There are potent evidence-based psychological treatments for youth with mental health needs, yet they are rarely implemented in clinical practice, especially for youth with mental health disorders in the context of chronic physical illness such as epilepsy. Implementation science, the study of the translation of research into practice, can promote the uptake of existing effective interventions in routine clinical practice and aid the sustainable integration of psychological treatments with routine health care. The aim of this report was to use four implementation science methods to develop a version of an existing effective psychological treatment for mental health disorders [the Modular Approach to Treatment of Children with Anxiety, Depression or Conduct Problems (MATCH-ADTC)] for use within paediatric epilepsy services: (a) literature search; (b) iterative focus groups underpinned by normalisation process theory; (c) Plan–Do–Study–Act methods; and (d) qualitative patient interviews. Findings: Three modifications were deemed necessary to facilitate implementation in children with both mental health disorders and epilepsy. These were (a) a universal brief psychoeducational component addressing the relationship between epilepsy and mental health; (b) supplementary, conditionally activated interventions addressing stigma, parental mental health and the transition to adulthood; and (c) additional training and supervision. The intervention needed relatively little alteration for implementation in paediatric epilepsy services. The modified treatment reflected the scientific literature and the views of clinicians and service users. The multi-method approach used in this report can serve as a model for implementation of evidence-based psychological treatments for children with mental health needs in the context of other chronic illnesses.

中文翻译：

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优化循证心理治疗以满足癫痫儿童的心理健康需求：原则和方法。


针对有心理健康需求的青少年，有有效的循证心理治疗方法，但很少在临床实践中实施，特别是对于患有癫痫等慢性身体疾病的患有心理健康障碍的青少年。实施科学是一门将研究转化为实践的研究，可以促进现有有效干预措施在常规临床实践中的采用，并有助于心理治疗与常规医疗保健的可持续结合。本报告的目的是使用四种实施科学方法来开发一种现有的有效治疗精神健康障碍的心理治疗方法[治疗患有焦虑、抑郁或品行问题的儿童的模块化方法（MATCH-ADTC）]，以供在以下范围内使用：小儿癫痫服务：(a) 文献检索； (b) 以标准化过程理论为基础的迭代焦点小组； (c) 计划—实施—研究—行动方法； (d) 定性患者访谈。结果：为了促进在患有精神健康障碍和癫痫的儿童中实施，需要进行三项修改。这些是（a）普遍简短的心理教育部分，解决癫痫与心理健康之间的关系； (b) 针对耻辱、父母心理健康和向成年过渡的补充性、有条件启动的干预措施； (c) 额外的培训和监督。该干预措施在小儿癫痫服务中的实施只需相对较少的改变。修改后的治疗反映了科学文献以及临床医生和服务使用者的观点。 本报告中使用的多方法可以作为对患有其他慢性疾病的有心理健康需求的儿童实施循证心理治疗的模型。