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Palmer VJ, Wheeler AJ, Jazayeri D, Gulliver A, Hegarty K, Moorhouse J, Orcher P, Banfield M. Lost in translation: a narrative review and synthesis of the published international literature on mental health research and translation priorities (2011-2023). J Ment Health 2024:1-17. [PMID: 38536149 DOI: 10.1080/09638237.2024.2332808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Accepted: 01/04/2024] [Indexed: 05/03/2024]
Abstract
BACKGROUND Priority setting in mental health research is arguably lost in translation. Decades of effort has led to persistent repetition in what the research priorities of people with lived-experience of mental ill-health are. AIM This was a narrative review and synthesis of published literature reporting mental health research priorities (2011-2023). METHODS A narrative framework was established with the questions: (1) who has been involved in priority setting? With whom have priorities been set? Which priorities have been established and for whom? What progress has been made? And, whose priorities are being progressed? RESULTS Seven papers were identified. Two were Australian, one Welsh, one English, one was from Chile and another Brazilian and one reported on a European exercise across 28 countries (ROAMER). Hundreds of priorities were listed in all exercises. Prioritisation mostly occured from survey rankings and/or workshops (using dots, or post-it note voting). Most were dominated by clinicians, academics and government rather than people with lived-experience of mental ill-health and carer, family and kinship group members. CONCLUSION One lived-experience research led survey was identified. Few studies reported lived-experience design and development involvement. Five of the seven papers reported responses, but no further progress on priorities being met was reported.
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Affiliation(s)
- Victoria J Palmer
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
- The Department of General Practice and Primary Care, Melbourne Medical School, The University of Melbourne, Melbourne, Australia
| | - Amanda J Wheeler
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
- Centre for Mental Health, Griffith University, Brisbane, Australia
- Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
| | - Dana Jazayeri
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
| | - Amelia Gulliver
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
- Centre for Mental Health Research, National Centre for Epidemiology and Population Health, College of Health and Medicine, The Australian National University, Canberra, Australia
| | - Kelsey Hegarty
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
- The Department of General Practice and Primary Care, Melbourne Medical School, The University of Melbourne, Melbourne, Australia
- The Royal Women's Hospital, Melbourne, Australia
| | - Joshua Moorhouse
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
| | - Phillip Orcher
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
| | - Michelle Banfield
- The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Griffith University, The Australian National University, Carlton, Australia
- Centre for Mental Health Research, National Centre for Epidemiology and Population Health, College of Health and Medicine, The Australian National University, Canberra, Australia
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Davidson N, Hammarberg K, Fisher J. Ethical Considerations in Research With People From Refugee and Asylum Seeker Backgrounds: A Systematic Review of National and International Ethics Guidelines. JOURNAL OF BIOETHICAL INQUIRY 2023:10.1007/s11673-023-10297-w. [PMID: 37889418 DOI: 10.1007/s11673-023-10297-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 08/03/2023] [Indexed: 10/28/2023]
Abstract
Refugees and asylum seekers may experience challenges related to pre-arrival experiences, structural disadvantage after migration and during resettlement requiring the need for special protection when participating in research. The aim was to review if and how people with refugee and asylum seeker backgrounds have had their need for special protection addressed in national and international research ethics guidelines. A systematic search of grey literature was undertaken. The search yielded 2187 documents of which fourteen met the inclusion criteria. Few guidelines addressed specific ethical considerations for vulnerable groups much less people with refugee and asylum seeker backgrounds. One guideline explicitly addressed vulnerability for refugees and asylums seekers. To ensure members of ethics committees and researchers consider the potential challenges of conducting research with these groups, guidelines may need to be supplemented with a refugee and asylum seeker specific research ethics framework. Such a framework may be necessary to optimally protect people with refugee and asylum seeker backgrounds in research.
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Affiliation(s)
- Natasha Davidson
- Global and Women's Health, School of Public Health and Preventive Medicine, Monash University Faculty of Medicine Nursing and Health Sciences, 553 St Kilda Road, Melbourne, Victoria, 3004, Australia.
| | - Karin Hammarberg
- Global and Women's Health, School of Public Health and Preventive Medicine, Monash University Faculty of Medicine Nursing and Health Sciences, 553 St Kilda Road, Melbourne, Victoria, 3004, Australia
| | - Jane Fisher
- Global and Women's Health, School of Public Health and Preventive Medicine, Monash University Faculty of Medicine Nursing and Health Sciences, 553 St Kilda Road, Melbourne, Victoria, 3004, Australia
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Scott PA. Unsupervised self-testing as part public health screening for HIV in resource-poor environments: some ethical considerations. AIDS Behav 2014; 18 Suppl 4:S438-44. [PMID: 24974124 DOI: 10.1007/s10461-014-0833-9] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The use of unsupervised self-testing as part of a national screening program for HIV infection in resource-poor environments with high HIV prevalence may have a number of attractive aspects, such as increasing access to services for hard to reach and isolated populations. However, the presence of such technologies is at a relatively early stage in terms of use and impact in the field. In this paper, a principle-based approach, that recognizes the fundamentally utilitarian nature of public health combined with a focus on autonomy, is used as a lens to explore some of the ethical issues raised by HIV self-testing. The conclusion reached in this review is that at this point in time, on the basis of the principles of utility and respect for autonomy, it is not ethically appropriate to incorporate unsupervised HIV self-testing as part of a public health screening program in resource-poor environments.
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Affiliation(s)
- P Anne Scott
- School of Nursing and Human Sciences, Dublin City University, Collins Ave, Dublin 9, Ireland,
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Omondi Aduda DS, Mkhize N. Ethical issues evolving from patients' perspectives on compulsory screening for syphilis and voluntary screening for cervical cancer in Kenya. BMC Med Ethics 2014; 15:27. [PMID: 24678613 PMCID: PMC3973750 DOI: 10.1186/1472-6939-15-27] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2013] [Accepted: 03/21/2014] [Indexed: 11/10/2022] Open
Abstract
Background Public health aims to provide universal safety and progressive opportunities to populations to realise their highest level of health through prevention of disease, its progression or transmission. Screening asymptomatic individuals to detect early unapparent conditions is an important public health intervention strategy. It may be designed to be compulsory or voluntary depending on the epidemiological characteristics of the disease. Integrated screening, including for both syphilis and cancer of the cervix, is a core component of the national reproductive health program in Kenya. Screening for syphilis is compulsory while it is voluntary for cervical cancer. Participants’ perspectives of either form of screening approach provide the necessary contextual information that clarifies mundane community concerns. Methods Focus group discussions with female clients screened for syphilis and cancer of the cervix were conducted to elicit their perspectives of compulsory and voluntary screening. The discussions were audiotaped, transcribed and thematic content analysis performed manually to explore emerging ethics issues. Results The results indicate that real ethical challenges exist in either of the approaches. Also, participants were more concerned about the benefits of the procedure and whether their dignity is respected than the compulsoriness of screening per se. The implication is for the policy makers to clarify in the guidelines how to manage ethical challenges, while at the operational level, providers need to be judicious to minimize potential harms participants and families when screening for disease in women. Conclusions The context for mounting screening as a public health intervention and attendant ethical issues may be more complex than hitherto perceived. Interpreting emerging ethics issues in screening requires more nuanced considerations of individuals’ contextual experiences since these may be contradictory to the policy position. In considering mounting screening for Syphilis and cervical cancer as a public heal intervention, the community interests and perspectives should be inculcated into the program. Population lack of information on procedures may influence adversely the demand for screening services by the individuals at risk or the community as a collective agent.
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Wathen CN, Macgregor JC, Sibbald SL, Macmillan HL. Exploring the uptake and framing of research evidence on universal screening for intimate partner violence against women: a knowledge translation case study. Health Res Policy Syst 2013; 11:13. [PMID: 23587155 PMCID: PMC3637368 DOI: 10.1186/1478-4505-11-13] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2013] [Accepted: 03/27/2013] [Indexed: 11/29/2022] Open
Abstract
Background Significant emphasis is currently placed on the need to enhance health care decision-making with research-derived evidence. While much has been written on specific strategies to enable these “knowledge-to-action” processes, there is less empirical evidence regarding what happens when knowledge translation (KT) processes do not proceed as planned. The present paper provides a KT case study using the area of health care screening for intimate partner violence (IPV). Methods A modified citation analysis method was used, beginning with a comprehensive search (August 2009 to October 2012) to capture scholarly and grey literature, and news reports citing a specific randomized controlled trial published in a major medical journal on the effectiveness of screening women, in health care settings, for exposure to IPV. Results of the searches were extracted, coded and analysed using a multi-step mixed qualitative and quantitative content analysis process. Results The trial was cited in 147 citations from 112 different sources in journal articles, commentaries, books, and government and news reports. The trial also formed part of the evidence base for several national-level practice guidelines and policy statements. The most common interpretations of the trial were “no benefit of screening”, “no harms of screening”, or both. Variation existed in how these findings were represented, ranging from summaries of the findings, to privileging one outcome over others, and to critical qualifications, especially with regard to methodological rigour of the trial. Of note, interpretations were not always internally consistent, with the same evidence used in sometimes contradictory ways within the same source. Conclusions Our findings provide empirical data on the malleability of “evidence” in knowledge translation processes, and its potential for multiple, often unanticipated, uses. They have implications for understanding how research evidence is used and interpreted in policy and practice, particularly in contested knowledge areas.
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Affiliation(s)
- C Nadine Wathen
- Faculty of Information and Media Studies, The University of Western Ontario, 1151 Richmond St, London, ON N6A 5B7, Canada.
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Rollans M, Schmied V, Kemp L, Meade T. Digging over that old ground: an Australian perspective of women's experience of psychosocial assessment and depression screening in pregnancy and following birth. BMC WOMENS HEALTH 2013; 13:18. [PMID: 23570282 PMCID: PMC3636103 DOI: 10.1186/1472-6874-13-18] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/17/2012] [Accepted: 03/15/2013] [Indexed: 11/16/2022]
Abstract
Background There is increasing recognition of the need to identify risk factors for poor mental health in pregnancy and following birth. In New South Wales, Australia, health policy mandates psychosocial assessment and depression screening for all women at the antenatal booking visit and at six to eight weeks after birth. Few studies have explored in-depth women’s experience of assessment and how disclosures of sensitive information are managed by midwives and nurses. This paper describes women’s experience of psychosocial assessment and depression screening examining the meaning they attribute to assessment and how this influences their response. Methods This qualitative ethnographic study included 34 women who were observed antenatally in the clinic with 18 midwives and 20 of the same women who were observed during their interaction with 13 child and family health nurses after birth in the home or the clinic environment. An observational tool, 4D&4R, together with field notes was used to record observations and were analysed descriptively using frequencies. Women also participated in face to face interviews. Field note and interview data was analysed thematically and similarities and differences across different time points were identified. Results Most participants reported that it was acceptable to them to be asked the psychosocial questions however they felt unprepared for the sensitive nature of the questions asked. Women with a history of trauma or loss were distressed by retelling their experiences. Five key themes emerged. Three themes; ’Unexpected: a bit out of the blue’, ‘Intrusive: very personal questions’ and ‘Uncomfortable: digging over that old ground’, describe the impact that assessment had on women. Women also emphasised that the approach taken by the midwife or nurse during assessment influenced their experience and in some cases what they reported. This is reflected in the themes titled: Approach: ’sensitivity and care’ and ’being watched’. Conclusions The findings emphasise the need for health services to better prepare women for this assessment prior to and after birth. It is crucial that health professionals are educationally prepared for this work and receive ongoing training and support in order to always deliver care that is empathetic and sensitive to women who are disclosing personal information.
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Affiliation(s)
- Mellanie Rollans
- School of Nursing and Midwifery, University of Western Sydney, Sydney, Australia.
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Sprague S, Madden K, Dosanjh S, Godin K, Goslings JC, Schemitsch EH, Bhandari M. Intimate partner violence and musculoskeletal injury: bridging the knowledge gap in orthopaedic fracture clinics. BMC Musculoskelet Disord 2013; 14:23. [PMID: 23316813 PMCID: PMC3585708 DOI: 10.1186/1471-2474-14-23] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2012] [Accepted: 01/09/2013] [Indexed: 11/10/2022] Open
Abstract
Intimate partner violence (IPV) is a serious health issue. There have been widespread research efforts in the area of IPV over the past several decades, primarily focusing on obstetrics, emergency medicine, and primary care settings. Until recently there has been a paucity of research focusing on IPV in surgery, and thus a resultant knowledge gap. Renewed interest in the underlying risk of IPV among women with musculoskeletal injuries has fueled several important studies to determine the nature and scope of this issue in orthopaedic surgery. Our review summarizes the evidence from surgical research in the field of IPV and provides recommendations for developing and evaluating an IPV identification and support program and opportunities for future research.
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Affiliation(s)
- Sheila Sprague
- Department of Clinical Epidemiology and Biostatistics, McMaster University, 293 Wellington St, N Suite 110, L8L 8E7, Hamilton, ON, Canada.
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Taft AJ, Bandyopadhyay M. Introduction to COMPASS: navigating complexity in public health research. BMC Public Health 2011; 11 Suppl 5:S1. [PMID: 22168346 PMCID: PMC3247024 DOI: 10.1186/1471-2458-11-s5-s1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Angela J Taft
- Mother and Child Health Research, La Trobe University, 215 Franklin St, Melbourne, Victoria 3000, Australia
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