准确的儿童和青少年心理健康启动的参与逻辑模型:范围审查,案例研究和经验教训
Kathleen Pajer1,2,3, Christina Honeywell1,2, Heather Howley2
1Department of Psychiatry, Children's Hospital of Eastern Ontario (CHEO), Ottawa, ON, Canada.
Frontiers in health services
|November 1, 2024
概括
这项研究开发了一种参与式逻辑模型,用于精确的儿童和青少年心理健康 (PCYMH) 计划. 这个过程虽然是密集的,但它促进了强有力的利益相关者关系,这对PCYMH实施至关重要.
科学领域:
- 儿童和青少年心理健康 儿童和青少年心理健康
- 实施科学 实施科学
- 程序开发 程序开发
背景情况:
- 精密儿童和青少年心理健康 (PCYMH) 为护理和研究提供了变革性的潜力.
- 为了成功实施PCYMH,必须解决有关可行性,可持续性和公平性的担忧.
- 实施科学和参与逻辑模型可以促进PCYMH系统转型.
研究的目的:
- 报告PCYMH逻辑模型的范围审查的发现.
- 为PCYMH倡议创建参与式逻辑模型的案例研究.
- 为未来的PCYMH努力分享开发的模型和经验教训.
主要方法:
- 第1阶段包括范围审查,文献审查,环境扫描,差距分析和57个利益相关者采访.
- 第二阶段利用了与13个小组的36个利益相关者进行代的共同创作周期,以最终确定逻辑模型.
- 像RE-AIM和BCW这样的既有框架被整合起来,以指导模型开发.
主要成果:
- 范围审查发现没有现有的PCYMH逻辑模型.
- 确定了PCYMH组织研究中的重大差距 (1.2%) 和技术障碍.
- 八个共同创作周期导致了基于共识的参与逻辑模型.
结论:
- 这是PCYMH程序参与逻辑模型的首次报告.
- 参与式逻辑模型的创建是资源密集的,但建立了必要的利益相关者关系,以便快速实施.
- 提出的模型和方法可以指导PCYMH在其他站点的类似举措.
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