精神卫生保健中的共享决策干预措施：伞式综述方案。

Shared decision making interventions in mental healthcare: a protocol for an umbrella review.

机构信息

Centre for Outcomes Research and Effectiveness (CORE), Research Department of Clinical, Educational and Health Psychology, University College London, London, UK

Research and Development, The North East London NHS Foundation Trust, London, UK.

出版信息

BMJ Open. 2021 Sep 15;11(9):e051283. doi: 10.1136/bmjopen-2021-051283.

DOI:10.1136/bmjopen-2021-051283

PMID:34526344

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8444255/

Abstract

INTRODUCTION

Shared decision making (SDM) has been advocated as a key component of person-centred care and recovery from mental illness. Although the principles of SDM have been well documented, there is a lack of guidance about how to accomplish SDM in mental healthcare. The objective of the present protocol is to describe the methods for an umbrella review to determine the effectiveness elements of SDM interventions for persons diagnosed with a mental illness. An umbrella review's key characteristic is that it only considers for inclusion the highest level of evidence, namely other systematic reviews and meta-analyses.

METHODS AND ANALYSIS

Electronic searches will be performed in CINAHL, PubMed, Scopus, Ovid MEDLINE, Ovid EMBASE, Ovid Cochrane Library, Web of Science, Scopus and Ovid PsycINFO. Based on Joanna Briggs Institute recommended guidelines, review articles will be included if they were published between 2010 and 2021. This approach will help identify current and emerging evidence-based treatment options in mental illness. Included articles will be assessed for quality using Assessment of Multiple Systematic Reviews 2 tool and ratings of the quality of evidence in each review. Presentation of results will align with guidelines in the Cochrane Handbook for Systematic Reviews of Interventions and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 statement. Findings will be stratified by mode of intervention and implementation characteristics and will inform development of SDM taxonomy in mental healthcare.

ETHICS AND DISSEMINATION

This umbrella review will focus on the analysis of secondary data and does not require ethics approval. Findings will be disseminated widely to clinicians, researchers and services users via journal publication, conference presentations and social media. The results will contribute to the conceptualisation and understanding of effective SDM interventions in mental healthcare and to improving the quality of SDM for individuals with a mental illness.

PROSPERO REGISTRATION NUMBER

CRD42020190700.

摘要

简介

共同决策（SDM）已被倡导为以患者为中心的关怀和精神疾病康复的关键组成部分。尽管 SDM 的原则已经有充分的记录，但在如何在精神保健中实现 SDM 方面缺乏指导。本方案的目的是描述伞式审查的方法，以确定针对精神疾病诊断患者的 SDM 干预措施的有效性要素。伞式审查的一个关键特征是，它只考虑纳入最高级别的证据，即其他系统评价和荟萃分析。

方法和分析

将在 CINAHL、PubMed、Scopus、Ovid MEDLINE、Ovid EMBASE、Ovid Cochrane Library、Web of Science、Scopus 和 Ovid PsycINFO 中进行电子搜索。根据 Joanna Briggs 研究所推荐的指南，如果综述文章发表于 2010 年至 2021 年期间，将被纳入。这种方法将有助于确定精神疾病中当前和新兴的循证治疗选择。将使用评估多个系统评价 2 工具和每个综述的证据质量评级来评估纳入的综述文章的质量。结果的呈现将与干预措施系统评价 Cochrane 手册和系统评价和荟萃分析 2020 声明的首选报告项目指南保持一致。研究结果将按干预模式和实施特征进行分层，并将为精神保健中的 SDM 分类法的发展提供信息。