Division of Pediatric Global Health, Department of Pediatrics, Massachusetts General Hospital, Boston, Massachusetts, USA
Countway Library, Harvard Medical School, Boston, Massachusetts, USA.
BMJ Open. 2024 Aug 29;14(8):e087560. doi: 10.1136/bmjopen-2024-087560.
Substance use disorder (SUD) and problematic substance use are global public health concerns with significant multifaceted implications for physical health and psychosocial well-being. The impact of SUD extends beyond the individual to their family while imposing financial and social burdens on the community. Though family-centred interventions have shown promise in addressing SUD, their implementation and impact in low-income and middle-income countries (LMICs) remain underexplored.
Per Joanna Briggs Institute's scoping review protocol, a systematic search strategy was employed across OVID Medline, Embase, PsycINFO, Web of Science-Core Collection, Global Health and CINAHL from 22 February 2024 to 26 February 2024, to identify relevant studies focused on family-centred interventions for SUD in LMIC, devoid of publication time and language constraints. Two independent reviewers will screen the titles, abstracts and full texts, with discrepancies resolved through discussion or third-party reviews. The extracted data charted in a structured form will be visualised by diagrams or tables, focusing on the feasibility and impact of family-centred interventions for SUD in LMIC. For qualitative studies, the findings will be synthesised and presented in thematic clusters, and for studies that report quantitative outcomes, specific health, including SUD and psychosocial, outcomes will be synthesised, aligning with the Population, Concept and Context framework.
These data on substance use, psychosocial outcomes and perspectives of individuals with SUD and their families will be presented in narrative format, highlighting patterns and identifying research gaps. This review aims to synthesise the existing evidence on family-centred interventions for improving substance use and/or psychosocial outcomes in individuals with SUD in LMIC and seeks to inform future policy and practice. Ethics approval is not required for this scoping review, and modifications to the review protocol will be disclosed. Findings will be disseminated through conference proceedings and peer-reviewed publication.
物质使用障碍（SUD）和有问题的物质使用是全球公共卫生关注的问题，对身体健康和心理社会健康有重大的多方面影响。SUD 的影响不仅限于个人，还会影响到他们的家庭，同时给社区带来经济和社会负担。尽管以家庭为中心的干预措施在解决 SUD 方面显示出了希望，但它们在低收入和中等收入国家（LMICs）的实施和影响仍未得到充分探索。
根据 Joanna Briggs 研究所的范围综述方案，我们采用了系统的搜索策略，在 2024 年 2 月 22 日至 2 月 26 日期间，在 OVID Medline、Embase、PsycINFO、Web of Science-Core Collection、全球卫生和 CINAHL 中搜索了相关研究，旨在确定专注于以家庭为中心的干预措施治疗 LMIC 中 SUD 的研究，没有发表时间和语言限制。两名独立的审查员将筛选标题、摘要和全文，如果存在分歧，将通过讨论或第三方审查来解决。提取的数据将以图表或表格的形式进行可视化，重点关注以家庭为中心的干预措施治疗 LMIC 中 SUD 的可行性和影响。对于定性研究，将对研究结果进行综合并以主题集群的形式呈现；对于报告定量结果的研究，将对特定的健康结果，包括 SUD 和心理社会健康结果进行综合，与人群、概念和背景框架保持一致。
这些关于物质使用、心理社会结果以及 SUD 个体及其家庭的观点的数据将以叙述性格式呈现，突出模式并确定研究差距。本综述旨在综合现有的关于以家庭为中心的干预措施改善 LMIC 中 SUD 个体物质使用和/或心理社会结果的证据，并为未来的政策和实践提供信息。本范围综述不需要伦理批准，并且将公开修改后的综述方案。研究结果将通过会议论文集和同行评审出版物传播。
