School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Centre for Health Evaluation and Outcome Sciences, Providence Health Care, St. Paul's Hospital, Vancouver, British Columbia, Canada.
BMJ Open. 2018 Dec 27;8(12):e024588. doi: 10.1136/bmjopen-2018-024588.
Substance use disorders are chronic conditions that require a multidimensional treatment approach. Despite ongoing efforts to diversify such treatments, evidence continues to illuminate modest rates of treatment engagement and perceived barriers to treatment. Patient-centred care (PCC) is one approach that may strengthen the responsiveness of treatments for people with problematic substance use. The aim of this scoping review is to explore how the principles of PCC have been implemented and operationalised in healthcare settings for people with problematic substance use.
This scoping review follows the iterative stages of the Arksey and O'Malley framework. Both empirical (from Medline, Embase, PsycINFO, CINAHL and ISI Web of Science) and grey literature references will be considered if they focused on populations with problematic substance use and described or measured PCC or one of its principles in a health-oriented context. Two reviewers will independently screen references in two successive stages of title/abstract screening and then full-text screening for references meeting title/abstract criteria. A descriptive overview, tabular and/or graphical summaries, and a directed content analysis will be carried out on extracted data. This scoping review has been registered with Open Science Framework (https://osf.io/5swvd/).
This review will systematically examine the extent and nature of existing evidence of PCC in addiction research and clinical practice. Such evidence will contribute to the operationalisation of PCC for people with problematic substance use. A multidisciplinary team has been gathered to represent the needs of people with problematic substance use, healthcare providers and decision-makers. The team's knowledge users will be engaged throughout this review and will participate in dissemination activities (eg, workshops, presentations, publications, reports).
物质使用障碍是一种慢性疾病,需要采取多维治疗方法。尽管一直在努力使这些治疗方法多样化,但仍有证据表明治疗的参与率和治疗的认知障碍率仍然较低。以患者为中心的护理(PCC)是一种可能增强人们对有问题的物质使用治疗反应的方法。本综述的目的是探讨在有问题的物质使用人群的医疗保健环境中,如何实施和实施 PCC 的原则。
本综述遵循阿特塞和奥马利框架的迭代阶段。如果文献重点关注有问题的物质使用人群,并在健康为导向的背景下描述或衡量 PCC 或其原则之一,则将同时考虑实证(来自 Medline、Embase、PsycINFO、CINAHL 和 ISI Web of Science)和灰色文献参考文献。两名审查员将独立筛选标题/摘要筛选和全文筛选两个连续阶段的参考文献,以筛选符合标题/摘要标准的参考文献。将对提取的数据进行描述性概述、表格和/或图形总结以及定向内容分析。本综述已在开放科学框架(https://osf.io/5swvd/)上注册。
本综述将系统地检查 PCC 在成瘾研究和临床实践中的现有证据的程度和性质。这种证据将有助于 PCC 在有问题的物质使用人群中的实施。一个多学科团队已经聚集在一起,以代表有问题的物质使用人群、医疗保健提供者和决策者的需求。团队的知识用户将在整个审查过程中参与,并参与传播活动(例如,研讨会、演讲、出版物、报告)。