对提高低收入和中等收入国家儿童和青少年健康和心理健康干预出席率的策略进行系统回顾:对心理健康干预措施的影响

IF 4.1 Q1 PSYCHIATRY
Anna A. Peycheva , Anthony F. Guevara , Mark J.D. Jordans
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引用次数: 0

摘要

本综述综合了促进和维持中低收入国家(LMIC)儿童和青少年参加精神卫生和卫生干预的证据基础,并确定了在这些情况下可用于精神卫生干预的战略。这是通过系统地检索PubMed, Embase, PsychINFO和Global Health的相关同行评审文献来实现的。检索的研究按标题和摘要进行筛选,随后对相关论文进行全文筛选。使用经过验证的质量评估工具(即JBI关键评估清单和混合方法评估工具)评估纳入研究的质量,并从每个纳入研究中提取关键数据。来自12个不同国家的15项研究符合资格标准。每项研究参与者的平均年龄在9到18岁之间。只有一项研究侧重于心理健康干预,而大多数研究都测试了健康干预的策略。确定了六种不同类别的促进出勤战略:(一)改善服务、(二)健康教育和(三)同伴支持是使用最多的三种战略,其次是(四)社区参与、(五)咨询和(六)以现金为基础的办法。15项研究中有10项(66.7%)对出勤结果的改善得出了统计学显著的结果,1项(6.7%)没有发现任何统计学显著性,4项(26.7%)没有测试策略的有效性。虽然这些结果突出表明需要采用严格的方法进行进一步研究,重点是测试战略的有效性,但指出服务改进和社区参与特别有效。调查结果从全球卫生文献中确定了几项有希望的战略,这些战略可以转化为中低收入国家儿童和青少年的精神卫生干预措施。然而,还需要进一步的研究,以确定它们在解决参加精神卫生干预的障碍方面是否适当。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Systematic review of strategies for improving attendance in health and mental health interventions for children and adolescents in LMICs: Implications for mental health interventions

This review synthesises the evidence base for promoting and maintaining attendance in mental health and health interventions for children and adolescents in low- and middle-income countries (LMIC) and identifies strategies that can be employed for mental health interventions in those contexts. This is achieved through systematically searching relevant peer-reviewed literature in PubMed, Embase, PsychINFO and Global Health. Retrieved studies are screened by title and abstract, and subsequently the relevant papers undergo a full-text screening. The quality of the included studies is assessed using validated quality appraisal tools, namely the JBI Critical Appraisal Checklist and the Mixed Methods Appraisal Tool, and key data is extracted from each of the included studies. Fifteen studies from twelve different countries meet the eligibility criteria. The mean age of the participants in each study falls between 9 and 18 years. Only one study focuses on a mental health intervention, while the majority test strategies for health interventions. Six distinct categories of attendance promotion strategies are identified: (i) service improvement, (ii) health education and (iii) peer-support are the three most utilised strategies, followed by (iv) community engagement, (v) counselling, and (vi) cash-based approaches. Ten out of the fifteen studies (66.7%) yield statistically significant results for the improvement of attendance outcomes, one (6.7%) does not find any statistical significance and four (26.7%) do not test effectiveness of the strategies. While these results highlight a need for further studies with rigorous methodologies focusing on testing the effectiveness of strategies, service improvement and community engagement were noted as particularly effective. The findings identify several promising strategies from the global health literature, which can be translated to mental health interventions for children and adolescents in LMICs. Nevertheless, further research is necessary to establish their appropriateness in addressing the barriers to attendance in mental health interventions.

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来源期刊
SSM. Mental health
SSM. Mental health Social Psychology, Health
CiteScore
2.30
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118 days
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