阐明复杂的预防自杀干预措施的"黑盒子":使用规范化过程理论的实施理论
Sadhvi Krishnamoorthy1, Gregory Armstrong2, Sharna Mathieu1
1Australian Institute for Suicide Research and Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, School of Applied Psychology, Griffith University, Brisbane, QLD, Australia.
了解实施策略如何预防自杀是关键. 这项研究探讨了成功实施干预的背景和机制,为更好的实践提供了见解.
科学领域:
- 公共卫生
- 实施科学
- 心理健康研究
背景情况:
- 预防自杀的努力往往缺乏明确的策略, 阻碍了预期的结果.
- 实施策略影响自杀预防结果的机制尚未得到充分研究.
- 有效预防自杀需要更深入地了解背景和机制.
研究的目的:
- 探索和检查环境和机制在实施复杂的预防自杀干预措施中的作用.
- 确定实施策略如何影响自杀预防计划的成功.
- 为了解预防自杀的实施提供理论框架.
主要方法:
- 与利益相关者 (干预领导者,实施者,实践经验倡导者) 进行质量深入访谈.
- 从六个复杂的自杀预防干预中进行了有目的的抽样.
- 使用标准化过程理论的翻译编码手册进行数据分析.
主要成果:
- 参与者利用上下文的影响, 调整干预措施以更好地提供服务.
- 实施机制包括了解工作,能力建设和融入现有系统.
- 观察到的结果包括实践,组织,规范和日常干预的整合.
结论:
- 这项研究揭示了实施复杂的预防自杀干预的机制.
- 调查结果可以在不同的背景下为实施策略的制定和完善提供信息.
- 倡导转向以理论为基础的方法来理解自杀预防中的实施因果关系.
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