影响因子：
2.7
作者：
Caqueo-Urizar, Alejandra;Gutierrez-Maldonado, Jose
通讯作者：
Gutierrez-Maldonado, Jose
影响因子：
3.2
作者：
Chien WT;Leung SF;Yeung FK;Wong WK
通讯作者：
Wong WK
影响因子：
4.4
作者：
Botha, Ulla A.;Koen, Liezl;Oosthuizen, Piet P.
通讯作者：
Oosthuizen, Piet P.