Barriers and facilitators to the management of mental health complications after mild traumatic brain injury.

Q3 Medicine

Concussion Pub Date : 2021-06-15 eCollection Date: 2021-09-01 DOI:10.2217/cnc-2020-0022

Noah D Silverberg, Thalia Otamendi, Amanda Dulai, Ripenjot Rai, Jason Chhina, Anna MacLellan, Pierre-Paul Lizotte

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引用次数: 0

Abstract

Background: Clinical practice guidelines for mild traumatic brain injury (mTBI) management call on family physicians to proactively screen and initiate treatment for mental health complications, but evidence suggests that this does not happen consistently. The authors aimed to identify physician-perceived barriers and facilitators to early management of mental health complications following mTBI.

Methods & results: Semi-structured interviews based on the Theoretical Domains Framework (TDF) were conducted with 11 family physicians. Interview transcripts were analyzed using directed content analysis. Factors influencing management of mental health post-mTBI were identified along five TDF domains.

Conclusion: Family physicians could benefit from accessible and easily implemented resources to manage post-mTBI mental health conditions, having a better defined role in this process, and formalization of referrals to mental health specialists.

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查看原文本刊更多论文

轻度脑外伤后心理健康并发症管理的障碍和促进因素。

背景：轻度创伤性脑损伤（mTBI）管理的临床实践指南要求家庭医生主动筛查并开始治疗精神健康并发症，但有证据表明，这种做法并不一致。作者旨在确定医生在早期处理轻微创伤性脑损伤后精神健康并发症时所遇到的障碍和促进因素：根据理论领域框架（TDF）对 11 名家庭医生进行了半结构式访谈。采用定向内容分析法对访谈记录进行了分析。根据五个 TDF 领域确定了影响创伤后心理健康管理的因素：家庭医生可以从以下方面获益：获得易于实施的资源以管理创伤后心理健康问题；在这一过程中扮演更明确的角色；将患者正式转介给心理健康专家。

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

Concussion Medicine-Neurology (clinical)

CiteScore

2.70

自引率

0.00%

发文量

审稿时长

12 weeks