Applying human-centered design to maximize acceptability, feasibility, and usability of mobile technology supervision in Kenya: a mixed methods pilot study protocol.
Applying human-centered design to maximize acceptability, feasibility, and usability of mobile technology supervision in Kenya: a mixed methods pilot study protocol.
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DOI：
10.1186/s43058-020-00102-9
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发表时间：
2021-01-07
影响因子：
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通讯作者：
Dorsey S
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文献类型：
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作者：
Triplett NS;Munson S;Mbwayo A;Mutavi T;Weiner BJ;Collins P;Amanya C;Dorsey S
尽管研究继续支持任务转移作为提供循证实践（EBP）的有效模式，但很少有学者关注如何在低收入和中等收入国家扩大和维持任务转移，包括如何可持续地监督外行辅导员。持续监督对于确保EBP的忠实交付至关重要;然而，提供持续监督所需的资源和专业知识可能会限制扩大规模和维持任务转移的潜力。可能存在利用移动的技术来取代或补充低资源环境中的亲自监督的机会，但在设计和实施移动的技术监督时，必须检查和考虑环境变量，例如网络连接和移动的技术周围的非专业顾问偏好。这项研究建立在肯尼亚现有的随机试验基础上，其中教师和社区健康志愿者接受了培训，作为外行顾问提供以创伤为中心的认知行为治疗。该研究将使用迭代和混合方法，定性访谈和以人为中心的设计（HCD）研讨会为非随机试点试验提供信息。将与非专业顾问和监管人员进行半结构化访谈，以了解移动的技术目前如何用于监管，并确定移动的技术监管的障碍和促进因素。这些访谈的数据将为HCD研讨会提供信息，在那里，非专业顾问和主管“重新设计”监督，以最有效地利用移动的技术。讲习班学员还将参加焦点小组，以收集关于使用HCD技术的看法。研讨会的最终成果将是一套完善的工作流程，这将在一个混合的方法，非随机试点与新培训的外行辅导员和现有的主管进行测试。试点试验将通过自我报告问卷评估移动的技术监督的可接受性、可行性和可用性，并通过与一部分非专业顾问和所有监督者的定性访谈评估其有效性。这项研究将为今后的监督研究和方法提供一个起点，以便让利益攸关方参与设计和调整干预措施和执行支助，以适应资源不足的情况。构建本研究的母试验于2017年8月9日在ClinicalTrials.gov上注册（NCT 03243396）。在线版本包含补充材料，可通过10.1186/s43058-020-00102-9获取。
Although research continues to support task-shifting as an effective model of delivering evidence-based practices (EBPs), little scholarship has focused how to scale up and sustain task-shifting in low- and middle-income countries, including how to sustainably supervise lay counselors. Ongoing supervision is critical to ensure EBPs are delivered with fidelity; however, the resources and expertise required to provide ongoing supervision may limit the potential to scale up and sustain task shifting. Opportunities may exist to leverage mobile technology to replace or supplement in-person supervision in low-resource contexts, but contextual variables, such as network connectivity and lay counselor preferences surrounding mobile technology, must be examined and considered when designing and implementing mobile technology supervision. This study builds from an existing randomized trial in Kenya, wherein teachers and community health volunteers have been trained to provide trauma-focused cognitive behavioral therapy as lay counselors. The study will use an iterative and mixed methods approach, with qualitative interviews and a Human-Centered Design (HCD) workshop informing a non-randomized pilot trial. Semi-structured interviews will be conducted with lay counselors and supervisors to understand how mobile technology is currently being used for supervision and determine the barriers and facilitators to mobile technology supervision. Data from these interviews will inform an HCD workshop, where lay counselors and supervisors “re-design” supervision to most effectively leverage mobile technology. Workshop participants will also participate in focus groups to gather perceptions on the use of HCD techniques. The final outcome of the workshop will be a set of refined workflows, which will be tested in a mixed method, nonrandomized pilot with newly trained lay counselors and existing supervisors. The pilot trial will evaluate the acceptability, feasibility, and usability of mobile technology supervision through self-report questionnaires as well as perceptions of effectiveness through qualitative interviews with a subset of lay counselors and all supervisors. This study will provide a launching point for future research on supervision and methods to engage stakeholders to design and tailor interventions and implementation supports to fit low-resourced contexts. The parent trial from which this study builds was registered on ClinicalTrials.gov on August 9, 2017 (NCT03243396). The online version contains supplementary material available at 10.1186/s43058-020-00102-9.