关键词: acquired brain injury addiction mental health priority‐setting stakeholder engagement substance use

Mesh : Humans Stakeholder Participation Brain Injuries / therapy Substance-Related Disorders / therapy Mental Health Health Priorities

来  源:   DOI:10.1111/hex.14136   PDF(Pubmed)

Abstract:
OBJECTIVE: The purpose of this study was to engage key stakeholders in a health research priority-setting process to identify, prioritize and produce a community-driven list of research questions addressing intersectional issues on mental health and addictions (MHA) in acquired brain injury (ABI).
METHODS: A multiphasic health research priority-setting process was co-designed and executed with community-based stakeholders, including researchers, health professionals, clinicians, service providers, representatives from brain injury associations, policy makers and people with lived experience of ABI and MHA, including patients and their family members. Stakeholders\' ideas led to the generation of research questions, which were prioritized at a 1-day workshop.
RESULTS: Fifty-nine stakeholders participated in the priority-setting activity during the workshop, which resulted in a rank-ordered list of the top 10 questions for research addressing the intersections of ABI and MHA. Questions identified touched on several pressing issues (e.g., opioid crisis, homelessness), encompassed multiple subtypes of ABI (e.g., hypoxic-ischaemic, mild traumatic), and involved different domains (e.g., identification, intervention) of health research.
CONCLUSIONS: This community-driven health research priority-setting study identified and prioritized research questions addressing the intersections of ABI and MHA. Researchers and funding agencies should use this list to inform their agendas and address stakeholders\' most urgent needs, fostering meaningful improvements to clinical services.
UNASSIGNED: An 11-person working group comprised of people with lived experience, service providers, researchers, healthcare professionals and other key stakeholders collaboratively developed and informed the scope, design, methodology and interpretation of this study. Over 50 community-based stakeholders contributed to the research priority-setting activity. One co-author is a person with lived experience.
摘要:
目的:本研究的目的是让关键利益相关者参与卫生研究优先级设定过程,以确定,优先考虑并制定社区驱动的研究问题列表,以解决获得性脑损伤(ABI)中心理健康和成瘾(MHA)的交叉问题。
方法:与社区利益相关者共同设计和执行了多相健康研究优先级设定过程,包括研究人员,卫生专业人员,临床医生,服务提供商,来自脑损伤协会的代表,政策制定者和有ABI和MHA生活经验的人,包括患者及其家属。利益相关者的想法导致了研究问题的产生,在为期1天的研讨会上优先考虑。
结果:在研讨会期间,有59名利益相关者参加了确定优先事项的活动,这导致了针对ABI和MHA交叉点的研究的前10个问题的排序列表。确定的问题触及几个紧迫的问题(例如,阿片类药物危机,无家可归),涵盖ABI的多个亚型(例如,缺氧缺血性,轻度创伤),并涉及不同的领域(例如,identification,干预)健康研究。
结论:这项由社区驱动的健康研究优先设置研究确定并优先解决ABI和MHA交叉点的研究问题。研究人员和资助机构应使用此列表来告知其议程并解决利益相关者的最紧迫需求,促进对临床服务的有意义的改进。
一个由11人组成的工作组,由有生活经验的人组成,服务提供商,研究人员,医疗保健专业人员和其他主要利益相关者合作开发并告知了该范围,设计,本研究的方法论和解释。50多个以社区为基础的利益相关者为研究重点确定活动做出了贡献。一位合著者是一个有生活经验的人。
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