Engagement strategies in an assertive outreach context: a mixed-methods systematic review.

IF 2.9 4区 医学 Q2 PSYCHIATRY Journal of Mental Health Pub Date : 2024-08-19 DOI:10.1080/09638237.2024.2390363
Ellen Berghmans, Nicole Vliegen, Marianne Destoop, Patrick Luyten
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Abstract

Background: Assertive outreach (AO) is a systematic approach to engage vulnerable patients with serious mental illness.

Aims: This review aims to provide a comprehensive analysis of engagement strategies in relation to principles of the AO model to clarify effective components of AO, better understand engagement in an AO context, and consider encompassing change mechanisms.

Methods: A systematic mixed-methods review was completed from 1806 to December 2022 (no pre-registration). Articles meeting the inclusion criteria were rated for methodological quality using the JBI scales and thematic synthesis using a meta-aggregative approach. Reporting was according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) statement.

Results: Eighteen articles met the inclusion criteria. The literature was defined by three main themes: definition and perspectives of engagement; key principles of AO in relation to engagement; and additional principles and strategies enhancing engagement.

Conclusion: Despite the heterogeneity in defining engagement, the relationship between AO professionals and patients emerged as crucial in the process of engagement. Subsequently, the four key principles of AO emerged as central to promoting engagement. Finally, we identified a number of additional principles that are considered crucial in the engagement process in AO. The review concludes with recommendations for future research and the implementation of AO in routine clinical care.

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自信外联背景下的参与策略:混合方法系统综述。
背景:目的:本综述旨在结合AO模式的原则,对参与策略进行全面分析,以明确AO的有效组成部分,更好地理解AO背景下的参与,并考虑包含的变革机制:从 1806 年至 2022 年 12 月(无预注册),完成了一项系统的混合方法综述。对符合纳入标准的文章采用 JBI 量表进行方法学质量评级,并采用元汇总法进行专题综合。根据《系统综述和元分析首选报告项目》(PRISMA)声明进行报告:18篇文章符合纳入标准。文献由三大主题组成:参与的定义和观点;与参与相关的 AO 关键原则;以及促进参与的其他原则和策略:尽管对参与的定义不尽相同,但在参与过程中,矫形专业人员与患者之间的关系至关重要。随后,定向行走的四项关键原则成为促进参与的核心。最后,我们确定了其他一些被认为在参与定向行走过程中至关重要的原则。最后,我们对未来的研究和在常规临床护理中实施 AO 提出了建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Mental Health
Journal of Mental Health PSYCHOLOGY, CLINICAL-
CiteScore
6.40
自引率
3.00%
发文量
117
期刊介绍: The Journal of Mental Health is an international forum for the latest research in the mental health field. Reaching over 65 countries, the journal reports on the best in evidence-based practice around the world and provides a channel of communication between the many disciplines involved in mental health research and practice. The journal encourages multi-disciplinary research and welcomes contributions that have involved the users of mental health services. The international editorial team are committed to seeking out excellent work from a range of sources and theoretical perspectives. The journal not only reflects current good practice but also aims to influence policy by reporting on innovations that challenge traditional ways of working.
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