Browsing by Author "Amarbayan, Mungunzul"

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    Patient-reported outcome measures used to improve youth mental health services: a systematic review
    (2023-02-14) Thapa Bajgain, Kalpana; Amarbayan, Mungunzul; Wittevrongel, Krystle; McCabe, Erin; Naqvi, Syeda F.; Tang, Karen; Aghajafari, Fariba; Zwicker, Jennifer D.; Santana, Maria
    Abstract Background Patient-reported outcome measures (PROMs) are standardized and validated self-administered questionnaires that assess whether healthcare interventions and practices improve patients’ health and quality of life. PROMs are commonly implemented in children and youth mental health services, as they increasingly emphasize patient-centered care. The objective of this study was to identify and describe the PROMs that are currently in use with children and youth living with mental health conditions (MHCs). Methods Three databases (MEDLINE, EMBASE, and PsycINFO) were systematically searched that used PROMs with children and youth < 18 years of age living with at least one diagnosed MHC. All methods were noted according to Preferred Reporting Items for Systematic reviews and Meta-Analysis. Four independent reviewers extracted data, which included study characteristics (country, year), setting, the type of MHC under investigation, how the PROMs were used, type of respondent, number of items, domain descriptors, and the psychometric properties. Results Of the 5004 articles returned by the electronic search, 34 full-texts were included in this review. This review identified both generic and disease-specific PROMs, and of the 28 measures identified, 13 were generic, two were generic preference-based, and 13 were disease-specific. Conclusion This review shows there is a diverse array of PROMs used in children and youth living with MHCs. Integrating PROMs into the routine clinical care of youth living with MHCs could improve the mental health of youth. Further research on how relevant these PROMs are children and youth with mental health conditions will help establish more uniformity in the use of PROMs for this population.
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    The promising potential of patient-centered outcome measurements for youth mental health services in Alberta: A scoping and qualitative review
    (2020-08-31) Amarbayan, Mungunzul; Zwicker, Jennifer
    Between 70 and 75 per cent of adults who have a mental illness report that it began in childhood (CAMH, n.d.; MHCC, n.d.a). Youth aged 15 to 24 years have the highest probability of experiencing mental illness than any other age category, based on 2012 data (CAMH, n.d.). Untreated mental illness is correlated with negative outcomes in later life such as higher drop-out rates, unemployment, and ultimately increased health and economic system burdens (MHCC, n.d.b). Therefore, the Alberta government has recognized that more support for youth mental health is required to reduce the prevalence of mental illness in later life (Alberta. Health 2017). As health care costs continue to rise, governments will need a patient-centered and value-based assessment of which services are most effective for youth and families (Marina Valle 2016; Fletcher 2019). Patient-Reported Outcome Measures (PROMs) and the Patient-Reported Outcome Measurement Information System (PROMIS) are patient-centered measurements, which are completed by the patient to measure changes in how their health has improved or not. There is little consensus on which measures should be used in youth mental health (YMH) services. The purpose of this project was to map and outline the literature of which PROMs and PROMIS are being used in YMH services. Further, the primary researcher presented three reputable measures with youth who previously received YMH services and their family.