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.

在怀孕和出生后的一年（称为围产期），每3名青春期女孩中最多有1个会经历精神健康状况。尽管大多数青少年怀孕发生在撒哈拉以南非洲，但有限的证据表明，在这种情况下，哪些干预措施可以改善心理健康结果。青春期围绕第一福利（Inspire）项目的创新方法试图通过开发解决肯尼亚和莫桑比克农村和城市周日环境中青少年围产期心理健康状况的解决方案来解决知识和护理方面的差距。通过这个项目，开发了蓬勃发展的妈妈计划。该计划是一项增强的产前路线，旨在为青少年提供与怀孕和儿童出生，护理，生活技能和计划生育有关的技能和知识。在激发项目的过程中，我们与主要利益相关者的订婚强调了决策者，健康计划者和服务提供商在将新干预措施整合到现有服务中所困难的困难。现有的实施指南和框架缺乏没有实际集成经验的人的效用。当前的项目（扩大共同设计的青少年心理健康干预措施）着重于这一挑战。它旨在开发有效且可用的手段，以指导利益相关者通过适应和整合青少年心理健康干预措施的过程。将通过与决策者，技术专家，服务提供者和年轻人一起开发一系列适应适应和交付的操作工具包草案。然后，商定的工具包将通过改编蓬勃发展的妈妈计划在蒙巴萨（肯尼亚）和马普托（莫桑比克）进行测试。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从事共同设计活动的经验，操作工具包的实用性和全面性以及在新的，城市环境中蓬勃发展的MAMAS计划的可行性，可接受性，可接受性和适当性。