Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Barwon Health, Deakin University, Geelong, VIC, Australia.
Deakin Rural Health, Deakin University, Geelong, VIC, Australia.
PLoS One. 2022 Dec 9;17(12):e0278606. doi: 10.1371/journal.pone.0278606. eCollection 2022.
Australians from regional, rural, and remote areas face diverse and complex challenges in accessing and utilising mental health services. Previous research has pointed to a range of individual, community, structural, and systemic barriers at play, however, limited literature has synthesised the knowledge on this topic. Parallel to this, information on the facilitators to accessing and utilising mental health services for this group is not well documented. This protocol describes the methodology to undertake a scoping review, which aims to explore the barriers and facilitators associated with accessing and utilising mental health services in regional, rural, and remote Australia. In addition, the scoping review aims to geographically map the identified barriers and facilitators.
This protocol is guided by Arksey and O'Malley's methodological framework. A search strategy will be developed and implemented to identify relevant peer-reviewed and grey literature. Studies will be included if they report on the barriers and/or facilitators associated with accessing and/or utilising mental health services in regional, rural, and remote Australia. Two reviewers will independently screen the data at the title/abstract and full-text stage. One reviewer will extract the relevant data using a predetermined charting form and a second reviewer will validate the included data. A Geographical Information System program will be used to map the location of the studies; locations will be stratified according to the Modified Monash Model and relationships between barriers and facilitators will be analysed. Key findings will be presented in a narrative account and in text, tables, and maps.
This scoping review will provide a contemporary account on the barriers and facilitators to accessing and utilising mental health services for regional, rural, and remote Australians. It is anticipated that the results of this scoping review will have national policy relevance and may be useful to healthcare providers.
澳大利亚的地区、农村和偏远地区的居民在获得和使用心理健康服务方面面临着多样化和复杂的挑战。先前的研究指出了一系列个体、社区、结构和系统障碍，但关于这一主题的知识综合有限。与此平行的是，关于该人群获得和使用心理健康服务的促进因素的信息也没有很好地记录。本方案描述了进行范围综述的方法，该综述旨在探讨与澳大利亚地区、农村和偏远地区获得和使用心理健康服务相关的障碍和促进因素。此外，范围综述旨在在地理上绘制出已确定的障碍和促进因素。
本方案以 Arksey 和 O'Malley 的方法框架为指导。将制定并实施搜索策略，以确定相关的同行评审和灰色文献。如果研究报告了与澳大利亚地区、农村和偏远地区获得和/或使用心理健康服务相关的障碍和/或促进因素，则将其纳入研究。两名评审员将独立筛选标题/摘要和全文阶段的数据。一名评审员将使用预定的图表表格提取相关数据，另一名评审员将验证纳入的数据。地理信息系统程序将用于绘制研究地点的地图；根据改良 Monash 模型对地点进行分层，并分析障碍和促进因素之间的关系。主要结果将以叙述性说明和文本、表格和地图的形式呈现。
本范围综述将提供有关澳大利亚地区、农村和偏远地区居民获得和使用心理健康服务的障碍和促进因素的当代描述。预计该范围综述的结果将具有国家政策相关性，并可能对医疗保健提供者有用。
