Participatory mental health interventions in low-income and middle-income countries: a realist review protocol.

Participatory mental health interventions in low-income and middle-income countries: a realist review protocol.
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DOI:
10.1136/bmjopen-2021-057530
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发表时间:
2022-04-07
期刊:
影响因子:
2.9
通讯作者:
Burgess R
Burgess R
中科院分区:
医学3区
文献类型:
--
作者:
Heap CJ;Jennings HM;Mathias K;Gaire H;Gumbonzvanda F;Gumbonzvanda N;Gupta G;Jain S;Maharjan B;Maharjan R;Maharjan SM;Mahat P;Pillai P;Webber M;Wright J;Burgess R

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全球心理健康运动的发起使长期以来关于改善中低收入国家心理健康干预措施的呼吁成为焦点。在运动中,社区和有精神健康问题生活经验的人的参与被认为是成功干预的关键。然而,在心理健康干预措施的“参与”方面仍然缺乏概念上的明确性,参与的具体要素很少得到阐明。我们的审查回应了这一差距,探讨如何“参与”的应用,它意味着什么,以及什么关键机制有助于改变在中低收入国家的心理健康参与式干预。一个现实主义的审查方法将被用来确定不同的情况下,触发机制的变化,以及由此产生的结果有关的发展和实施的参与性心理健康干预措施,即:是什么让参与工作在LMIC的心理健康干预措施,为什么?我们增加了我们的搜索,在社区的主要数据收集谁是全球心理健康倡议的目标,告知生产的方案理论参与LMIC的心理健康。在每个参与的国家都获得了焦点小组讨论(FGD)的伦理批准。在COVID-19危机期间,FGD将根据世卫组织的安全指南进行。完整的审查将发表在一份学术期刊上,进一步的论文将深入分析社区对参与精神卫生的看法。项目的调查结果也将在一个网站、网络研讨会和在线研讨会上分享。
The launch of the Movement for Global Mental Health brought long-standing calls for improved mental health interventions in low-and middle-income countries (LMICs) to centre stage. Within the movement, the participation of communities and people with lived experience of mental health problems is argued as essential to successful interventions. However, there remains a lack of conceptual clarity around ‘participation’ in mental health interventions with the specific elements of participation rarely articulated. Our review responds to this gap by exploring how ‘participation’ is applied, what it means and what key mechanisms contribute to change in participatory interventions for mental health in LMICs. A realist review methodology will be used to identify the different contexts that trigger mechanisms of change, and the resulting outcomes related to the development and implementation of participatory mental health interventions, that is: what makes participation work in mental health interventions in LMICs and why? We augment our search with primary data collection in communities who are the targets of global mental health initiatives to inform the production of a programme theory on participation for mental health in LMICs. Ethical approval for focus group discussions (FGDs) was obtained in each country involved. FGDs will be conducted in line with WHO safety guidance during the COVID-19 crisis. The full review will be published in an academic journal, with further papers providing an in-depth analysis on community perspectives on participation in mental health. The project findings will also be shared on a website, in webinars and an online workshop.
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