Kristensen Rikke Kirstine, Andersen Pernille Tanggaard, Bilenberg Niels, Milling Emilie Dalsgaard, Dalgaard Guldager Julie
Research unit of Child and Adolescent Psychiatry, Department of Clinical Research, University of Southern Denmark, SDU, Odense, Denmark
Research unit of Child and Adolescent Psychiatry, Mental Health Services in the Region of Southern Denmark, Odense, Denmark.
BMJ Open. 2025 Jan 15;15(1):e088850. doi: 10.1136/bmjopen-2024-088850.
Neurodevelopmental disorders, notably attention-deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), present substantial challenges in mental health. Individuals referred for assessment in a psychiatric unit experience complex needs. This implies that their needs necessitate coordination across multiple sectors. Cross-sectoral collaboration models have emerged as essential strategies for addressing the complexities of these disorders. However, evidence of their existence, implementation and success remains limited. This protocol aims to outline a scoping review where we will explore existing collaboration models, evaluate their implementation and gain an understanding of how cross-sectoral collaboration models can be developed to ultimately benefit individuals referred for assessment of ADHD or ASD.
This proposed scoping review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. A comprehensive search will be conducted across PubMed, CINAHL, Embase, PsycINFO and Google Scholar, as well as grey literature sources, between 1 December 2024 and 1 January 2025. Inclusion criteria will encompass studies focusing on cross-sectoral collaboration for individuals referred for assessment of ADHD or ASD, published in English, Danish, Norwegian or Swedish. The search will use a three-block search string, with iterative refinement guided by familiarity with the evidence base. Data extraction will involve study characteristics and implementation details, using the Consolidated Framework for Implementation Research in combination with Proctor 's implementation outcomes framework. Results will be synthesised into descriptive tables, providing a comprehensive mapping of existing models and emphasising implementation feasibility.
Ethical approval is not required for this protocol since it involves the review of existing literature without the involvement of human participants or personal data. Findings will be disseminated at national and international conferences and will be integrated into future efforts to develop cross-sectoral collaboration models in Denmark.
神经发育障碍，尤其是注意力缺陷多动障碍（ADHD）和自闭症谱系障碍（ASD），给心理健康带来了巨大挑战。在精神科病房接受评估的个体有着复杂的需求。这意味着他们的需求需要多个部门进行协调。跨部门协作模式已成为应对这些疾病复杂性的重要策略。然而，关于它们的存在、实施和成功的证据仍然有限。本方案旨在概述一项范围综述，我们将在其中探索现有的协作模式，评估其实施情况，并了解如何开发跨部门协作模式，以最终使被转介进行ADHD或ASD评估的个体受益。
本拟议的范围综述将遵循系统评价和Meta分析扩展的首选报告项目范围综述指南。将于2024年12月1日至2025年1月1日期间在PubMed、CINAHL、Embase、PsycINFO和谷歌学术搜索平台以及灰色文献来源中进行全面检索。纳入标准将包括以英文、丹麦文、挪威文或瑞典文发表的、聚焦于为被转介进行ADHD或ASD评估的个体开展跨部门协作的研究。检索将使用一个由三个部分组成的检索式，并在熟悉证据库的指导下进行迭代优化。数据提取将涉及研究特征和实施细节，采用实施研究综合框架结合普罗克特的实施结果框架。结果将综合成描述性表格，全面呈现现有模式并强调实施的可行性。
本方案无需伦理批准，因为它涉及对现有文献的综述，不涉及人类参与者或个人数据。研究结果将在国内和国际会议上传播，并将纳入丹麦未来开发跨部门协作模式的工作中。
