文章基本信息

标题：Prioritising interventions for preventing mental health problems for children experiencing adversity: a modified nominal group technique Australian consensus study
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作者：Teresa Hall ; Suzy Honisett ; Kate Paton 等
期刊名称：BMC Psychology
印刷版ISSN：2050-7283
出版年度：2021
卷号：9
DOI：10.1186/s40359-021-00652-0
语种：English
出版社：BioMed Central
摘要：Background Despite the well-established link between childhood adversity and mental health problems, there is a dearth of evidence to inform decision making about the most acceptable and feasible interventions for preventing mental health problems for children experiencing adversity. Expert consensus is an important input into evidence-informed policy and practice but is often employed at the national level which misses important local contextual factors shaping decision making. This study aimed to: (1) reach consensus on local priority interventions for preventing mental health problems for children living with adversity in Wyndham, Victoria; and (2) understand the enabling factors and barriers to implementing these interventions. Methods This study employed six online modified nominal group technique (NGT) workshops with 19 stakeholders; intersectoral service providers from health, social and education sectors and caregivers of children aged 0–8 years. Results Three interventions reached consensus among the mixed stakeholder groups as being a high or very high priority for implementation in Wyndham: nurse home visiting, parenting programs and community-wide programs. Key rationales were the ability for these interventions to act as a gateway for families to increase their knowledge about topics immediately relevant to them (i.e. parenting), increase their knowledge about available supports and build relationships with service providers. Conclusions Local priorities for preventing mental health problems for children living with adversity emphasized relational approaches to service provision and were shaped by the availability of existing interventions and supports in the locality. The NGT was found to be an effective method for prioritising evidence-based practice interventions in health settings, engaging local stakeholders, and identifying enablers and barriers to implementation. Supplementary Information The online version contains supplementary material available at 10.1186/s40359-021-00652-0.
关键词：Child mental health; Childhood adversity; Nominal group technique; Consensus study