包括对同行支持的研究在内的各种元素使证据综合复杂化
Megan Evans1,2,3, Gary S Cuddeback4, Carol Golin3
1Program for Recovery and Community Health, Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Journal of mental health (Abingdon, England)
|April 1, 2024
概括
对严重精神疾病的同行支持服务是多样化的. 建议针对特定组件进行专注的研究,例如自我管理援助和共享实践经验,以提高效率.
科学领域:
- 心理健康 心理健康
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 严重的精神疾病,如精神分裂症,有未满足的护理需求.
- 同行支持服务正在扩大,但其有效性调查结果是混合的.
- 之前的审查忽视了同行支持研究中的各种元素.
研究的目的:
- 突出干预组件和同行支持研究结果的多样性.
- 建立一个基础,对特定的同行支持组件进行更专注的审查.
- 分析严重精神疾病的同行支持干预措施的异质性.
主要方法:
- 进行了对文献的现实主义审查.
- 综合证据,重点关注干预组件和测量结果.
- 检查了26项同行支持研究中的多样性.
主要成果:
- 确定了七个结果类别,包括恢复,症状,功能和护理利用率.
- 有七个不同的干预组件:存在,自我管理,联系,社会支持,持续支持,共享经验和系统宣传.
- 没有单一的研究包括所有组件,也没有组件在所有研究中具有普遍性.
结论:
- 同行支持服务太多样化,不能被视为单一的干预类型.
- 诸如自我管理辅助",在那里"和利用共享的实践经验等组成部分需要进一步集中研究.
- 了解同行支持的多样性对于优化心理健康护理至关重要.
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