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确定人道主义环境中心理社会支持项目的研究重点。

Identifying research priorities for psychosocial support programs in humanitarian settings.

作者信息

Lee C, Nguyen A J, Haroz E, Tol W, Aules Y, Bolton P

机构信息

Department of International Health, Johns Hopkins School of Public Health, Baltimore, MD, USA.

Department of International Health, Center for Refugee and Disaster Response, Johns Hopkins School of Public Health, Baltimore, MD, USA.

出版信息

Glob Ment Health (Camb). 2019 Oct 7;6:e23. doi: 10.1017/gmh.2019.19. eCollection 2019.

Abstract

BACKGROUND

Given the range and reach of psychosocial support (PSS) interventions in humanitarian settings, within the continuum of mental health and psychosocial support services, evaluation of their impact is critical. Understanding stakeholders' perspectives on which PSS interventions of unknown effectiveness warrant rigorous evaluation is essential to identify research priorities. This project aimed to facilitate a process with stakeholders to reach consensus on PSS interventions that are of high priority for further research based on existing evidence and stakeholders' opinions.

METHODS

Interviews with 109 stakeholders working on PSS programming in humanitarian settings served as the foundation for two in-person regional meetings and four webinars. Nominal Group Technique (NGT) was used to develop a priority PSS program list. The top five priorities from each meeting were combined for a final online survey distributed globally.

RESULTS

Seventy participants across six meetings contributed to the prioritization process. Eighty-seven individuals completed the final online survey. 'Community based PSS' was the top-ranked research priority, followed by PSS integrated into basic services, providing PSS to caregivers to improve child wellbeing, PSS-focused gender-based violence programming, and classroom-based PSS interventions.

CONCLUSIONS

NGT and online surveys were effective methods to engage stakeholders in a priority setting exercise to development a research agenda. Information from this stage of the project will be combined with findings from a concurrent systematic review to form the base of a second phase of work, which will include the development and implementation of a research strategy to strengthen the evidence base for those prioritized interventions.

摘要

背景

鉴于心理社会支持(PSS)干预措施在人道主义环境中的范围和影响,在心理健康和心理社会支持服务的连续统一体中,评估其影响至关重要。了解利益相关者对哪些效果未知的PSS干预措施需要进行严格评估的看法,对于确定研究重点至关重要。该项目旨在推动与利益相关者开展一个过程,以便根据现有证据和利益相关者的意见,就具有高度研究优先级的PSS干预措施达成共识。

方法

对109名在人道主义环境中从事PSS项目工作的利益相关者进行的访谈,为两次面对面的区域会议和四次网络研讨会奠定了基础。采用名义小组技术(NGT)制定了一份PSS优先项目清单。每次会议的前五项优先事项被合并,用于全球范围内的最终在线调查。

结果

六次会议中的70名参与者为优先级确定过程做出了贡献。87人完成了最终的在线调查。“基于社区的PSS”是排名最高的研究重点,其次是融入基本服务的PSS、为照顾者提供PSS以改善儿童福祉、以PSS为重点的基于性别的暴力项目以及基于课堂的PSS干预措施。

结论

名义小组技术和在线调查是让利益相关者参与优先级设定活动以制定研究议程的有效方法。该项目这一阶段的信息将与同期系统评价的结果相结合,形成第二阶段工作的基础,其中将包括制定和实施一项研究策略,以加强那些优先干预措施的证据基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61cf/6796323/0b381d60b668/S2054425119000190_fig1.jpg

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