Département des sciences de la santé communautaire, Université de Sherbrooke, Québec, Canada.
Centre de recherche Charles-Le Moyne-Saguenay-Lac-St-Jean sur les innovations en santé, Campus Longueuil - Université de Sherbrooke, Longueuil, Québec, Canada.
J Glob Health. 2021 Apr 17;11:04022. doi: 10.7189/jogh.11.04022.
The World Health Organization (WHO)'s Mental Health Gap Action Programme (mhGAP)-Intervention Guide (IG) aims to integrate mental health into primary care/community-based settings by equipping non-specialists with tools, training, and support to deliver evidence-based interventions. With the growing popularity of the mhGAP-IG, a systematic review was conducted by Keynejad and colleagues (2018) to identify articles reporting on evidence generated from the implementation and evaluation of the mhGAP-IG in low- and middle-income countries (LMICs). Their review identified peer-reviewed articles and one thesis. In this current review, we report on the implementation and use of mhGAP-IG documented in the grey literature, an important and accessible channel to share information for LMICs.
We searched grey literature databases for documents that reported on the implementation and/or use of the mhGAP-IG or its training modules: ProQuest Dissertations & Theses Global, the Mental Health Innovation Network (MHIN) database, the WHO website, the mhGAP Newsletter, and the first 10 pages of Google search results. Authors developed and adapted search strategies according to database characteristics. Database searches were completed by November 12, 2019.
One hundred and fifty-one (n = 151) documents were included in our review. We report on where the mhGAP-IG has been implemented and/or used worldwide. Many types of personnel were trained in the mhGAP-IG and/or used it in clinical practice. Contextual barriers and facilitators may influence the implementation and/or use of the mhGAP-IG, and we organized these according to structural, organizational, provider, patient, and innovation characteristics. Some information on evaluating the mhGAP-IG was documented in the grey literature. Outcomes included: feasibility of implementing and/or using the mhGAP-IG, its coverage, its impact on the capacities of personnel, patient outcomes, and policies, as well as program costs.
This review of the grey literature provides rich experiential knowledge that can complement information documented in the peer-reviewed literature. It is important for researchers conducting reviews on global health/global mental health topics to consider incorporating grey literature search strategies in their reviews. This may not only help to acknowledge the research/dissemination realities of many LMICs, but also to generate findings that reinforce and/or expand those documented in peer-reviewed articles.
世界卫生组织（WHO）的心理健康差距行动规划（mhGAP）-干预指南（IG）旨在通过为非专家提供工具、培训和支持，使他们能够提供基于证据的干预措施，将心理健康纳入初级保健/社区环境中。随着 mhGAP-IG 的日益普及，Keynejad 等人（2018 年）进行了一项系统评价，以确定报告在低收入和中等收入国家（LMICs）实施和评估 mhGAP-IG 过程中产生的证据的文章。他们的综述确定了同行评议的文章和一篇论文。在本次综述中，我们报告了在灰色文献中记录的 mhGAP-IG 的实施和使用情况，这是为 LMICs 分享信息的一个重要且可访问的渠道。
我们在灰色文献数据库中搜索了报告 mhGAP-IG 实施和/或使用情况或其培训模块的文件：ProQuest Dissertations & Theses Global、心理健康创新网络（MHIN）数据库、WHO 网站、mhGAP 通讯和 Google 搜索结果的前 10 页。作者根据数据库的特点制定并调整了搜索策略。数据库搜索于 2019 年 11 月 12 日完成。
共有 151 篇（n=151）文献纳入本综述。我们报告了 mhGAP-IG 在全球的实施和/或使用情况。许多类型的人员接受了 mhGAP-IG 的培训，并在临床实践中使用了该指南。结构、组织、提供者、患者和创新特征可能会影响 mhGAP-IG 的实施和/或使用，我们根据这些特征对其进行了组织。灰色文献中记录了一些关于评估 mhGAP-IG 的信息。结果包括：实施和/或使用 mhGAP-IG 的可行性、覆盖范围、对人员能力的影响、患者结果和政策，以及项目成本。
对灰色文献的综述提供了丰富的经验知识，可以补充同行评议文献中记录的信息。对于从事全球健康/全球心理健康主题研究的研究人员来说，考虑在其研究中纳入灰色文献搜索策略非常重要。这不仅有助于承认许多 LMICs 的研究/传播现实，而且有助于生成强化和/或扩展同行评议文章中记录的研究结果。
