Liverpool Shaun, Pereira Brent, Hayes Daniel, Wolpert Miranda, Edbrooke-Childs Julian
Evidence-Based Practice Unit, Anna Freud National Centre for Children and Families, 4-8 Rodney Street, London, UK.
University College London, London, UK.
Eur Child Adolesc Psychiatry. 2021 Sep;30(9):1319-1338. doi: 10.1007/s00787-020-01530-7. Epub 2020 Apr 16.
Parents play a critical role in child and adolescent mental health care and treatment. With the increasing implementation of shared decision-making (SDM) across health settings, there is a growing need to understand the decision support interventions used to promote SDM in child and adolescent mental health services (CAMHS). The overall aim of this review is to identify and examine the existing decision support interventions available for parents. A broad search was conducted using the key concepts "shared decision-making", "parents" and "child and adolescent mental health". Five electronic databases were searched: PsycInfo, Embase, Medline, Web of Science and the Cochrane Library. In addition to these relevant databases, we searched the Ottawa's Inventory of Decision Aids, Children's Hospital of Eastern Ontario website, Google, Google Play and known CAMHS' websites. The search identified 23 interventions available for use with parents. These interventions targeted parents providing care for children with ADHD, ASD, emotional and behavioural problems including depression (EBD), self-harm or universal mental health care. Various modalities including face-to-face, digital and paper-based versions were adopted. The majority of the interventions were able to "present options" (87%) and "discuss the pros and cons" (83%) of treatment. Time, accessibility and appropriateness of the intervention emerged as factors influencing usage and implementation of interventions. Our findings suggest that SDM interventions involving parents have been implemented differently across various presenting mental health difficulties in CAMHS. This review brings awareness of existing parent-involved interventions and has implications for the development, implementation and usage of new interventions.
父母在儿童和青少年心理健康护理与治疗中发挥着关键作用。随着共同决策（SDM）在各个健康领域的日益实施，越来越需要了解用于促进儿童和青少年心理健康服务（CAMHS）中共同决策的决策支持干预措施。本综述的总体目标是识别和审查现有的可供父母使用的决策支持干预措施。使用“共同决策”“父母”和“儿童与青少年心理健康”等关键概念进行了广泛搜索。检索了五个电子数据库：PsycInfo、Embase、Medline、科学网和考科蓝图书馆。除了这些相关数据库外，我们还搜索了渥太华决策辅助工具清单、东安大略儿童医院网站、谷歌、谷歌应用商店以及知名的儿童和青少年心理健康服务网站。搜索确定了23种可供父母使用的干预措施。这些干预措施针对为患有注意力缺陷多动障碍（ADHD）、自闭症谱系障碍（ASD）、包括抑郁症在内的情绪和行为问题（EBD）、自我伤害或普遍心理健康问题的儿童提供护理的父母。采用了包括面对面、数字和纸质版本在内的各种形式。大多数干预措施能够“呈现选项”（87%）并“讨论治疗的利弊”（83%）。干预措施的时间、可及性和适宜性成为影响干预措施使用和实施的因素。我们的研究结果表明，在儿童和青少年心理健康服务中，涉及父母的共同决策干预措施在处理各种心理健康问题时的实施方式有所不同。本综述提高了对现有父母参与干预措施的认识，并对新干预措施的开发、实施和使用具有启示意义。
