University of Queensland Centre for Clinical Research (UQCCR), Herston, Queensland, Australia
University of Queensland Centre for Clinical Research (UQCCR), Herston, Queensland, Australia.
BMJ Open. 2024 Feb 26;14(2):e078493. doi: 10.1136/bmjopen-2023-078493.
Current mental health practices for people living in residential aged care (RAC) facilities are poor. In Australia, there are no mechanisms to monitor and promote mental health for people living in RAC, including those who experience changed behaviours and psychological symptoms. The aim of this study is to improve current practices and mental health outcomes for people living in RAC facilities by codesigning a Mental Health benchmarking Industry Tool for residential aged Care (MHICare Tool).
A two-stage sequential and mixed methods codesign methodology will be used. Stage 1 will include qualitative interviews and focus groups to engage with residents, family/care partners and RAC staff to ascertain mental healthcare practices and outcomes of greatest significance to them. Adapted concept mapping methods will be used to rank identified issues of concern in order of importance and changeability, and to generate draft quality indicators. Stage 2 will comprise a Delphi procedure to gain the wider consensus of expert panel views (aged care industry, academic, clinical) on the performance indicators to be included, resulting in the codesigned MHICare Tool.
This study has been reviewed and approved by the University of Queensland Human Research Ethics Committee (HREC/2019002096). This project will be carried out according to the National Statement on Ethical Conduct in Human Research (2007). The study's findings will be published in peer-reviewed journals and disseminated at national and international conferences and through social media.
This protocol reports structured methods to codesign and develop a mental health performance indicator tool for use in Australian RAC.
目前，居住在养老院（RAC）设施中的人们的心理健康实践很差。在澳大利亚，没有监测和促进居住在 RAC 中的人们的心理健康的机制，包括那些经历行为改变和心理症状的人。本研究的目的是通过共同设计一个针对养老院的心理健康基准行业工具（MHICare 工具）来改善目前的实践和居住在养老院设施中的人们的心理健康结果。
将采用两阶段顺序和混合方法共同设计方法。第 1 阶段将包括对居民、家庭/护理伙伴和 RAC 工作人员进行定性访谈和焦点小组，以确定对他们最重要的心理健康护理实践和结果。将使用改编的概念映射方法对确定的关注问题进行排名，以确定其重要性和可变性，并生成草案质量指标。第 2 阶段将包括一个 Delphi 程序，以获得更广泛的专家小组（老年护理行业、学术、临床）对要包含的绩效指标的共识，从而生成共同设计的 MHICare 工具。
这项研究已经过昆士兰大学人类研究伦理委员会（HREC/2019002096）的审查和批准。该项目将按照《人类研究伦理国家声明》（2007 年）进行。该研究的结果将发表在同行评议的期刊上，并在国家和国际会议上以及通过社交媒体进行传播。
本方案报告了共同设计和开发澳大利亚 RAC 中使用的心理健康绩效指标工具的结构化方法。
