"早期干预不是一种选择,而是必要":从实施方便者那里学习,并从英格兰早期干预饮食障碍计划的快速扩展中面临的挑战
Lucy Hyam1, Claire Torkelson2, Katie Richards3
1Centre for Research in Eating and Weight Disorders, Department of Psychological Medicine, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.
Frontiers in health services
|February 2, 2024
概括
学术健康科学网络 (AHSN) 找到了像FREED的价值主张这样的促进者,但在全国推出第一集快速早期干预饮食障碍 (FREED) 服务时面临的障碍包括人员问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生创新 公共卫生创新
- 饮食障碍治疗方法 饮食障碍治疗方法
背景情况:
- 第一集饮食障碍快速早期干预 (FREED) 服务对患有饮食障碍的年轻人产生了积极的结果.
- 从2020年到2023年,英国全国范围内FREED的实施得到了公开资助的学术健康科学网络 (AHSNs) 的支持.
- 了解AHSN项目领导的经验对于评估健康创新的可扩展性和可持续性至关重要.
研究的目的:
- 探讨AHSN项目领导关于国家实施FREED服务的观点和经验.
- 确定影响FREED模型扩展和可持续性的促进者和障碍.
- 评估NHS内部实施饮食障碍早期干预服务的复杂性.
主要方法:
- 与13名参与国家FREED实施的AHSN项目负责人进行了半结构化采访.
- 使用具有批判现实主义方法的专题分析,在非采用,放弃和扩大,扩散和可持续性的挑战 (NASSS) 框架内组织发现.
- 将28个子主题归类为促进者,障碍者或两者兼而有之,并评估了7个NASS领域的复杂性.
主要成果:
- 确定了10个促进因素和13个障碍因素,五个子主题发挥了这两种作用,突出了从疾病相关复杂性到组织压力的因素.
- 关键的促进者包括FREED和支持网络的高价值提议.
- 重要障碍包括人员短缺和与疾病相关的因素,这些因素阻碍了早期干预的有效性.
结论:
- 对于FREED服务存在广泛的支持,但需要持续的投资,以持续提供和提高实施忠实度.
- 未来的发展应该专注于扩大早期干预的证据基础,加强培训,增加服务覆盖范围.
- 这些发现为扩大新的健康举措和饮食障碍早期干预策略提供了宝贵的见解.
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