研究协议:在低资源环境 (NIMBLE) 中实施基于测量的青少年护理的新方法
Ruben G Martinez1,2, Bryan J Weiner3, Rosemary D Meza4
1The Warren Alpert Medical School of Brown University, Providence, RI, USA. ruben_martinez@brown.edu.
Implementation science communications
|November 29, 2023
概括
在青少年心理健康服务中,可以优化基于测量护理 (MBC) 的实施. 新的方法将识别和优先考虑障碍,以改善治疗忠诚度和青少年心理健康结果.
科学领域:
- 实施科学 实施科学
- 心理健康服务研究 心理健康服务研究
- 儿童和青少年精神病学 儿童和青少年精神病学
背景情况:
- 在接受社区心理健康护理的年轻人中,并发症很常见.
- 基于测量的护理 (MBC) 通过集中治疗和增强参与,显著改善了心理治疗的影响.
- 尽管MBC已被证明具有好处,但由于识别和解决障碍的挑战,MBC很少被忠实地实施.
研究的目的:
- 试点实用性实施方法,以优化社区心理健康中心的MBC忠诚度.
- 识别和优先考虑MBC实施的障碍.
- 将战略与优先考虑的障碍相匹配,以提高青少年的治疗质量.
主要方法:
- 在四个不同的社区心理健康中心试点实用性实施方法.
- 使用快速证据合成,快速民族学和设计套件.
- 采用障碍优先级和因果路径图来制定实施计划.
主要成果:
- 可以采取行动的障碍将通过描述的方法来确定.
- 将创建实施计划以优化MBC忠诚度.
- 在实施后将MBC忠实性与历史控制进行比较.
结论:
- 优化MBC实施可以通过早期针对关键症状来改变青年心理健康护理.
- 预期的挑战包括招聘和参与高压环境.
- 设计工具包方法工具包的共同设计将涉及青年和专业社区.
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