Empowerment training to support service user involvement in mental health system strengthening in rural Ethiopia: a mixed-methods pilot study.
Empowerment training to support service user involvement in mental health system strengthening in rural Ethiopia: a mixed-methods pilot study.
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DOI：
10.1186/s12913-022-08290-x
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发表时间：
2022-07-08
影响因子：
2.8
通讯作者：
中科院分区：
文献类型：
--
作者：
建议增加服务使用者参与，以改善低收入和中等收入国家薄弱的精神卫生系统。然而，很少实施参与，支持参与的干预措施也很少。在这项研究中，我们评估了服务使用者和卫生专业人员授权和培训计划的可接受性、可行性和可感知的结果，以促进服务使用者参与加强埃塞俄比亚农村的精神卫生系统。减少卫生保健提供者中的耻辱（重塑）是一项针对服务使用者、其护理者和有抱负的卫生工作者的培训课程，使用PhotoVoice方法，使他们为参与加强中低收入国家的精神卫生系统做好准备。我们提供了在埃塞俄比亚开发的增强赋权内容的重塑培训。互动式面对面培训分别提供给服务使用者和护理人员（超过10天）和卫生专业人员（1天）。本研究采用非控制、趋同混合方法设计。定量数据包括过程数据、满意度问卷和回顾性测试前调查。定性数据包括服务用户的退出和后续深度访谈。定量数据进行描述性统计，定性数据进行主题分析。分析后，通过三角测量对趋同主题进行整合。12名服务使用者、12名护理人员和18名保健专业人员参加了培训，并完成了培训。参与者对内容和交付过程非常重视；培训方案的标准达到了他们的期望，参与使他们在了解精神疾病、耻辱、服务使用者参与和人权方面取得了积极进展。定性结果确定了积极的影响，包括增强自信、赋权感、社会和感知的治疗益处。我们发现，使用PhotoVoice方法为埃塞俄比亚提供的具有附加内容的重塑培训是可行的，可以接受的，并且对于开发和实施培训计划具有价值，这些培训计划可以授权服务用户参与在这种情况下加强精神卫生系统。有必要进一步研究以评估对加强卫生系统的影响。在线版本包含补充材料，可在10.1186/s12913-022-08290-x获得。
Increased service user involvement is recommended to improve weak mental health systems in low-and middle-income countries (LMICs). However, involvement is rarely implemented and interventions to support involvement are sparse. In this study we evaluated the acceptability, feasibility and perceived outcomes of an empowerment and training program for service users and health professionals to facilitate service user involvement in mental health system strengthening in rural Ethiopia. REducing Stigma among HealthcAreProvidErs (RESHAPE) is a training curriculum for service users, their caregivers and aspirational health workers, which uses PhotoVoice methodology, to prepare them in participation of mental health systems strengthening in LMICs. We delivered the RESHAPE training augmented with empowerment content developed in Ethiopia. The interactive face-to-face training was delivered to service users and caregivers (over 10 days), and health professionals (1 day) separately. The study was an uncontrolled, convergent mixed-methods design. The quantitative data consisted of process data, satisfaction questionnaire, and a retrospective pre-test survey. Qualitative data included exit and follow-up in-depth interviews with the service users. Descriptive statistics were performed for quantitative data, and qualitative data were thematically analysed. The findings were integrated through triangulation for convergent themes following analysis. Twelve service users, 12 caregivers and 18 health professionals were enrolled, and completed the training. Participants valued the content and delivery process; the standard of the training program met their expectations and participation led to positive gains in understanding about mental illness, stigma, service-user involvement and human rights. The qualitative findings identified positive impacts, including increased self-confidence, sense of empowerment, social - and perceived therapeutic benefits. We found that the RESHAPE training with added content for Ethiopia, delivered using the PhotoVoice methodology, is feasible, acceptable and of value to develop and implement training programmes which can empower service users to be involved in mental health system strengthening in this setting. Further study to assess the impact on health systems strengthening is warranted. The online version contains supplementary material available at 10.1186/s12913-022-08290-x.
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影响因子：
1.7
作者：
Kohrt BA;Jordans MJD;Turner EL;Sikkema KJ;Luitel NP;Rai S;Singla DR;Lamichhane J;Lund C;Patel V
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Patel V
影响因子：
1.9
作者：
Kaiser, Bonnie N.;Varma, Saiba;Kohrt, Brandon A.
通讯作者：
Kohrt, Brandon A.
影响因子：
8.1
作者：
Lempp H;Abayneh S;Gurung D;Kola L;Abdulmalik J;Evans-Lacko S;Semrau M;Alem A;Thornicroft G;Hanlon C
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Hanlon C
DOI：
10.1177/2373379919885975
发表时间：
2020-09-01
期刊：
Pedagogy in health promotion
影响因子：
--
作者：
Coombe CM;Schulz AJ;Brakefield-Caldwell W;Gray C;Guzman JR;Kieffer EC;Lewis T;Reyes AG;Rowe Z;Israel BA
通讯作者：
Israel BA
DOI：
10.1177/1363459314567790
发表时间：
2016-03
期刊：
Health (London, England : 1997)
影响因子：
--
作者：
Han CS;Oliffe JL
通讯作者：
Oliffe JL