Influence of perceived and evaluated individual characteristics on mental health services utilization of patients with depressive disorders - a longidudinal study to supplement the Behavioral Model of Health Services Use and to explore adaquacy of health

感知和评估的个体特征对抑郁症患者心理健康服务利用的影响——一项补充健康服务使用行为模型并探索健康充足性的纵向研究

• 批准号: 271518504
• 负责人: Privatdozentin Dr. Anna Levke Brütt
• 金额: --
• 依托单位: Institut und Poliklinik für Medizinische Psychologie
• 依托单位国家: 德国
• 项目类别: Research Grants
• 财政年份: 2014
• 资助国家: 德国
• 起止时间: 2013-12-31 至 2022-12-31
• 项目状态: 已结题
• 来源: https://gepris.dfg.de/gepris/projekt/271518504?language=en
• 关键词: Influence; perceived; evaluated; individual; characteristics

Just about every third person in Germany who meets the diagnostic criteria for depression has contact to mental health care. The reasons for using mental health services are described in theoretical models such as the "Behavioural Model of Health Services Use". In contrast to models explaining health behaviour change, the patient's perspective has rarely been included in the “Behavioural Model of Health Services Use”. As established characteristics cannot sufficiently explain mental health services use, perceived and evaluated individual characteristics such as illness and treatment beliefs as well as subjective need should be integrated into the model. The aim of the proposed study is to integrate the subjective characteristics in the "Behavioural Model of Health Services Use" and to investigate whether these improve prediction of health services use in persons with depression. Additionally, a focus lies on persons who incongruently to objective or subjective need, use or not use depression-specific health services. The percentage of those persons will be described. Finally, explanations of the incongruity in health services use will be studied. A prospective, longitudinal and locally representative survey will be conducted. Additional qualitative interviews will be used to explain quantitative data. At t0 and 12 months later (t1), established and subjective characteristics will be quantitatively collected via telephone interviews. Moreover, standardized diagnostic interviews for mental disorders will be conducted. Additionally, up to 32 persons will be selected for qualitative interviews and questioned about reasons for their use of mental health services. Besides descriptive and regression analysis, a grounded theory based analysis will be used to explore theories regarding incongruent health services use. The results of the proposed study are relevant regarding the theoretical foundation of health services research. They can be used to complement the "Behavioural Model of Service Use" and to empirically validate the model. Additionally, the perspective of patients will offer insights into incongruent health services use. Furthermore, the results regarding health services use can be used to create patient-centered health services: Changeable predictors of health services use are starting points for strategies to increase health services use congruent to objective and subjective needs of persons with depression.

在德国，符合抑郁症诊断标准的人中，大约有三分之一的人曾接触过精神卫生保健。使用心理健康服务的原因在“健康服务使用行为模型”等理论模型中进行了描述。与解释健康行为变化的模型相比，患者的观点很少被纳入“健康服务使用行为模型”中。由于既定特征无法充分解释心理健康服务的使用，因此应将感知和评估的个人特征（例如疾病和治疗信念以及主观需求）纳入模型中。拟议研究的目的是将主观特征整合到“健康服务使用行为模型”中，并调查这些特征是否可以改善抑郁症患者对健康服务使用的预测。此外，重点关注那些与客观或主观需求不一致、使用或不使用针对抑郁症的医疗服务的人。将描述这些人的百分比。最后，将研究卫生服务使用不协调的解释。将进行前瞻性、纵向和当地代表性的调查。额外的定性访谈将用于解释定量数据。在 t0 和 12 个月后 (t1)，将通过电话访谈定量收集既定的主观特征。此外，还将进行精神障碍的标准化诊断访谈。此外，还将选择最多 32 人进行定性访谈，并询问他们使用心理健康服务的原因。除了描述性和回归分析外，还将使用基于扎根理论的分析来探索有关卫生服务使用不一致的理论。拟议研究的结果与卫生服务研究的理论基础相关。它们可用于补充“服务使用行为模型”并凭经验验证该模型。此外，患者的观点将为不一致的医疗服务使用提供见解。此外，有关卫生服务使用的结果可用于创建以患者为中心的卫生服务：卫生服务使用的可变预测因素是增加符合抑郁症患者客观和主观需求的卫生服务使用策略的起点。