Individualisation, personalisation and person-centredness in mental healthcare: a scoping review of concepts and linguistic network visualisation

Background Targeted mental health interventions are increasingly described as individualised, personalised or person-centred approaches. However, the definitions for these terms vary significantly. Their interchangeable use prevents operationalisations and measures. - Objective This scoping review p...

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Hauptverfasser: Mayer, Gwendolyn (VerfasserIn) , Zafar, Ali (VerfasserIn) , Hummel, Svenja (VerfasserIn) , Landau, Felix (VerfasserIn) , Schultz, Jobst-Hendrik (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2023
In: BMJ mental health
Year: 2023, Jahrgang: 26, Heft: 1, Pages: 1-11
ISSN:2755-9734
DOI:10.1136/bmjment-2023-300831
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1136/bmjment-2023-300831
Verlag, kostenfrei, Volltext: https://mentalhealth.bmj.com/content/26/1/e300831
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Verfasserangaben:Gwendolyn Mayer, Ali Zafar, Svenja Hummel, Felix Landau, Jobst-Hendrik Schultz

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520 |a Background Targeted mental health interventions are increasingly described as individualised, personalised or person-centred approaches. However, the definitions for these terms vary significantly. Their interchangeable use prevents operationalisations and measures. - Objective This scoping review provides a synthesis of key concepts, definitions and the language used in the context of these terms in an effort to delineate their use for future research. - Study selection and analysis Our search on PubMed, EBSCO and Cochrane provided 2835 relevant titles. A total of 176 titles were found eligible for extracting data. A thematic analysis was conducted to synthesise the underlying aspects of individualisation, personalisation and person-centredness. Network visualisations of co-occurring words in 2625 abstracts were performed using VOSViewer. - Findings Overall, 106 out of 176 (60.2%) articles provided concepts for individualisation, personalisation and person-centredness. Studies using person-centredness provided a conceptualisation more often than the others. A thematic analysis revealed medical, psychological, sociocultural, biological, behavioural, economic and environmental dimensions of the concepts. Practical frameworks were mostly found related to person-centredness, while theoretical frameworks emerged in studies on personalisation. Word co-occurrences showed common psychiatric words in all three network visualisations, but differences in further contexts. - Conclusions and clinical implications The use of individualisation, personalisation and person-centredness in mental healthcare is multifaceted. While individualisation was the most generic term, personalisation was often used in biomedical or technological studies. Person-centredness emerged as the most well-defined concept, with many frameworks often related to dementia care. We recommend that the use of these terms follows a clear definition within the context of their respective disorders, treatments or medical settings. - Scoping review registration Open Science Framework: osf.io/uatsc. 
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