METHODS: The EMBASE, PsychINFO, CINAHL, and MEDLINE databases were searched. Studies were included if they compared an intervention designed to improve timely access to treatment for individuals with FEP or CHR-P to standard treatment provision. Interventions may be targeted at potential patients, their families, the general public, or non-healthcare professionals. Outcomes of interest were DUP or DUI, and/or characteristics of pathways to care.
RESULTS: Nineteen studies met the inclusion criteria. All consisted of FEP populations, none of CHR-P populations. Employing narrative synthesis, we found mixed results about the effectiveness of interventions at reducing DUP and interventions appeared to differentially impact groups. Pathways to care information was limited and mixed.
CONCLUSIONS: Findings on the effectiveness of interventions designed to improve timely access to treatment were inconclusive. More research is warranted to better understand where delays occur and factors which may influence this for both FEP and CHR-P populations which may help to develop targeted interventions to address delays.
方法:EMBASE,心理信息,CINAHL,和MEDLINE数据库进行了搜索。如果将旨在改善FEP或CHR-P患者及时获得治疗的干预措施与标准治疗提供进行比较,则纳入研究。干预措施可能针对潜在患者,他们的家人,广大市民,或非医疗保健专业人员。感兴趣的结果是DUP或DUI,和/或护理途径的特征。
结果:19项研究符合纳入标准。全部由FEP人群组成,没有CHR-P人群。采用叙事综合,我们发现,干预措施在降低DUP方面的效果好坏参半,且干预措施似乎对各组产生不同影响.获得护理信息的途径有限且混杂。
结论:关于旨在改善及时获得治疗的干预措施的有效性的结果尚无定论。有必要进行更多的研究,以更好地了解FEP和CHR-P人群的延误发生地点以及可能影响延误的因素,这可能有助于制定有针对性的干预措施来解决延误问题。