基于网络的工具,用于评估精神健康辅助住宿中的社会包容和支持护理规划:开发与初步测试研究

IF 1.9 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Sharon Eager, Helen Killaspy, Joanna C, Gillian Mezey, Peter McPherson, Megan Downey, Georgina Thompson, Brynmor Lloyd-Evans
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引用次数: 0

摘要

背景:居住在辅助性住所中的重度精神病患者往往被社会排斥。社会融入是基于康复的实践和生活质量的一个重要方面。社会融入问卷用户体验(SInQUE)是一种衡量社会融入的方法,已经过验证,可用于有精神健康问题的人。先前的研究表明,SInQUE 还有助于支持护理规划,重点是在常规精神健康实践中实现社会融入:本研究旨在开发一个基于网络的 SInQUE 版本,供精神健康辅助住宿服务使用,检查其作为支持服务使用者护理规划的工具的可接受性和感知有用性,确定该工具在辅助住宿环境中的使用程度,并为在线 SInQUE 开发一个程序理论和逻辑模型:本研究包括实验室测试阶段和实地测试阶段,前者是通过对 6 名辅助住宿机构的工作人员进行 "大声思考 "测试来评估 SInQUE 工具的可接受性,后者是在 5 个月的时间内评估 SInQUE 工具的可接受性、实用性和使用情况。在伦敦的一个区采用了实施策略,以鼓励使用 SInQUE。对使用该工具的 12 名服务使用者和 12 名工作人员进行了定性访谈,并使用主题分析法对访谈内容进行了分析。将 SInQUE 的使用情况与其他 2 个地方当局地区(1 个城市地区和 1 个农村地区)的使用情况进行了比较:在实施期间,共有 17 名工作人员对 28 名不同的服务使用者使用了 SInQUE(约占研究地区所有居住在辅助住宿区的服务使用者的 10%)。受访的工作人员和服务使用者都认为,SInQUE 具有协作性、全面性、用户友好性和相关性。虽然有些员工担心某些问题可能过于个人化,但服务使用者并不认同这种观点。受访者普遍认为,"融入式调查问卷 "可以促使人们进行深入交谈,并针对服务使用者的融入目标提供量身定制的具体支持,从而帮助确定个人在社会融入不同方面的优先事项。一些受访者还建议,该工具可以突出整个行政区尚未满足或无法满足的需求领域,从而为服务规划提供依据。在没有实施战略的对比地区,没有使用 SInQUE:在线 SInQUE 是一种可接受的、潜在的有用工具,可推荐用于评估和支持护理规划,以帮助精神健康辅助住宿服务中的人融入社会。尽管如此,研究期间的使用率并不高。要想在常规护理中使用该工具,关键在于采取协调一致的实施策略,包括由高级领导和服务管理人员主动认可。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Web-Based Tool to Assess Social Inclusion and Support Care Planning in Mental Health Supported Accommodation: Development and Preliminary Test Study.

Background: Individuals with severe mental illness living in supported accommodation are often socially excluded. Social inclusion is an important aspect of recovery-based practice and quality of life. The Social Inclusion Questionnaire User Experience (SInQUE) is a measure of social inclusion that has been validated for use with people with mental health problems. Previous research has suggested that the SInQUE could also help support care planning focused on enabling social inclusion in routine mental health practice.

Objective: This study aims to develop a web-based version of the SInQUE for use in mental health supported accommodation services, examine its acceptability and perceived usefulness as a tool to support care planning with service users, determine the extent of uptake of the tool in supported accommodation settings, and develop a program theory and logic model for the online SInQUE.

Methods: This study involved a laboratory-testing stage to assess the acceptability of the SInQUE tool through "think-aloud" testing with 6 supported accommodation staff members and a field-testing stage to assess the acceptability, utility, and use of the SInQUE tool over a 5-month period. An implementation strategy was used in 1 London borough to encourage the use of the SInQUE. Qualitative interviews with 12 service users and 12 staff members who used the tool were conducted and analyzed using thematic analysis. The use of the SInQUE was compared with that in 2 other local authority areas, 1 urban and 1 rural, where the tool was made available for use but no implementation strategy was used.

Results: Overall, 17 staff members used the SInQUE with 28 different service users during the implementation period (approximately 10% of all service users living in supported accommodation in the study area). The staff and service users interviewed felt that the SInQUE was collaborative, comprehensive, user-friendly, and relevant. Although some staff were concerned that particular questions might be too personal, service users did not echo this view. Participants generally felt that the SInQUE could help identify individuals' priorities regarding different aspects of social inclusion by prompting in-depth conversations and tailoring specific support to address service users' inclusion goals. Some interviewees also suggested that the tool could highlight areas of unmet or unmeetable needs across the borough that could feed into service planning. The SInQUE was not used in the comparison areas that had no implementation strategy.

Conclusions: The online SInQUE is an acceptable and potentially useful tool that can be recommended to assess and support care planning to enable social inclusion of people living in mental health supported accommodation services. Despite this, uptake rates were modest during the study period. A concerted implementation strategy is key to embedding its use in usual care, including proactive endorsement by senior leaders and service managers.

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来源期刊
Interactive Journal of Medical Research
Interactive Journal of Medical Research MEDICINE, RESEARCH & EXPERIMENTAL-
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