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Identifying Research Gaps and Prioritizing Psychological Health Evidence Synthesis Needs

机译：确定研究差距和优先考虑心理健康证据综合需求

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Background: Evidence synthesis is key in promoting evidence-based health care, but it is resource-intense. Methods are needed to identify and prioritize evidence synthesis needs within health care systems. We describe a collaboration between an agency charged with facilitating the implementation of evidence-based research and practices across the Military Health System and a research center specializing in evidence synthesis. Methods: Scoping searches targeted 15 sources, including the Veterans Affairs/Department of Defense Guidelines and National Defense Authorization Acts. We screened for evidence gaps in psychological health management approaches relevant to the target population. We translated gaps into potential topics for evidence maps and/or systematic reviews. Gaps amenable to evidence synthesis format provided the basis for stakeholder input. Stakeholders rated topics for their potential to inform psychological health care in the military health system. Feasibility scans determined whether topics were ready to be pursued, that is, sufficient literature exists, and duplicative efforts are avoided. Results: We identified 58 intervention, 9 diagnostics, 12 outcome, 19 population, and 24 health services evidence synthesis gaps. Areas included: posttraumatic stress disorder (PTSD) (19), suicide prevention (14), depression (9), bipolar disorder (9), substance use (24), traumatic brain injury (20), anxiety (1), and cross-cutting (14) synthesis topics. Stakeholder input helped prioritize 19 potential PTSD topics and 22 other psychological health topics. To date, 46 topics have undergone feasibility scans. We document lessons learned across clinical topics and research methods. Conclusion: We describe a transparent and structured approach to evidence synthesis topic selection for a health care system using scoping searches, translation into evidence synthesis format, stakeholder input, and feasibility scans.
机译：背景：证据综合是促进基于证据的医疗保健的关键，但它是资源激烈的。需要进行卫生保健系统内识别和优先考虑证据综合需求的方法。我们在促进促进军事卫生系统和专门从事证据综合的研究中心实施的机构之间的合作。方法：采样搜索有针对性的15个来源，包括退伍军人事务/国防部和国防授权行为。我们筛选出与目标人口相关的心理健康管理方法中的证据差距。我们将差距转化为潜在主题，以获取证据地图和/或系统评价。差距适用于证据综合格式，为利益相关者投入提供了基础。利益攸关方评估了他们在军事卫生系统中通知心理保健的潜力。可行性扫描确定是否准备好追求主题，即存在足够的文学，并避免了重复的努力。结果：我们确定了58个干预，9个诊断，12个结果，19个人口和24个卫生服务证据综合差距。包括地区：术后应激障碍（PTSD）（19），自杀预防（14），抑郁症（9），双相障碍（9），物质使用（24），创伤性脑损伤（20），焦虑（1）和交叉 - （14）综合主题。利益相关者投入有助于优先考虑19个潜在的应激障碍主题和22个其他心理健康主题。迄今为止，46个主题经历了可行性扫描。我们记录临床主题和研究方法的经验教训。结论：我们描述了使用范围搜索，转换为证据综合格式，利益相关者投入和可行性扫描的卫生保健系统的透明和结构化方法。

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