Detection of risk for future depression among adolescents: Stakeholder views of acceptability and feasibility in the United Kingdom.
Detection of risk for future depression among adolescents: Stakeholder views of acceptability and feasibility in the United Kingdom.
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DOI：
10.1111/eip.13278
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发表时间：
2022-12
影响因子：
2
通讯作者：
Fisher, Helen L.
中科院分区：
文献类型：
--
作者：
Burgess, Abigail;Wahid, Syed Shabab;Ottman, Katherine;Kieling, Christian;Mondelli, Valeria;Kohrt, Brandon A.;Fisher, Helen L.
目的：抑郁症是全球最常见的精神疾病之一，也是导致残疾的主要原因。它通常是在青春期后期建立的，因此确定哪些青少年风险最大，对于早期干预以预防抑郁症发作至关重要。我们之前已经开发了一个风险计算器来分层哪些青少年患抑郁症的风险很高，并在本研究中探讨了利益相关者的观点，以确定在英国实施这种工具的可接受性和可行性。方法：对60名英国利益相关者（12名卫生保健工作者、12名社会工作者、12名学校工作者、12名政策制定者和12名家长）进行了半结构化访谈。采访录音并逐字抄写。利用NVivo 12的框架分析技术分析转录本。结果：确定了六个总体主题：可接受性的促进因素；可接受性障碍；利益相关者在实施风险筛选方面的作用；风险计算器在实践中的可行性实施的障碍；以及在当前英国健康和社会护理环境中使用它的政策和系统影响。大多数受访者认为，在英国实施抑郁症风险计算器在很大程度上是可以接受和可行的。虽然认识到培训和支助是必不可少的，但仍然强调学校在执行这一风险计算器方面的效用。结论：在英国，利益相关者普遍对使用一种工具来筛查青少年未来抑郁的风险持积极态度，但提出了在实施之前应该考虑的重要问题。
Aim: Depression is one of the most common mental illnesses globally and a leading cause of disability. It is often established by late adolescence and thus identifying which adolescents are most at risk is crucial to enable early intervention to prevent depression onset. We have previously developed a risk calculator to stratify which adolescents are at high risk of developing depression and in this study explore the views of stakeholders to ascertain the acceptability and feasibility of implementing such a tool in the UK. Methods: Semi‐structured interviews were conducted with 60 UK‐based stakeholders (12 healthcare workers, 12 social workers, 12 school workers, 12 policymakers and 12 parents). Interviews were audio‐recorded and transcribed verbatim. Transcripts were analysed drawing on framework analysis techniques in NVivo 12. Results: Six overarching themes were identified: facilitators of acceptability; barriers to acceptability; role of stakeholders in implementing risk screening; feasibility of delivering the risk calculator in practice; barriers to implementation; and policy and system implications of using it in the current UK health and social care climate. The implementation of a depression risk calculator in the UK was seen as largely acceptable and feasible by most respondents. There was a strong emphasis on the utility of schools to implement this risk calculator, although it was recognized that training and support would be essential. Conclusions: Stakeholders were generally positive about utilizing a tool to screen for risk of future depression among adolescents in the UK but raised important concerns which should be taken into account before implementation.
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影响因子：
11.3
作者：
Brathwaite R;Rocha TB;Kieling C;Kohrt BA;Mondelli V;Adewuya AO;Fisher HL
通讯作者：
Fisher HL
DOI：
10.1016/j.chc.2012.01.001
发表时间：
2012-04-01
影响因子：
2.4
作者：
Maalouf, Fadi T.;Brent, David A.
通讯作者：
Brent, David A.
影响因子：
120.7
作者：
Grossman, David C.;Bibbins-Domingo, Kirsten;Tseng, Chien-Wen
通讯作者：
Tseng, Chien-Wen
影响因子：
3.8
作者：
Calear, Alison L.;Christensen, Helen
通讯作者：
Christensen, Helen
影响因子：
2.4
作者：
Banner, Natalie F.
通讯作者：
Banner, Natalie F.