干预措施以减少寻求心理健康服务的青少年的等待时间：范围综述方案。

Interventions to reduce wait times for adolescents seeking mental health services: a scoping review protocol.

机构信息

Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia.

Curtin School of Population Health, Curtin University, Perth, Western Australia, Australia.

出版信息

BMJ Open. 2023 Sep 7;13(9):e073438. doi: 10.1136/bmjopen-2023-073438.

DOI:10.1136/bmjopen-2023-073438

PMID:37678945

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10496663/

Abstract

INTRODUCTION

The demand for adolescent mental health services has increased significantly in recent years, leading to excessive wait times for adolescents seeking mental health services and poor mental health outcomes. Timely access to mental health services is critical to reducing the risk of symptom chronicity and progression to mental disorder. A better understanding of whether and how interventions to reduce wait times impact mental health outcomes is needed to guide mental health policymakers and service planners in their approach to reducing wait times.

METHODS AND ANALYSIS

The scoping review will use Arksey and O'Malley's six-stage framework for scoping reviews and Rayyan to support screening, data extraction and evidence synthesis. The review will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. We will search the Cochrane Library, EBSCOhost, MEDLINE (Ovid), PsycArticles (Ovid), PsycINFO (Ovid), EMBASE (Ovid), Web of Science, ProQuest and Scopus databases for peer-reviewed texts published in English between 1 January 2000 and 28 February 2023. We will also search Google Scholar for additional grey literature. To be eligible for inclusion, studies must focus on adolescent populations aged 13-18 years and report on interventions to reduce wait times for any mental health service except crisis and emergency services. Title, abstract and full-text screening will be done by two reviewers. We will extract data describing the interventions and their effects on wait times and adolescent mental health outcomes, and we will identify strengths and limitations in the evidence base to inform recommendations for future research. A youth advisory group with lived experience of mental health difficulties will be consulted throughout the review process.

ETHICS AND DISSEMINATION

Ethics approval is not required. Findings will be disseminated via peer-reviewed publications and presented at conferences.

STUDY REGISTRATION

The protocol was registered with the Open Science Framework on 20 February 2023 (https://osf.io/qt4zy).

摘要

简介

近年来，青少年心理健康服务的需求显著增加，导致寻求心理健康服务的青少年等待时间过长，心理健康状况不佳。及时获得心理健康服务对于降低症状持续存在和发展为精神障碍的风险至关重要。需要更好地了解减少等待时间的干预措施是否以及如何影响心理健康结果，以指导心理健康政策制定者和服务规划者采取措施减少等待时间。

方法和分析

该范围综述将使用 Arksey 和 O'Malley 的六阶段框架进行范围综述，并使用 Rayyan 支持筛选、数据提取和证据综合。该综述将按照系统评价和荟萃分析扩展范围综述的首选报告项目进行。我们将在 Cochrane 图书馆、EBSCOhost、MEDLINE（Ovid）、PsycArticles（Ovid）、PsycINFO（Ovid）、EMBASE（Ovid）、Web of Science、ProQuest 和 Scopus 数据库中搜索 2000 年 1 月 1 日至 2023 年 2 月 28 日期间以英文发表的同行评议文本，并在 Google Scholar 中搜索额外的灰色文献。为了符合纳入标准，研究必须关注 13-18 岁的青少年人群，并报告减少任何心理健康服务（除危机和紧急服务外）等待时间的干预措施。标题、摘要和全文筛选将由两名评审员进行。我们将提取描述干预措施及其对等待时间和青少年心理健康结果影响的数据，并确定证据基础的优势和局限性，为未来研究提供建议。一个有精神健康困难生活经历的青年咨询小组将在整个审查过程中提供咨询。