Schizophrenia Assessment, Referral and Awareness Training for Health Auxiliaries (SARATHA): Protocol for a Mixed-Methods Pilot Study in Rural India.
Schizophrenia Assessment, Referral and Awareness Training for Health Auxiliaries (SARATHA): Protocol for a Mixed-Methods Pilot Study in Rural India.
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DOI：
10.3390/ijerph192214936
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发表时间：
2022-11-13
影响因子：
--
通讯作者：
Bhan, Anant
中科院分区：
文献类型：
--
作者：
Naslund, John A.;Tyagi, Vidhi;Khan, Azaz;Siddiqui, Saher;Abhilashi, Minal Kakra;Dhurve, Pooja;Mehta, Urvakhsh Meherwan;Rozatkar, Abhijit;Bhatia, Urvita;Vartak, Anil;Torous, John;Tugnawat, Deepak;Bhan, Anant
背景资料：劳动力短缺是及时发现和治疗精神分裂症的主要障碍，特别是在低收入和中等收入国家。SARATHA（精神分裂症评估，转诊和卫生保健人员意识培训）项目涉及系统开发，迭代改进和试点测试数字计划，用于培训社区卫生工作者在印度农村初级保健环境中早期发现和转诊精神分裂症。方法：SARATHA是一项三阶段研究。第一阶段涉及咨询专家和临床医生，并从现有证据中吸取信息，为培训社区卫生工作者制定课程。第二阶段包括设计和数字化培训内容，以便在智能手机应用程序上提供。设计研讨会和焦点小组讨论将进行，以征求社区卫生工作者和精神分裂症患者服务使用者的意见，以指导对计划内容的修订和改进。最后，第三阶段需要对20名社区卫生工作者的目标样本进行培训计划试点，以评估可行性和可接受性。初步效果将被探索，作为衡量社区卫生工作者在完成培训后对精神分裂症的知识和计划内容的变化。讨论内容：如果成功的话，这个数字培训项目将为一线社区卫生工作者的能力建设提供一种潜在的可扩展方法，以减少印度农村初级保健环境中精神分裂症早期发现的延迟。这项研究可以为改善低资源环境中精神分裂症患者的治疗结果提供信息。
Background: Workforce shortages pose major obstacles to the timely detection and treatment of schizophrenia, particularly in low-income and middle-income countries. The SARATHA (Schizophrenia Assessment, Referral, and Awareness Training for Health Auxiliaries) project involves the systematic development, iterative refinement, and pilot testing of a digital program for training community health workers in the early detection and referral of schizophrenia in primary care settings in rural India. Methods: SARATHA is a three-phase study. Phase 1 involves consulting with experts and clinicians, and drawing from existing evidence to inform the development of a curriculum for training community health workers. Phase 2 consists of designing and digitizing the training content for delivery on a smartphone app. Design workshops and focus group discussions will be conducted to seek input from community health workers and service users living with schizophrenia to guide revisions and refinements to the program content. Lastly, Phase 3 entails piloting the training program with a target sample of 20 community health workers to assess feasibility and acceptability. Preliminary effectiveness will be explored, as measured by community health workers’ changes in knowledge about schizophrenia and the program content after completing the training. Discussion: If successful, this digital training program will offer a potentially scalable approach for building capacity of frontline community health workers towards reducing delays in early detection of schizophrenia in primary care settings in rural India. This study can inform efforts to improve treatment outcomes for persons living with schizophrenia in low-resource settings.
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影响因子：
4.4
作者：
Asher L;Hanlon C;Birhane R;Habtamu A;Eaton J;Weiss HA;Patel V;Fekadu A;De Silva M
通讯作者：
De Silva M
影响因子：
2.5
作者：
Chatterjee, Sudipto;Leese, Morven;Thornicroft, Graham
通讯作者：
Thornicroft, Graham
DOI：
10.1007/s10488-017-0815-0
发表时间：
2018-03
期刊：
Administration and policy in mental health
影响因子：
--
作者：
Barnett ML;Gonzalez A;Miranda J;Chavira DA;Lau AS
通讯作者：
Lau AS
影响因子：
9.5
作者：
Joshi U;Khan A;Muke S;Choubey S;Tugnawat D;Naslund JA;Bhan A
通讯作者：
Bhan A
影响因子：
73.3
作者：
Liu, Nancy H.;Daumit, Gail L.;Saxena, Shekhar
通讯作者：
Saxena, Shekhar