Millar S L, Donnelly M
Centre of Excellence for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Royal Victoria Hospital, Grosvenor Road, Belfast BT12 6BA, UK.
J Public Health (Oxf). 2014 Jun;36(2):275-84. doi: 10.1093/pubmed/fdt075. Epub 2013 Aug 2.
This paper describes the development of a complex intervention to promote mental wellbeing using the revised framework for developing and evaluating complex interventions produced by the UK Medical Research Council (UKMRC).
Application of the first two phases of the framework is described--development and feasibility and piloting. The theoretical case and evidence base were examined analytically to explicate the theoretical and empirical foundations of the intervention. These findings informed the design of a 12-week mental wellbeing promotion programme providing early intervention for people showing signs of mental health difficulties. The programme is based on the theoretical constructs of self-efficacy, self-esteem, purpose in life, resilience and social support and comprises 10 steps. A mixed methods approach was used to conduct a feasibility study with community and voluntary sector service users and in primary care.
A significant increase in mental wellbeing was observed following participation in the intervention. Qualitative data corroborated this finding and suggested that the intervention was feasible to deliver and acceptable to participants, facilitators and health professionals.
The revised UKMRC framework can be successfully applied to the development of public health interventions.
本文描述了一项使用英国医学研究理事会（UKMRC）制定的用于开发和评估复杂干预措施的修订框架来促进心理健康的复杂干预措施的开发过程。
描述了该框架前两个阶段的应用——开发以及可行性和试点。对理论依据和证据基础进行了分析研究，以阐明该干预措施的理论和实证基础。这些研究结果为一项为期12周的心理健康促进计划的设计提供了依据，该计划为有心理健康问题迹象的人群提供早期干预。该计划基于自我效能、自尊、生活目标、心理韧性和社会支持的理论构建，共包括10个步骤。采用混合方法对社区和志愿部门的服务使用者以及初级保健机构进行了可行性研究。
参与干预后，心理健康状况有显著改善。定性数据证实了这一发现，并表明该干预措施在实施上是可行的，且为参与者、协调人员和卫生专业人员所接受。
修订后的UKMRC框架可成功应用于公共卫生干预措施的开发。
