Shurong Lu1,2, Wenjing Li3, Brian Oldenburg4, Yan Wang5, Anthony F Jorm3, Yanling He5, Nicola J Reavley3. 1. Jiangsu Provincial Centre for Disease Control and Prevention, Nanjing, 210009, China. shurongl1@student.unimelb.edu.au. 2. Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, 3000, Australia. shurongl1@student.unimelb.edu.au. 3. Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, 3010, Australia. 4. Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, 3000, Australia. 5. Shanghai Mental Health Centre, Shanghai, 200030, China.
Abstract
BACKGROUND: Most people who meet the criteria for a diagnosis of depression in China do not receive treatment. Family and friends can play a role in recognising the signs of depression and encouraging the person to seek treatment. However, many of them may lack the knowledge and skills to offer such help. The aim of this study was to culturally adapt the existing English-language mental health first aid (MHFA) guidelines for helping a person with depression to the Chinese context. METHODS: A Delphi expert consensus study was conducted, in which two Chinese expert panels of mental health professionals (with experience in the field of clinical management of depression, n = 37) and consumers and carers (with lived experience, n = 30) rated the importance of actions that could be taken to help a person experiencing depression in mainland China. RESULTS: Data were collected over 3 survey rounds. In the 1st round questionnaire, 175 statements translated into Chinese from the English-language guidelines were presented to the expert panels and 12 new statements were generated from panellists' comments. Of these 187 statements, 173 were endorsed for inclusion in the adapted guidelines for China. CONCLUSIONS: Although the adapted guidelines were still quite similar to the guidelines for English-speaking countries, they also incorporated some new actions for the Chinese context, including those relating to different ways of respecting the autonomy of a person with depression and the role of their families. Further research is needed to explore the use of these guidelines by the Chinese public, including how they may be incorporated in Mental Health First Aid training.
BACKGROUND: Most people who meet the criteria for a diagnosis of depression in China do not receive treatment. Family and friends can play a role in recognising the signs of depression and encouraging the person to seek treatment. However, many of them may lack the knowledge and skills to offer such help. The aim of this study was to culturally adapt the existing English-language mental health first aid (MHFA) guidelines for helping a person with depression to the Chinese context. METHODS: A Delphi expert consensus study was conducted, in which two Chinese expert panels of mental health professionals (with experience in the field of clinical management of depression, n = 37) and consumers and carers (with lived experience, n = 30) rated the importance of actions that could be taken to help a person experiencing depression in mainland China. RESULTS: Data were collected over 3 survey rounds. In the 1st round questionnaire, 175 statements translated into Chinese from the English-language guidelines were presented to the expert panels and 12 new statements were generated from panellists' comments. Of these 187 statements, 173 were endorsed for inclusion in the adapted guidelines for China. CONCLUSIONS: Although the adapted guidelines were still quite similar to the guidelines for English-speaking countries, they also incorporated some new actions for the Chinese context, including those relating to different ways of respecting the autonomy of a person with depression and the role of their families. Further research is needed to explore the use of these guidelines by the Chinese public, including how they may be incorporated in Mental Health First Aid training.
Entities:
Keywords:
China; Cultural adaptation; Delphi study; Depression; Mental Health First Aid (MHFA)
Authors: Kendall Searle; Grant Blashki; Ritsuko Kakuma; Hui Yang; Shurong Lu; Baoqi Li; Yingying Xiao; Harry Minas Journal: Int J Ment Health Syst Date: 2022-02-15
Authors: Nga Linh La; Ian Shochet; Thach Tran; Jane Fisher; Astrid Wurfl; Nga Nguyen; Jayne Orr; Ruby Stocker; Huong Nguyen Journal: PLoS One Date: 2022-08-04 Impact factor: 3.752