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研究方案:丹麦的有效性、成本效益及过程评估

Study protocol: an effectiveness, cost-effectiveness, and process evaluation of Denmark.

作者信息

Bjørkedal Siv T B, Christensen Thomas N, Poulsen Rie M, Ranning Anne, Thorup Anne A E, Nordentoft Merete, Bojesen Anders Bo, Hastrup Lene H, Ustrup Marte, Eplov Lene F

机构信息

Copenhagen Research Center for Mental Health (CORE), Hellerup, Denmark.

Copenhagen Research Unit for Recovery, Copenhagen, Denmark.

出版信息

Front Public Health. 2025 Apr 7;13:1491756. doi: 10.3389/fpubh.2025.1491756. eCollection 2025.

Abstract

INTRODUCTION

Since 2013, Denmark has been offered in specific areas to adolescents and young adults between 12 and 25 years, to promote youth mental health and wellbeing. provides free counselling and support, primarily delivered by trained volunteers in the centres and provides information and knowledge about youth mental health, and services, through community engagement. Until now, effectiveness evaluation of the Danish centres has not been conducted.

METHODS

Present study consists of (1) an effectiveness evaluation designed as a propensity score matched quasi-experimental trial, where the exposed person ( = 1,500), in this case the young person receiving counselling sessions at , will be matched by using propensity scores to six unexposed individuals. (2) A cost-effectiveness evaluation (3) a process evaluation with predominantly qualitative methods to investigate the implementation of key activities of their mechanisms of change, and interactions with contextual factors.

DISCUSSION

centres have achieved national endorsement and are implemented in 30 municipalities in Denmark. Thus, there is a need to investigate the effectiveness of the services. Results from the evaluation can also contribute to new knowledge targeted at international youth mental health promotion initiatives. However, this evaluation is limited by selection bias since it is not possible to separate the impact of the intervention from the impact of help-seeking behaviour.

摘要

引言

自2013年以来,丹麦在特定地区为12至25岁的青少年和青年提供服务,以促进青少年心理健康和幸福。该服务提供免费咨询和支持,主要由中心经过培训的志愿者提供,并通过社区参与提供有关青少年心理健康及相关服务的信息和知识。到目前为止,尚未对丹麦的这些中心进行效果评估。

方法

本研究包括:(1)一项效果评估,设计为倾向得分匹配的准实验性试验,其中暴露组(n = 1500),在本案例中为在该中心接受咨询服务的年轻人,将使用倾向得分与六名未暴露个体进行匹配。(2)一项成本效益评估。(3)一项主要采用定性方法的过程评估,以调查该服务关键活动的实施情况、其变化机制以及与背景因素的相互作用。

讨论

这些中心已获得国家认可,并在丹麦的30个市镇实施。因此,有必要调查这些服务的效果。评估结果也可为针对国际青少年心理健康促进倡议的新知识做出贡献。然而,由于无法将干预的影响与求助行为的影响区分开来,本评估受到选择偏倚的限制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f2df/12009928/a78ca581a1dd/fpubh-13-1491756-g001.jpg

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