Department of Clinical, Educational and Health Psychology, University College London, London, WC1E 7HB, UK.
National Collaborating Centre for Mental Health (NCCMH), Royal College of Psychiatrists, 21 Prescot Street, London, E1 8BB, UK.
Syst Rev. 2020 May 26;9(1):115. doi: 10.1186/s13643-020-01333-6.
This work aimed to identify studies of interventions seeking to address mental health inequalities, studies assessing the economic impact of such interventions and factors which act as barriers and those that can facilitate interventions to address inequalities in mental health care.
A systematic mapping method was chosen. Studies were included if they: (1) focused on a population with: (a) mental health disorders, (b) protected or other characteristics putting them at risk of experiencing mental health inequalities; (2) addressed an intervention focused on addressing mental health inequalities; and (3) met criteria for one or more of three research questions: (i) primary research studies (any study design) or systematic reviews reporting effectiveness findings for an intervention or interventions, (ii) studies reporting economic evaluation findings, (iii) primary research studies (any study design) or systematic reviews identifying or describing, potential barriers or facilitators to interventions. A bibliographic search of MEDLINE, HMIC, ASSIA, Social Policy & Practice, Sociological Abstracts, Social Services Abstracts and PsycINFO spanned January 2008 to December 2018. Study selection was performed according to inclusion criteria. Data were extracted and tabulated to map studies and summarise published research on mental health inequalities. A visual representation of the mapping review (a mapping diagram) is included.
Overall, 128 studies met inclusion criteria: 115 primary studies and 13 systematic reviews. Of those, 94 looked at interventions, 6 at cost-effectiveness and 36 at barriers and facilitators. An existing taxonomy of disparities interventions was used and modified to categorise interventions by type and strategy. Most of the identified interventions focused on addressing socioeconomic factors, race disparities and age-related issues. The most frequently used intervention strategy was providing psychological support. Barriers and associated facilitators were categorised into groups including (not limited to) access to care, communication issues and financial constraints.
The mapping review was useful in assessing the spread of literature and identifying highly researched areas versus prominent gaps. The findings are useful for clinicians, commissioners and service providers seeking to understand strategies to support the advancement of mental health equality for different populations and could be used to inform further research and support local decision-making.
Not applicable.
本研究旨在识别旨在解决心理健康不平等问题的干预措施研究，评估此类干预措施的经济影响的研究，以及作为障碍和促进干预措施解决心理健康护理不平等的因素。
选择了系统制图方法。如果研究符合以下标准，则将其纳入：（1）关注具有以下特征的人群：（a）精神障碍，（b）受保护或其他使其面临心理健康不平等风险的特征；（2）针对解决心理健康不平等问题的干预措施；（3）满足以下三个研究问题之一的标准：（i）针对干预措施或干预措施报告有效性发现的原始研究（任何研究设计）或系统评价，（ii）报告经济评估结果的研究，（iii）针对潜在障碍或促进干预措施的原始研究（任何研究设计）或系统评价。对 MEDLINE、HMIC、ASSIA、Social Policy & Practice、Sociological Abstracts、Social Services Abstracts 和 PsycINFO 进行了文献检索，检索范围为 2008 年 1 月至 2018 年 12 月。根据纳入标准进行研究选择。提取并编制数据以绘制研究图并总结心理健康不平等方面的已发表研究。包括映射审查的可视化表示（映射图）。
共有 128 项研究符合纳入标准：115 项原始研究和 13 项系统评价。其中，94 项研究着眼于干预措施，6 项研究着眼于成本效益，36 项研究着眼于障碍和促进因素。使用并修改了现有的差异干预措施分类法来按类型和策略对干预措施进行分类。大多数确定的干预措施侧重于解决社会经济因素、种族差异和与年龄相关的问题。最常用的干预策略是提供心理支持。障碍和相关促进因素分为包括（不限于）获得护理、沟通问题和财务限制等类别。
映射审查有助于评估文献的传播情况，并确定研究较多的领域与突出的差距。研究结果对寻求了解支持不同人群心理健康平等的策略的临床医生、决策者和服务提供者很有用，并且可以用于为进一步的研究提供信息并支持当地的决策。
不适用。
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