Scaling-up co-designed adolescent mental health interventions

扩大共同设计的青少年心理健康干预措施

• 批准号: MR/Y020286/1
• 负责人: Tatiana Taylor Salisbury
• 金额: $ 75.8万
• 依托单位: King's College London
• 依托单位国家: 英国
• 项目类别: Fellowship
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FY020286%2F1
• 关键词: Scaling; up; co; designed; adolescent

Up to 1 in every 3 adolescent girls will experience a mental health condition during the pregnancy and the year after birth (known as the perinatal period). While the majority of adolescent pregnancies occur in sub-Saharan Africa, there is limited evidence as to what interventions can improve mental health outcomes in this setting. The Innovative approaches for adolescent periantal wellbeing (INSPIRE) project sought to address this gap in knowledge and care by developing solutions to improve adolescent perinatal mental health outcomes in rural and peri-urban settings in Kenya and Mozambique. Through this project the Thriving Mamas programme was developed. The programme is an enhanced antenatal course designed to provide adolescents with skills and knowledge related to pregnancy and child birth, caregiving, life skills, and family planning. During the course of the INSPIRE project, our engagment with key stakeholders highlighted the difficulties policymakers, health planners, and service providers had in integrating new interventions into existing services. Existing implementation guidelines and frameworks lack utility for those without practical integration experience. The current project (Scaling-up co-designed adolescent mental health interventions) focuses on this challenge. It aims to develop an effective and useable tookit to guide stakeholders through the process of adaptation and integration of adolescent mental health interventions.A draft operational toolkit for adaptation and delivery will be developed through a series of workshops with policymakers, techinical experts, service providers, and young people. The agreed toolkit will then be tested through the adaptation of the Thriving Mamas programme for delivery in Mombasa (Kenya) and Maputo (Mozambique). Throughout these processes, qualitative and quantitative data will be collected to better understand participants' experiences of engaging in co-design activities, the utility and comprehensiveness of the operational toolkit, and the percieved feasibility, acceptability, and appropriateness of the Thriving Mamas programme in a new, urban setting.

多达三分之一的青春期女孩在怀孕期间和出生后一年（称为围产期）会出现心理健康问题。虽然大多数青少年怀孕发生在撒哈拉以南非洲地区，但关于哪些干预措施可以改善这种情况下的心理健康结果的证据有限。青少年围产期福祉创新方法 (INSPIRE) 项目旨在通过制定解决方案来改善肯尼亚和莫桑比克农村和城郊地区青少年围产期心理健康结果，从而弥补知识和护理方面的这一差距。通过这个项目，“Thriving Mamas”计划得以制定。该计划是强化产前课程，旨在为青少年提供与怀孕和分娩、护理、生活技能和计划生育相关的技能和知识。在 INSPIRE 项目过程中，我们与主要利益相关者的接触凸显了政策制定者、卫生规划者和服务提供者在将新干预措施整合到现有服务中时遇到的困难。现有的实施指南和框架对于那些没有实际集成经验的人来说缺乏实用性。当前的项目（扩大共同设计的青少年心理健康干预措施）重点关注这一挑战。它旨在开发一个有效且可用的工具，以指导利益相关者完成青少年心理健康干预措施的适应和整合过程。将通过与政策制定者、技术专家、服务提供者、和年轻人。然后，商定的工具包将通过改编“Thriving Mamas”计划进行测试，并在蒙巴萨（肯尼亚）和马普托（莫桑比克）交付。在这些过程中，将收集定性和定量数据，以更好地了解参与者参与共同设计活动的经验、操作工具包的实用性和全面性，以及“蓬勃发展的妈妈”计划的可行性、可接受性和适当性。新的城市环境。