Department of Occupational Therapy, University of Québec at Trois-Rivières, Trois-Rivières, Québec, Canada (Thériault, Lord, Briand); Department of Psychiatry, Douglass Hospital Research Centre, McGill University, Montreal (Piat); Psychology and Psychological Therapies, Sussex Partnership National Health Service Foundation Trust, Hove, United Kingdom (Meddings).
Psychiatr Serv. 2020 Sep 1;71(9):928-940. doi: 10.1176/appi.ps.201900352. Epub 2020 May 28.
Since the first recovery college (RC) opened in England in 2009, many more have begun operating around the world. The body of knowledge regarding the effects of RCs is growing, suggesting their benefit to recovery, well-being, goal achievement, knowledge, self-management, social support, reduced stigma, and service use. The objective of this review was to establish the state of knowledge about RCs from current empirical literature and to document the methods used to evaluate them.
In consultation with an international expert panel, two independent evaluators performed a literature review with no date limits on publications in the Medline and Scopus electronic databases.
A total of 460 articles were found, and 31 publications were retained. RC attendance was associated with high satisfaction among students, attainment of recovery goals, changes in service providers' practice, and reductions in service use and cost.
To our knowledge, this is the first literature review of peer-reviewed publications about original studies evaluating the impacts of RCs, including studies pertaining to students, health service providers' practices, education and management practitioners, and citizens. Quantitative studies with a high level of evidence were underrepresented and should be considered as a future evaluation design. Furthermore, outcomes such as empowerment and reduced stigma should be assessed with standardized tools. The impact of RCs on attendees, family, friends, and caregivers and on the everyday practice of health service providers who attend RCs for continuing education or as tutors should also be assessed.
自 2009 年英国第一所康复学院(RC)成立以来,全球已有更多的学院开始运营。有关 RC 效果的知识体系不断发展,表明其对康复、幸福、目标实现、知识、自我管理、社会支持、减少污名化和服务利用都有益处。本综述的目的是从当前的实证文献中确定 RC 的知识状况,并记录评估它们的方法。
在与国际专家小组协商后,两名独立评估员在 Medline 和 Scopus 电子数据库中对没有时间限制的出版物进行了文献综述。
共发现 460 篇文章,保留了 31 篇出版物。参加 RC 与学生的高度满意度、康复目标的实现、服务提供者实践的改变以及服务使用和成本的减少有关。
据我们所知,这是对评估 RC 影响的同行评审出版物的首次文献综述,包括与学生、卫生服务提供者的实践、教育和管理从业者以及公民相关的研究。证据水平较高的定量研究代表性不足,应被视为未来的评估设计。此外,应该使用标准化工具评估赋权和减少污名化等结果。还应评估 RC 对与会者、家属、朋友和照顾者的影响,以及参加 RC 进行继续教育或担任导师的卫生服务提供者的日常实践的影响。