Utilizing the CFIR framework for mapping the facilitators and barriers of implementing teachers led school mental health programs - a scoping review.

IF 3.6 2区医学 Q1 PSYCHIATRY

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2024-10-17 DOI:10.1007/s00127-024-02762-7

Rukhsana Roshan, Saima Hamid, Ramesh Kumar, Usman Hamdani, Saman Naqvi, Zill-E-Huma, Urfa Adeel

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引用次数: 0

Abstract

Background: Ample evidence has been generated regarding the effectiveness of school-based mental health interventions as part of the continuum of care for children and capacity building of teachers to deal with the emotional and behavioral challenges of students. The increasing trend of utilization of teachers as the natural support system of children and the huge financial impact of public health interventions highlights the need to review all available evidence regarding multilevel factors that facilitate or pose a challenge to the provision of School Mental Health Programs (SMHP) using teachers as providers. The current review aims to map extracted evidence under the Consolidated Framework for Implementation Research (CFIR) domains to support future implementation research on school-based mental health services.

Methods: The scoping review included experimental, qualitative studies, and systematic reviews involving teacher-led mental health programs conducted in the school setting to improve the socio-emotional well-being of children and adolescents irrespective of time and geographical limitations. All (published and unpublished) evidence in English from Pubmed, Cochrane database of systematic reviews and clinical trials, Scopus, and Science Direct was searched using keywords and Boolean combinations and extracted using study designs, place of study, year of publication, sample size, and target population. A qualitative analysis of implementation facilitators and barriers cited by the studies was carried out and mapped on CFIR.

Results: This review identified barriers and facilitators of implementation across school-based mental health Programs in 29 studies. The major emerging themes were those related to the inner setting of the organization, the process of implementation, and the characteristics of individuals involved in implementation. These included the availability of structural characteristics, positive school culture, organizational readiness, committed leadership, and beliefs of the providers.

Conclusion: Findings highlight the need for early assessment of contextual factors acting as barriers and facilitators and careful execution following realistic planning and stakeholders' engagement to ensure the success of SMHP.

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利用 CFIR 框架绘制教师主导的学校心理健康项目实施的促进因素和障碍--范围审查。

背景：已有大量证据表明，校本心理健康干预措施作为儿童连续护理的一部分，以及教师应对学生情绪和行为挑战的能力建设的有效性。教师作为儿童的天然支持系统，其使用率呈上升趋势，而公共卫生干预措施所产生的巨大经济影响突出表明，有必要对所有现有证据进行审查，以了解促进或挑战以教师为提供者开展学校心理健康计划（SMHP）的多层次因素。本综述旨在根据实施研究综合框架（CFIR）的领域对提取的证据进行分析，以支持未来对校本心理健康服务的实施研究：范围界定综述包括实验研究、定性研究和系统综述，涉及在学校环境中开展的由教师主导的心理健康项目，目的是改善儿童和青少年的社会情感，而不受时间和地域的限制。我们使用关键词和布尔组合从 Pubmed、Cochrane 系统性综述和临床试验数据库、Scopus 和 Science Direct 中检索了所有（已发表和未发表的）英文证据，并根据研究设计、研究地点、发表年份、样本大小和目标人群进行了提取。对研究中提到的实施促进因素和障碍进行了定性分析，并将其映射到 CFIR 上：结果：本次审查确定了 29 项研究中校本心理健康计划实施的障碍和促进因素。新出现的主要主题与组织的内部环境、实施过程以及参与实施的个人特征有关。其中包括结构特征、积极的学校文化、组织准备情况、坚定的领导力以及提供者的信念：研究结果突出表明，有必要及早评估作为障碍和促进因素的环境因素，并在进行切合实际的规划和利益相关者的参与后认真执行，以确保 SMHP 的成功。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.