Development of Priority Outcome Domains for Community Mental Health Research via Consensus Among Multiple Stakeholders: Online Delphi Study in Japan.
Takuma Shiozawa, Sosei Yamaguchi, Momoka Igarashi and 5 others
PMID 40369819WHAT IT FOUND
Community mental health stakeholders in Japan agreed on outcome domains including help-seeking, feeling safe, social connectedness, daily living skills, medication adherence and suicidal ideation.
It is a research priority list, not evidence that measuring them improves care.
Key findings
01After three rounds, 24 of 96 outcome domains reached consensus as important for community mental health research.
02Help-seeking and place of safety and belonging had the highest agreement rates among all outcomes.
03The stakeholder groups often disagreed about the importance of outcome domains.
STILL TO COME
How it was doneWhat they foundWhat it means for OTsWhat it means for RNs
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What it does not show
The starting list of outcome domains was built only from systematic reviews and randomised controlled trials, so outcomes from observational studies or practice reports may have been missed. Participation was online only, so people without a computer or smartphone, or without the ability to complete online surveys, were excluded. The participants were Japanese stakeholders, so the agreed domains may not apply to other cultures or health systems. Stakeholder groups disagreed on many domains, so the consensus list may not represent service users, caregivers, and providers equally. The study reports what stakeholders considered important to measure; it does not test whether using these domains improves care or outcomes.
Declared interests
All authors are employed by or affiliated with the funding organisation, the National Center of Neurology and Psychiatry, which provided an intramural research grant.
The easy way to misread this
Do not treat the agreed domains as proof that measuring them improves recovery or service quality. The study reports stakeholder agreement about what to measure, not a test of any treatment or care model.