精神障碍初级保健筛查工具：范围综述方案（SCREENING-MD）。

Screening instruments for mental disorders in primary healthcare: a scoping review protocol (SCREENING-MD).

机构信息

Instituto de Medicina Social, State University of Rio de Janeiro Biomedical Centre, Rio de Janeiro, Brazil.

Graduate Course in Pharmaceutical Sciences, University of Sorocaba, Sorocaba (SP), Brazil.

出版信息

BMJ Open. 2024 Sep 10;14(9):e084612. doi: 10.1136/bmjopen-2024-084612.

DOI:10.1136/bmjopen-2024-084612

PMID:39260842

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11409295/

Abstract

INTRODUCTION

When mental disorders go undetected until later stages, they can result in poorer health outcomes for patients. Primary healthcare (PHC) stands as a strategic setting for the early identification and management of these mental disorders, given its role as the primary care environment for health service users. This scoping review has the objective of mapping and assessing screening instruments validated for mental disorders that are applicable in PHC, particularly regarding their measurement properties.

METHODS AND ANALYSIS

This scoping review will include studies that have developed and validated screening instruments for mental disorders in the PHC context, irrespective of the age group. Searches will be conducted in MEDLINE, EMBASE, LILACS, CINAHL and PsycInfo without imposing restrictions on publication status, publication year or language. Additionally, we will scrutinise the references cited in the selected studies. Our inclusion criteria encompass studies examining any measurement property recommended by the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) taxonomy. The selection process, data extraction and quality assessment of studies will be performed independently by pairs of reviewers. To evaluate the risk of bias within the selected studies, we will employ the COSMIN Risk of Bias 2 tools. The collected data will undergo analysis using descriptive statistics and will be presented in an evidence gap map format for each specific mental disorder.

ETHICS AND DISSEMINATION

The findings from this review will be discussed through deliberative dialogue with stakeholders and disseminated through peer-reviewed publications and conference presentations. The project was approved by the Ethics Committee for Research at the University of Sorocaba (number: 66993323.9.0000.5500).

TRIAL REGISTRATION NUMBER

Open Science Framework - 10.17605/OSF.IO/Z6T5M.

摘要

简介

当精神障碍直到晚期才被发现时，会导致患者的健康状况恶化。鉴于初级医疗保健（PHC）是卫生服务使用者的首要医疗环境，它在早期识别和管理这些精神障碍方面发挥着战略作用，因此是精神障碍的重要检测场所。本范围综述旨在绘制和评估适用于 PHC 的精神障碍验证筛查工具，并特别关注其测量特性。

方法与分析

本范围综述将包括在 PHC 背景下开发和验证精神障碍筛查工具的研究，无论其年龄组如何。将在 MEDLINE、EMBASE、LILACS、CINAHL 和 PsycInfo 中进行检索，而不限制出版物状态、出版年份或语言。此外，我们还将仔细检查选定研究中引用的参考文献。我们的纳入标准包括研究任何 COSMIN 分类法推荐的测量特性的研究。研究的选择过程、数据提取和质量评估将由 pairs of reviewers 独立进行。为了评估选定研究中的偏倚风险，我们将使用 COSMIN 风险偏倚 2 工具。将使用描述性统计对收集的数据进行分析，并将以每个特定精神障碍的证据差距图格式呈现。