Debate: Implementation Science can help bridge the gap between evidence and policy - a case study from the Eastern Mediterranean Region.
Debate: Implementation Science can help bridge the gap between evidence and policy - a case study from the Eastern Mediterranean Region.
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辩论：实施科学可以帮助弥合证据与政策之间的差距——东地中海地区的案例研究。
DOI：
10.1111/camh.12446
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发表时间：
2021
影响因子：
6.1
通讯作者：
Rahman A
中科院分区：
文献类型：
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作者：
Rahman A
东地中海区域的精神障碍负担在过去三十年中稳步上升。对干预措施的需求未得到满足给政策制定者施加了压力，要求他们采取紧急行动，这往往导致采用高收入国家制定的规划，而很少关注这些规划在多大程度上满足了当地的需求。在包括随机对照试验在内的精心设计的本地研究成为低收入和中等收入国家的普遍做法之前，实施科学可以提供相对便宜和更快的方法来确保这些干预措施确实能使患者受益。我们提出了一个由国际专家开发的由教师提供的学校心理健康干预的案例研究，并在世界卫生组织的主持下在EMR中实施。我们使用实施研究框架使项目适应当地需求，获得利益相关者的支持，并设计了一个在线培训项目，以便在埃及、伊朗、约旦和巴基斯坦的当地学校快速传播。在一个电子病历国家（巴基斯坦）正式推出该计划的过程中，我们嵌入了一项混合有效性-实施集群随机对照试验，以评估适应性干预措施的临床和实施结果。该方法允许在现实世界的实施环境中快速适应和建立证据。低收入和中等收入国家进行此类研究的能力需要得到发展。
The burden from mental disorder in the Eastern Mediterranean Region (EMR) has risen steadily over the last three decades. The unmet need for interventions puts pressure on policymakers for urgent action, often leading to the introduction of programmes developed in high‐income countries, with very little attention to how well these meet local needs. Till well‐designed local research including randomised controlled trials become common practice in low‐ and middle‐income countries, implementation science could provide relatively cheaper and quicker ways of ensuring that these interventions do indeed lead to patient benefit. We present a case study of a teacher‐delivered school mental health intervention developed by international experts, and implemented in the EMR under the auspices of the World Health Organization. We used an implementation research framework to adapt the programme to local needs, obtain stakeholder buy‐in, and design an online‐training programme for rapid dissemination in local schools in Egypt, Iran, Jordan and Pakistan. Within the official roll‐out of the programme in one EMR country (Pakistan), we embedded a hybrid effectiveness‐implementation cluster randomised control trial to evaluate both clinical and implementation outcomes of the adapted intervention. The approach allows for rapid adaptation and evidence building within real‐world implementation settings. Capacity in low‐ and middle‐income countries for such research needs to be developed.
东地中海地区青年心理健康服务：挑战和机遇（社论）。
DOI：
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发表时间：
2019
期刊：
Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit
影响因子：
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作者：
A. Rahman;H. Hamoda;A. Rahimi;M. Khan;K. Saeed
通讯作者：
K. Saeed