Strategies and impacts of patient and family engagement in collaborative mental healthcare: protocol for a systematic and realist review.
BACKGROUND
Collaborative mental healthcare (CMHC) has garnered worldwide interest as an effective, team-based approach to managing common mental disorders in primary care. However, questions remain about how CMHC works and why it works in some circumstances but not others. In this study, we will review the evidence on one understudied but potentially critical component of CMHC, namely the engagement of patients and families in care. Our aims are to describe the strategies used to engage people with depression or anxiety disorders and their families in CMHC and understand how these strategies work, for whom and in what circumstances.


METHODS
We are conducting a review with systematic and realist review components. Review part 1 seeks to identify and describe the patient and family engagement strategies featured in CMHC interventions based on systematic searches and descriptive analysis of these interventions. We will use a 2012 Cochrane review of CMHC as a starting point and perform new searches in multiple databases and trial registers to retrieve more recent CMHC intervention studies. In review part 2, we will build and refine programme theories for each of these engagement strategies. Initial theory building will proceed iteratively through content expert consultations, electronic searches for theoretical literature and review team brainstorming sessions. Cluster searches will then retrieve additional data on contexts, mechanisms and outcomes associated with engagement strategies, and pairs of review authors will analyse and synthesise the evidence and adjust initial programme theories.


BACKGROUND
Our review follows a participatory approach with multiple knowledge users and persons with lived experience of mental illness. These partners will help us develop and tailor project outputs, including publications, policy briefs, training materials and guidance on how to make CMHC more patient-centred and family-centred.
CRD42015025522.
CHU de Québec Research Centre, Quebec, Quebec, Canada Department of Family Medicine and Emergency Medicine, Laval University, Quebec, Quebec, Canada.
Matthew
M
Menear
CIUSSS de la Capitale-Nationale, Quebec, Quebec, Canada.
Michel
M
Gervais
Department of Rehabilitation, Laval University, Quebec, Quebec, Canada.
Emmanuelle
E
Careau
Department of Health Sciences, Université du Québec à Chicoutimi, Chicoutimi, Quebec, Canada.
Maud-Christine
MC
Chouinard
Association québecoise pour la réadaptation psychosociale, Quebec, Quebec, Canada.
Guylaine
G
Cloutier
Quebec Ministry of Health and Social Services, Quebec, Quebec, Canada.
André
A
Delorme
CHU de Québec Research Centre, Quebec, Quebec, Canada Department of Family Medicine and Emergency Medicine, Laval University, Quebec, Quebec, Canada.
Maman Joyce
MJ
Dogba
CHU de Québec Research Centre, Quebec, Quebec, Canada.
Michèle
M
Dugas
Faculty of Nursing, Laval University, Quebec, Quebec, Canada.
Marie-Pierre
MP
Gagnon
National Centre for Excellence in Mental Health, Montreal, Quebec, Canada.
Michel
M
Gilbert
Department of Health Sciences, Université du Québec à Chicoutimi, Chicoutimi, Quebec, Canada.
Diane
D
Harvey
Department of Psychology, Université du Québec à Montréal, Montreal, Quebec, Canada.
Janie
J
Houle
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Nick
N
Kates
Institute of Population Health, University of Manchester, Manchester, UK.
Sara
S
Knowles
Neasa Martin and Associates, Toronto, Ontario, Canada.
Neasa
N
Martin
Department of Family Medicine, University of Colorado Denver, Denver, Colorado, USA.
Donald
D
Nease
Department of Family Medicine, McGill University, Montreal, Quebec, Canada.
Pierre
P
Pluye
Department of Health Sciences, Université du Québec à Chicoutimi, Chicoutimi, Quebec, Canada.
Esther
E
Samson
SPOR-SUPPORT Unit of Quebec, Canada.
Hervé Tchala Vignon
HT
Zomahoun
CHU de Québec Research Centre, Quebec, Quebec, Canada Department of Family Medicine and Emergency Medicine, Laval University, Quebec, Quebec, Canada.
France
F
Légaré
Collaborative mental health care; Depression and Anxiety; Patient and family engagement; Protocol; Realist review
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