向青少年初级保健患者推用于焦虑和抑郁症的单次干预:可行性研究协议
Mara Eyllon1, Michelle Dalal2,3, Laura Jans4
1Practice Research Network, Reliant Medical Group, Worcester, MA, United States.
JMIR research protocols
|August 9, 2023
概括
这项研究实施了YES项目,这是一个单次干预 (SSI) 平台,旨在改善患有抑郁症和焦虑症的青少年获得心理健康护理的机会. 该工作流旨在增加在初级保健机构中SSI的使用.
科学领域:
- 青少年心理健康 青少年心理健康
- 数字健康干预措施 数字健康干预措施
- 在初级保健整合.
背景情况:
- 青少年的抑郁和焦虑率正在上升,但只有不到一半的青少年得到了适当的照顾.
- 在初级保健中,单期干预 (SSI) 提供了一种潜在的解决方案,可以弥合这种治疗差距.
研究的目的:
- 实施临床工作流程,将轻度至中度抑郁/焦虑的青少年 (13-17岁) 推到SSI平台"YES项目".
- 在大群体医疗实践中,将这种转诊过程与行为健康服务相结合.
主要方法:
- 在项目YES的好处和转介工作流程上教育儿科和行为健康提供者.
- 使用EHR系统 (Epic) 在健康儿童和行为健康检查期间无推患者.
- 邀请患有轻度/中度内化症状的患者 (儿科症状检查清单) 通过YES项目访问SSI.
- 评估提供者的采用,可接受性,可行性和随时间推移的适当性.
主要成果:
- 计划实施和评估期间为2022年11月至2023年5月.
- 数据分析和手稿准备预计将于2023年夏天进行.
结论:
- 通过YES项目,SSI可以为青少年提供负担得起的,基于证据的心理健康治疗.
- 成功整合SSI的初级保健可以显著提高青少年在不给提供者过重负担的情况下获得心理健康护理的机会.
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