通过综合护理和任务转移改善年轻人获得行为健康服务:集群随机阶段 klinical trial的协议
Brigid R Marriott1,2, Leslie Hulvershorn1,2, Johnathan Oliver1,3
1Adolescent Behavioral Health Research Program, Indiana University School of Medicine, Indianapolis, IN, USA.
Contemporary clinical trials communications
|July 21, 2025
概括
这项研究评估了一种适应的儿科综合行为健康 (Peds IBH) 模型,使用任务转移来改善心理健康准入. 它评估了实施促进者,障碍物和与初级保健机构护理的联系.
科学领域:
- 实施科学 实施科学
- 儿科心理健康 儿科心理健康
- 主要护理是指初级护理.
背景情况:
- 综合行为健康模型通过将提供者嵌入到初级保健中来改善心理健康服务的获取.
- 非专家提供服务的任务转移可以解决心理健康专业人员短缺的问题.
- 儿科综合行为健康 (Peds IBH) 模型为改善儿童心理健康服务提供提供了一个有希望的解决方案.
研究的目的:
- 评估适应儿科综合行为健康 (Peds IBH) 模型的实施情况.
- 探索儿童IBH实施的促进者和障碍.
- 检查儿童IBH对与行为健康护理的联系的影响.
主要方法:
- 一个混合型III实施-有效性,集群随机化阶段结试验在25个儿科初级保健诊所.
- 儿科IBH计划包括轻度至中度焦虑,抑郁和行为问题的任务转移,利用学士级干预医生提供的认知行为疗法.
- 数据收集包括来自护理团队,提供者,青年和护理人员的调查,以及定性访谈和实施策略的跟踪.
主要成果:
- 实施结果将是主要重点,收集有效性数据以告知未来的传播.
- 该研究将确定影响儿童IBH在初级保健中成功采用和整合的关键因素.
- 将评估患者与行为健康服务在实施前和之后的参与度的变化.
结论:
- 这项试验将为儿童IBH模型的可行性和有效性提供关键的见解.
- 结果将指导在儿科初级保健中更广泛地传播综合行为健康服务.
- 这项研究旨在提高儿童和青少年心理健康护理的可访问性和质量.
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