使用实施研究综合框架，将障碍、促进因素和实施决定因素映射到心理健康有问题的年轻人的身体健康和性健康共享照护模式：一项范围综述方案

Mapping barriers, enablers and implementation determinants to shared models of care for physical health and sexual wellbeing among young people with mental health difficulties using the Consolidated Framework for Implementation Research: A scoping review protocol.

作者信息

Gallant Allyson J, Lyne John Paul, O'Connor Karen, Sheaf Greg, Anand-Vembar Shaakya, O'Keeffe Donal, Wilson Caroline, Kartalova-O'Doherty Yulia, Doyle Louise, Cannon Mary, Ryan Leona, Donohoe Gary, McEvoy David, Cotter David, Longe Olivia, McDonald Colm, Higgins Agnes, Murphy Rebecca, Burke Sara, Darker Catherine D

机构信息

Public Health & Primary Care, The University of Dublin Trinity College, Dublin, Leinster, Ireland.

Department of Psychiatry, Royal College of Surgeons in Ireland 26 York Street Campus, Dublin, Leinster, Ireland.

出版信息

HRB Open Res. 2025 May 12;8:28. doi: 10.12688/hrbopenres.14032.2. eCollection 2025.

DOI:10.12688/hrbopenres.14032.2

PMID:40486817

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12141993/

Abstract

BACKGROUND

Approximately one in eight people live with mental health difficulties, with onset commonly occurring in youth. It is critical to ensure care addresses all aspects of health, including physical health and sexual wellbeing needs, to achieve positive recovery outcomes. Connecting primary and secondary healthcare providers and service users through shared models of care is a critical aspect of this. The objectives of this scoping review will be to 1) identify and describe the implementation of shared models of care which address the mental health of young people and their physical health and/or sexual wellbeing needs, and 2) identify the determinants of implementing these models of care.

PROTOCOL

Following Joanna Briggs Institute guidelines, studies will be included if they describe shared models of care for young people (aged 10-25) in any healthcare setting, specifically addressing mental health and physical health or sexual wellbeing needs. The review will employ the Consolidated Framework for Implementation Research (CFIR) to organise and assess findings. A librarian developed the search strategy, which will be applied to Web of Science, Medline, Embase, CINAHL, and PsycINFO databases. Two independent reviewers will screen titles, abstracts and full texts, followed by data extraction and critical appraisal of included studies. Discrepancies at all stages will be resolved through discussion or by a third reviewer. Screening results will be summarised in a PRISMA flow diagram. Narrative summaries, supported by tables and figures where applicable, will address the review's objectives. Findings will undergo thematic analysis, with implementation determinants mapped deductively to CFIR.

DISCUSSION

Findings will inform the adaptation of implementation strategies to support the implementation of policy for improving healthcare delivery to young people with mental health difficulties.

REGISTRATION

Open Science Framework ( osf.io/rj783).

摘要

背景

约八分之一的人有心理健康问题，这些问题通常在青少年时期出现。为实现积极的康复效果，确保护理涵盖健康的各个方面，包括身体健康和性健康需求至关重要。通过共享护理模式将初级和二级医疗保健提供者与服务使用者联系起来是其中的一个关键方面。本范围综述的目的是：1）识别并描述解决年轻人心理健康及其身体健康和/或性健康需求的共享护理模式的实施情况；2）识别实施这些护理模式的决定因素。

方案

遵循乔安娜·布里格斯研究所的指南，若研究描述了在任何医疗环境中针对年轻人（10 - 25岁）的共享护理模式，特别涉及心理健康和身体健康或性健康需求，则将其纳入。该综述将采用实施研究综合框架（CFIR）来组织和评估研究结果。由一名图书馆员制定检索策略，该策略将应用于科学引文索引数据库、医学索引数据库、荷兰医学文摘数据库、护理学与健康领域数据库以及心理学文摘数据库。两名独立评审员将筛选标题、摘要和全文，随后进行数据提取和对纳入研究的批判性评价。所有阶段的分歧将通过讨论或由第三位评审员解决。筛选结果将在系统评价和荟萃分析优先报告条目流程图中进行总结。在适用的情况下，辅以表格和图表的叙述性总结将阐述综述的目的。研究结果将进行主题分析，并将实施决定因素演绎映射到CFIR。