Dissemination and implementation of evidence based, mental health interventions in post conflict, low resource settings.
Dissemination and implementation of evidence based, mental health interventions in post conflict, low resource settings.
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DOI：
10.1097/wtf.0000000000000070
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发表时间：
2014-12
期刊：
影响因子：
--
通讯作者：
Thornicroft G
中科院分区：
文献类型：
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作者：
Murray LK;Tol W;Jordans M;Zangana GS;Amin AM;Bolton P;Bass J;Bonilla-Escobar FJ;Thornicroft G
冲突后低收入和中等收入国家 (LMIC) 的心理健康问题负担很重。尽管越来越多的证据表明，受冲突影响的中低收入国家选定的心理健康项目是有效的，而且政策支持也不断增加，但实际的采用和实施却很缓慢。未来研究的一个关键方向以及科学和实践的新前沿是传播和实施（DI），它直接解决基于证据的有效医疗保健方法从实验环境到日常使用的转变。本文概述了一些关键的实施挑战以及解决这些挑战的策略，同时根据作者的集体经验在受冲突影响的中低收入国家实施循证治疗。冲突环境下的传播和实施评估与研究是一个重要的新研究方向。中低收入国家未来的 DI 工作应包括：1) 定义概念和开发测量工具，2) 测量所有规划的 DI 结果，3) 对具体实施策略的系统评估。
The burden of mental health problems in (post)conflict low- and middle-income countries (LMIC) is substantial. Despite growing evidence for the effectiveness of selected mental health programs in conflict-affected LMIC and growing policy support, actual uptake and implementation have been slow. A key direction for future research, and a new frontier within science and practice, is Dissemination and Implementation (DI) which directly addresses the movement of evidence-based, effective health care approaches from experimental settings into routine use. This paper outlines some key implementation challenges, and strategies to address these, while implementing evidence-based treatments in conflict-affected LMIC based on the authors’ collective experiences. Dissemination and implementation evaluation and research in conflict settings is an essential new research direction. Future DI work in LMIC should include: 1) defining concepts and developing measurement tools, 2) the measurement of DI outcomes for all programming, and 3) the systematic evaluation of specific implementation strategies.