Nikhil Jain, Isha Lohumi, Vanessa Ravel, Ben Wijnen, Jason J Madan, Silvia Maa Evers
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引用次数: 0
Abstract
Background: Suicide related events lead to the mobilization of a diverse array of resources affecting multiple sectors across society. These resources include healthcare service utilization, out-of-pocket expenditures, productivity losses of patients and caregivers, and resources borne by education, law enforcement, and the criminal justice system. These dimensions are particularly pertinent in Low and Middle-Income Countries (LMICs), where help-seeking and care provision pathways are complex, diverse and fragmented.
Methods: A previous systematic literature review and consequent focused search for existing RUM instruments for mental health informed the development of the initial draft of the instrument. The face and content validity of the instrument were assessed through an online expert consultation using cognitive interviewing techniques.
Results: A modular RUM instrument was developed to capture all resources from a societal perspective. Validation with diverse experts led to the validation of comprehensibility, directionality, memory recall, prioritization, feasibility, and structural aspects of the instrument. The iterative processes ensure cultural suitability, appropriateness, and user-friendly design.
Conclusion: This study marks a methodological advancement in the development of a comprehensive and adaptable RUM instrument for use across LMICs. The instrument would aid in the generation of robust economic evidence to inform suicide prevention policies and advocacy efforts.
期刊介绍：
Expert Review of Pharmacoeconomics & Outcomes Research (ISSN 1473-7167) provides expert reviews on cost-benefit and pharmacoeconomic issues relating to the clinical use of drugs and therapeutic approaches. Coverage includes pharmacoeconomics and quality-of-life research, therapeutic outcomes, evidence-based medicine and cost-benefit research. All articles are subject to rigorous peer-review.
The journal adopts the unique Expert Review article format, offering a complete overview of current thinking in a key technology area, research or clinical practice, augmented by the following sections:
Expert Opinion – a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results
Article Highlights – an executive summary of the author’s most critical points.
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