Using participatory action research to reimagine community mental health services in Colombia: a mixed-method study protocol.
Using participatory action research to reimagine community mental health services in Colombia: a mixed-method study protocol.
复制标题
DOI：
10.1136/bmjopen-2022-069329
复制
发表时间：
2022-12-22
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
精神卫生保健系统面临的挑战是，他们如何倾听和应对边缘化社区作为精神痛苦驱动因素的经历。在哥伦比亚，这一挑战与冲突后重建所面临的更广泛挑战相互交织。我们的试点研究将探讨可行性和可接受的参与性的方法，发展社区主导的参与性干预社区精神卫生系统的加强和精神卫生的改善，在两个网站在哥伦比亚卡克塔。该项目分为三个不同的阶段，与社区参与行动研究周期相一致：诊断、干预和评估。这使我们能够采用参与式方法，设计一种社区主导的、自下而上的干预措施，以加强心理卫生系统，促进心理健康和福祉。诊断阶段探讨当地对精神健康、精神痛苦的理解，以及社区成员和卫生服务提供者对精神健康服务的获取。干预阶段将以参与性的变革理论进程为指导。社区优先事项将为制定参与性、学习和行动的知情群体干预措施提供信息，并设有社区联系论坛。PLA干预的试点将使用MRC过程评估指南进行评估。该项目获得了两个来源的伦理批准。安第斯山脉大学（2021-1393）和伦敦大学学院（16127/005）。调查结果的传播将包括学术出版物、社区论坛、政策简报和视觉媒体（漫画、播客和短片）。
Mental healthcare systems are challenged by how they hear and respond to what marginalised communities experience as drivers of mental distress. In Colombia, this challenge intersects with wider challenges facing post-conflict reconstruction. Our pilot study will explore the feasibility and acceptability of a participatory approach to developing community-led participatory interventions for community mental health systems strengthening and mental health improvement, in two sites in Caquetá, Colombia. The project is divided into three distinct phases aligned with community participatory action research cycles: diagnostic, intervention and evaluation. This allows us to use a participatory approach to design a community-led, bottom-up intervention for mental health systems strengthening and the promotion of mental health and well-being. The diagnostic phase explores local understandings of mental health, mental distress and access to mental health services from community members and health providers. The intervention stage will be guided by a participatory Theory of Change process. Community priorities will inform the development of a participatory, learning and action (PLA) informed group intervention, with a community linkage forum. The pilot of the PLA intervention will be evaluated using MRC process evaluation guidelines. This project has received ethical approval from two sources. Universidad de Los Andes (2021–1393) and the University College London (16127/005). Dissemination of findings will include academic publications, community forums, policy briefs and visual media (cartoons, pod casts and short films).
登录
查看更多内容
影响因子：
2.6
作者：
Durrance-Bagale, Anna;Marzouk, Manar;Tung, Lam Sze;Agarwal, Sunanda;Aribou, Zeenathnisa Mougammadou;Ibrahim, Nafeesah Bte Mohamed;Mkhallalati, Hala;Newaz, Sanjida;Omar, Maryam;Ung, Mengieng;Zaseela, Ayshath;Nagashima-Hayashi, Michiko;Howard, Natasha
通讯作者：
Howard, Natasha
影响因子：
6.3
作者：
Baum, Fran;MacDougall, Colin;Smith, Danielle
通讯作者：
Smith, Danielle
影响因子：
2.5
作者：
King C;Burgess RA;Bakare AA;Shittu F;Salako J;Bakare D;Uchendu OC;Iuliano A;Isah A;Adams O;Haruna I;Magama A;Ahmed T;Ahmar S;Cassar C;Valentine P;Olowookere TF;MacCalla M;Graham HR;McCollum ED;Falade AG;Colbourn T;INSPIRING Project Consortium
通讯作者：
INSPIRING Project Consortium
影响因子：
4
作者：
Gale NK;Heath G;Cameron E;Rashid S;Redwood S
通讯作者：
Redwood S
影响因子：
1.7
作者：
Guest, Greg;Bunce, Arwen;Johnson, Laura
通讯作者：
Johnson, Laura