ArticleBMJ open2026
Feasibility and acceptability of measurement-based care and integrated service delivery: a mixed methods research protocol for integrated youth services.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
13 authors.
Funding
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Abstract
introductionWhile mental health and substance use challenges have been shown to most frequently emerge during adolescence and young adulthood, a significant portion of these youth experience barriers when attempting to access quality and timely care. The Integrated Youth Service (IYS) model of care aims to transform healthcare for youth by bringing together a broad array of service providers in low-barrier, accessible settings across Canada. METHODS AND ANALYSIS: This study will use the Quality Implementation Framework and a mixed methods approach to understand the perspectives of youth, caregivers/family and service providers' experiences of ISD and MBC. Focus groups will be conducted with all participant groups to identify their perspectives on these two IYS core components. Group concept mapping will identify youth-friendly, higher-level conceptualisations of ISD and MBC. Quantitative data will be collected using the Service Provider Adopter and Innovation Characteristics Questionnaire (SPAICQ) and a Social Network Analysis approach. The study will use a Convergence Parallel Design (triangulation) as the primary integration strategy, where qualitative and quantitative data are collected concurrently and brought together during the interpretation phase. This will be supplemented by embedded sequential mixing where the outputs of one method (eg, focus groups) inform the design or analysis of another (eg, SPAICQ scores). Youth and caregivers/family members will be recruited through YWHO networks and youth advisory councils, and service providers will be recruited from YWHO Networks across the province. ETHICS AND DISSEMINATION: This study has been approved by the Centre for Addiction and Mental Health's (CAMH) Research Ethics Board (REB # 2023/030). Ongoing ethical approval will be maintained annually. As the study procedures are not greater than minimal risk, adverse events and/or serious adverse events are not expected. Findings from this study will be disseminated via publications in peer-reviewed journals, national and international conferences, regular briefings to interested parties and youth and family-friendly briefs through our networks and social media.
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