Clara Johnson, Carla Valero Martínez, Celine Lu, Sharon Kiche, Rashed AlRasheed, Priya Dahiya, Noah S Triplett, Kirstyn N Smith-LeCavalier, Anna Testorf, Shannon Dorsey
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(2021), the current scoping review aims to synthesize how trials conducted in community mental health settings describe the rationale, definition, measurement approach, and results of feasibility. The search included articles from Medline, PsycInfo, CENTRAL, Global Health, and Global Index Medicus and was conducted in September 2023. Included articles referenced feasibility and had each of the following: (1) delivery of an evidence-based psychotherapy (EBP) in a community mental health setting, (2) participants with elevated mental health symptomatology, and (3) implementation and/or clinical outcomes. Through data extraction, data synthesis, and qualitative content analysis, the authors identified feasibility definitions, measures, results, and explanations as well as intervention characteristics. Sixty-one articles across 20 countries were included. Articles included a wide range of EBPs delivered to individuals across the life span in community mental health settings. 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引用次数: 0
摘要
可行性,即创新在特定环境中成功实施的程度,是干预措施是否按计划实施的关键,并与实施成功和服务结果相关联。在资源有限的情况下,可行性可能是干预措施是否被采用和/或长期维持的一个特别重要的决定因素。然而,对于如何定义、测量和报告在社区精神卫生机构进行的研究的可行性,目前的共识有限。根据Arksey和O'Malley(2005)、Levac等人(2010)和Westphaln等人(2021)的指导,目前的范围审查旨在综合在社区精神卫生环境中进行的试验如何描述基本原理、定义、测量方法和可行性结果。检索包括Medline、PsycInfo、CENTRAL、Global Health和Global Index Medicus的文章,检索于2023年9月进行。纳入的文章参考了可行性,并分别具有以下内容:(1)在社区精神卫生环境中提供循证心理治疗(EBP),(2)心理健康症状升高的参与者,以及(3)实施和/或临床结果。通过数据提取、数据综合和定性内容分析,确定了可行性定义、措施、结果、解释和干预特征。其中包括来自20个国家的61篇文章。文章包括在社区精神卫生机构中向个人提供的广泛的ebp。虽然所有的研究都报告了某种程度的干预或试验的可行性,但只有60.7%描述了检查可行性的基本原理,11.5%定义了可行性,73.8%测量了可行性,67.2%报告了伴随发现的可行性水平的描述性统计数据。我们的研究结果强调了在社区心理健康环境中进行的研究缺乏明确和一致的基本原理、定义、测量方法和可行性结果。为了提高可行性的概念化和研究,我们提出了一些指导方针,供未来的研究人员在审查可行性时考虑。该指引包括提供可行性的明确定义(即在特定情况下,环境保护计划的可行程度;Proctor et al., 2011),结合可行性的反思性和形成性措施来评估干预措施的可行性和为什么被认为是可行的(分别),考虑在实施过程中研究人员的参与,在可行性措施中涉及多种声音,并探索可行性对其他实施结果以及临床结果的影响。
Feasibility in Community Mental Health Research: A Scoping Review.
Feasibility, the degree to which an innovation is successfully carried out in a given setting, is key to whether an intervention will be implemented as planned and is connected to implementation success and service outcomes. In settings with limited resources, feasibility may be a particularly important determinant of whether an intervention is adopted and/or sustained over time. However, there is limited consensus on how to define, measure, and report feasibility in research conducted in community mental health settings. Following guidance from Arksey and O'Malley (2005), Levac et al. (2010), and Westphaln et al. (2021), the current scoping review aims to synthesize how trials conducted in community mental health settings describe the rationale, definition, measurement approach, and results of feasibility. The search included articles from Medline, PsycInfo, CENTRAL, Global Health, and Global Index Medicus and was conducted in September 2023. Included articles referenced feasibility and had each of the following: (1) delivery of an evidence-based psychotherapy (EBP) in a community mental health setting, (2) participants with elevated mental health symptomatology, and (3) implementation and/or clinical outcomes. Through data extraction, data synthesis, and qualitative content analysis, the authors identified feasibility definitions, measures, results, and explanations as well as intervention characteristics. Sixty-one articles across 20 countries were included. Articles included a wide range of EBPs delivered to individuals across the life span in community mental health settings. While all studies reported some level of feasibility of an intervention or trial, only 60.7% described a rationale for examining feasibility, 11.5% defined feasibility, 73.8% measured feasibility, and 67.2% reported descriptive statistics to accompany the level of feasibility found. Our results highlight the lack of clear and consistent rationales, definitions, measurement approaches, and results of feasibility in research conducted in community mental health settings. To improve the conceptualization and study of feasibility, we propose guidelines for future researchers to consider when examining feasibility. The guidelines include providing a clear definition of feasibility (i.e., the extent to which an EBP is possible in a certain context; Proctor et al., 2011), combining reflective and formative measures of feasibility to assess how feasible an intervention is and why it is deemed feasible (respectively), considering when in the implementation process researchers are engaged, involving multiple voices in the measures of feasibility, and exploring the impact of feasibility on other implementation outcomes as well as clinical outcomes.
期刊介绍:
The aim of Administration and Policy in Mental Health and Mental Health Services is to improve mental health services through research. This journal primarily publishes peer-reviewed, original empirical research articles. The journal also welcomes systematic reviews. Please contact the editor if you have suggestions for special issues or sections focusing on important contemporary issues. The journal usually does not publish articles on drug or alcohol addiction unless it focuses on persons who are dually diagnosed. Manuscripts on children and adults are equally welcome. Topics for articles may include, but need not be limited to, effectiveness of services, measure development, economics of mental health services, managed mental health care, implementation of services, staffing, leadership, organizational relations and policy, and the like. Please review previously published articles for fit with our journal before submitting your manuscript.