Duncan Fiona H, McGrath Mike, Baskin Cleo, Osborn David, Dykxhoorn Jen, Kaner Eileen F S, Gnani Shamini, LaFortune Louise, Lee Caroline, Walters Kate R, Kirkbride James, Fischer Laura, Jones Oli, Pinfold Vanessa, Stansfield Jude, Oliver Emily J
Department of Sport and Exercise Sciences, Durham University, Durham, UK
Division of Psychiatry, UCL, London, UK.
BMJ Open. 2020 Jul 13;10(7):e037631. doi: 10.1136/bmjopen-2020-037631.
Public mental health (PMH) is a global challenge and a UK priority area for action. However, to progress, practitioners require a stronger evidence base regarding the effectiveness of approaches, particularly regarding promotion and prevention through community-centred interventions. In addition, policy-makers need to understand what is being delivered, particularly in areas of high need, to identify promising practices or gaps in PMH provision. Finally, and importantly, the public need better information regarding what approaches and services are available to them. We report a protocol designed to (1) identify the types of community-centred interventions used in purposively selected diverse geographical areas of England to improve PMH outcomes and (2) describe the type, target population, content and outcome measures of each intervention.
Five local authority areas of England were selected based on either high social deprivation or differing ethnic population statistics and geographical locations. Community-centred interventions in each area will be identified through: (1) desk-based data capture from standardised searches of publicly-available information (eg, policy, strategy and intervention advertising), (2) established professional networks and service contacts, (3) chain-referral sampling of individuals involved in local mental health promotion and prevention and (4) peer researchers, who will use their personal experience and local knowledge to help identify potentially relevant organisations. Data on the key features of the interventions will be extracted from individuals either by structured interviews or by electronic questionnaires with information regarding the intervention(s) of which they have knowledge. Initial data analysis will involve tabulating descriptive information and grouping interventions according to intervention type, target population, risk/protective factor and intended primary outcome. A descriptive comparison will be made between selected geographical areas.
Ethical approval was obtained from Durham University's Department of Sport and Exercise Sciences Research Ethics Committee. We plan to disseminate our findings at relevant conferences, meetings and through peer-reviewed journals. We also plan to disseminate to the public and intervention providers through social media and/or newsletters.
公共心理健康(PMH)是一项全球性挑战,也是英国的一个优先行动领域。然而,为了取得进展,从业者需要关于方法有效性的更有力证据基础,特别是关于通过以社区为中心的干预措施进行促进和预防方面的证据。此外,政策制定者需要了解正在提供哪些服务,特别是在需求高的领域,以便确定有前景的做法或公共心理健康服务提供方面的差距。最后,也是重要的一点,公众需要更好地了解有哪些方法和服务可供他们使用。我们报告了一项方案,旨在(1)确定在英格兰特意选择的不同地理区域用于改善公共心理健康结果的以社区为中心的干预措施类型,以及(2)描述每种干预措施的类型、目标人群、内容和结果指标。
根据高社会剥夺程度或不同的种族人口统计数据及地理位置,选择了英格兰的五个地方当局区域。将通过以下方式确定每个区域以社区为中心的干预措施:(1)从公开可用信息(如政策、战略和干预措施宣传)的标准化搜索中基于案头的数据收集,(2)已建立的专业网络和服务联系,(3)对参与当地心理健康促进和预防的个人进行链式推荐抽样,以及(4)同行研究人员,他们将利用自己的个人经验和当地知识来帮助确定潜在相关组织。关于干预措施关键特征的数据将通过结构化访谈或电子问卷从了解相关干预措施的个人那里提取。初步数据分析将包括整理描述性信息,并根据干预措施类型、目标人群、风险/保护因素和预期主要结果对干预措施进行分组。将在选定的地理区域之间进行描述性比较。
已获得杜伦大学体育与运动科学研究伦理委员会的伦理批准。我们计划在相关会议、研讨会以及通过同行评审期刊传播我们的研究结果。我们还计划通过社交媒体和/或时事通讯向公众和干预措施提供者传播。