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Development of mental health first-aid guidelines for depression: a Delphi expert consensus study in Argentina and Chile

BACKGROUND: Depression is one of the most common mental health problems worldwide and, while prevalence rates in Latin America are relatively high, most people who meet the criteria for diagnosis do not receive treatment. Family and friends of a person with depression can play an important role in s...

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Autores principales: Encina-Zúñiga, Esteban, Agrest, Martín, Tapia-Munoz, Thamara, Vidal-Zamora, Isidora, Ardila-Gómez, Sara, Alvarado, Rubén, Leiderman, Eduardo A., Reavley, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10013290/
https://www.ncbi.nlm.nih.gov/pubmed/36918853
http://dx.doi.org/10.1186/s12888-023-04661-8
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author Encina-Zúñiga, Esteban
Agrest, Martín
Tapia-Munoz, Thamara
Vidal-Zamora, Isidora
Ardila-Gómez, Sara
Alvarado, Rubén
Leiderman, Eduardo A.
Reavley, Nicola
author_facet Encina-Zúñiga, Esteban
Agrest, Martín
Tapia-Munoz, Thamara
Vidal-Zamora, Isidora
Ardila-Gómez, Sara
Alvarado, Rubén
Leiderman, Eduardo A.
Reavley, Nicola
author_sort Encina-Zúñiga, Esteban
collection PubMed
description BACKGROUND: Depression is one of the most common mental health problems worldwide and, while prevalence rates in Latin America are relatively high, most people who meet the criteria for diagnosis do not receive treatment. Family and friends of a person with depression can play an important role in supporting a person to seek and engage with treatment. However, many people do not have the necessary skills or confidence to help. English-language mental health first aid guidelines have been developed to support people to provide such help. The aim of this study was to culturally adapt these guidelines for Chile and Argentina. METHODS: A Delphi expert consensus study was conducted with two expert panels, one of people with lived experience of depression (either their own or as a carer; n = 26) and one of health professionals (n = 29). Overall, 172 statements from the English-language guidelines were translated and compiled into a questionnaire. Participants were asked to rate statements based on how essential or important those statements were for Chile and Argentina and to suggest new statements if necessary. RESULTS: Data were obtained over two survey rounds. Consensus was achieved on 172 statements. A total of 137 statements were adopted from the English-language guidelines, whereas 35 new endorsed statements were generated from panel suggestions. There were similarities between the English-language guidelines and those for Chile and Argentina. The adapted guidelines did not include some of the items from the English-language guidelines related to commenting on a person’s strengths or making judgements about their character, and also incorporated new items related to the incorporation of sociocultural considerations as causes of depression and attention to inequities in mental health. CONCLUSIONS: The significant number of new items underscores the importance of undertaking a careful process of cultural adaptation. Further research on dissemination and incorporation of the guidelines into the Mental Health First Aid training course for Chile and Argentina is still required. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-023-04661-8.
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spelling pubmed-100132902023-03-14 Development of mental health first-aid guidelines for depression: a Delphi expert consensus study in Argentina and Chile Encina-Zúñiga, Esteban Agrest, Martín Tapia-Munoz, Thamara Vidal-Zamora, Isidora Ardila-Gómez, Sara Alvarado, Rubén Leiderman, Eduardo A. Reavley, Nicola BMC Psychiatry Research BACKGROUND: Depression is one of the most common mental health problems worldwide and, while prevalence rates in Latin America are relatively high, most people who meet the criteria for diagnosis do not receive treatment. Family and friends of a person with depression can play an important role in supporting a person to seek and engage with treatment. However, many people do not have the necessary skills or confidence to help. English-language mental health first aid guidelines have been developed to support people to provide such help. The aim of this study was to culturally adapt these guidelines for Chile and Argentina. METHODS: A Delphi expert consensus study was conducted with two expert panels, one of people with lived experience of depression (either their own or as a carer; n = 26) and one of health professionals (n = 29). Overall, 172 statements from the English-language guidelines were translated and compiled into a questionnaire. Participants were asked to rate statements based on how essential or important those statements were for Chile and Argentina and to suggest new statements if necessary. RESULTS: Data were obtained over two survey rounds. Consensus was achieved on 172 statements. A total of 137 statements were adopted from the English-language guidelines, whereas 35 new endorsed statements were generated from panel suggestions. There were similarities between the English-language guidelines and those for Chile and Argentina. The adapted guidelines did not include some of the items from the English-language guidelines related to commenting on a person’s strengths or making judgements about their character, and also incorporated new items related to the incorporation of sociocultural considerations as causes of depression and attention to inequities in mental health. CONCLUSIONS: The significant number of new items underscores the importance of undertaking a careful process of cultural adaptation. Further research on dissemination and incorporation of the guidelines into the Mental Health First Aid training course for Chile and Argentina is still required. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-023-04661-8. BioMed Central 2023-03-14 /pmc/articles/PMC10013290/ /pubmed/36918853 http://dx.doi.org/10.1186/s12888-023-04661-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Encina-Zúñiga, Esteban
Agrest, Martín
Tapia-Munoz, Thamara
Vidal-Zamora, Isidora
Ardila-Gómez, Sara
Alvarado, Rubén
Leiderman, Eduardo A.
Reavley, Nicola
Development of mental health first-aid guidelines for depression: a Delphi expert consensus study in Argentina and Chile
title Development of mental health first-aid guidelines for depression: a Delphi expert consensus study in Argentina and Chile
title_full Development of mental health first-aid guidelines for depression: a Delphi expert consensus study in Argentina and Chile
title_fullStr Development of mental health first-aid guidelines for depression: a Delphi expert consensus study in Argentina and Chile
title_full_unstemmed Development of mental health first-aid guidelines for depression: a Delphi expert consensus study in Argentina and Chile
title_short Development of mental health first-aid guidelines for depression: a Delphi expert consensus study in Argentina and Chile
title_sort development of mental health first-aid guidelines for depression: a delphi expert consensus study in argentina and chile
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10013290/
https://www.ncbi.nlm.nih.gov/pubmed/36918853
http://dx.doi.org/10.1186/s12888-023-04661-8
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