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首页> 外文期刊>BMC Psychiatry >Process and outcome of child psychotherapies offered in Kenya: a mixed methods study protocol on improving child mental health
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Process and outcome of child psychotherapies offered in Kenya: a mixed methods study protocol on improving child mental health

机译：肯尼亚提供儿童心理治疗的过程和结果：一种改善儿童心理健康的混合方法研究议定书

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Child and adolescent mental health problems account for a significant proportion of the local and global burden of disease and is recognized as a growing public health concern in need of adequate services. Studies carried out in Kenya suggest a need for a robust service for the treatment, prevention, and promotion of child and adolescent mental health. Despite a few existing services to provide treatment and management of mental health disorders, we need more knowledge about their effectiveness in the management of these disorders. This paper describes a study protocol that aims to evaluate the process and outcomes of psychotherapies offered to children and adolescents seeking mental health services at the Kenyatta National Hospital in Kenya. This study will use a prospective cohort approach that will follow adolescent patients (12–17?years of age) receiving mental health services in the youth clinics at the Kenyatta National Hospital for a period of 12?months. During this time a mixed methods research will be carried out, focusing on treatment outcomes, therapeutic relationship, understanding of psychotherapy, and other mental health interventions offered to the young patients. In this proposed study, we define outcome as the alleviation of symptoms, which will be assessed quantitatively using longitudinal patient data collected session-wise. Process refers to the mechanisms identified to promote change in the adolescent. For example, individual participant or clinician characteristics, therapeutic alliance will be assessed both quantitatively and qualitatively. In each session, assessments will be used to reduce problems due to attrition and to enable calculation of longitudinal change trajectories using growth curve modeling. For this study, these will be referred to as session-wise assessments. Qualitative work will include interviews with adolescent patients, their caregivers as well as feedback from the mental health care providers on existing services and their barriers to providing care. This study aims to understand the mechanisms through which change takes place beyond the context of psychotherapy. What are the moderators and through which mechanisms do they operate to improve mental health outcomes in young people?.
机译：儿童和青少年心理健康问题占当地和全球疾病负担的重要比例，被认为是需要充足的服务的不断增长的公共卫生问题。在肯尼亚进行的研究表明，需要为儿童和青少年心理健康进行治疗，预防和促进生长的强大服务。尽管有一些现有服务提供治疗和管理心理健康障碍，但我们需要了解更多关于他们在这些障碍管理方面的有效性的知识。本文介绍了一项研究方案，旨在评估为肯尼亚肯尼亚国家医院寻求心理健康服务的儿童和青少年提供的心理治疗的过程和结果。本研究将使用前瞻性队列方法，遵循青少年患者（12-17岁）在肯尼亚国家医院的青年诊所接受心理健康服务，为12个月的时间。在此期间，将进行混合方法研究，重点关注治疗结果，治疗关系，对心理治疗的理解以及为年轻患者提供的其他心理健康干预。在这项拟议的研究中，我们将结果定义为减轻症状，将使用纵向患者数据收集的会议进行定量评估。方法是指识别出促进青少年变化的机制。例如，个人参与者或临床医生特征，治疗联盟将定量和定性地评估。在每次会议中，评估将用于减少因磨损而减少问题，并使用生长曲线建模计算纵向变化轨迹。对于这项研究，这些将被称为会议明智的评估。定性工作将包括对青少年患者的采访，他们的护理人员以及来自现有服务的心理医疗保健提供者以及提供护理的障碍的反馈。本研究旨在了解在心理治疗的背景下发生变化的机制。什么是主持人，并通过哪些机制运作，以改善年轻人的心理健康结果？

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