Understanding Lay Counselor Perspectives on Mobile Phone Supervision in Kenya: Qualitative Study.
Understanding Lay Counselor Perspectives on Mobile Phone Supervision in Kenya: Qualitative Study.
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DOI：
10.2196/38822
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发表时间：
2023-02-02
影响因子：
2.2
通讯作者：
Dorsey, Shannon
中科院分区：
文献类型：
--
作者：
Triplett, Noah S.;Johnson, Clara;Kiche, Sharon;Dastrup, Kara;Nguyen, Julie;Daniels, Alayna;Mbwayo, Anne;Amanya, Cyrilla;Munson, Sean;Collins, Pamela Y.;Weiner, Bryan J.;Dorsey, Shannon
关键词：
任务转移是一种有效的模式，通过非专业咨询师增加获得心理健康治疗的机会，这些咨询师接受的专业培训较少，在监督下提供护理。移动的电话可能是一个低技术的机会，可以取代或减少在任务转移中对亲自监督的依赖，但必须审查和考虑重要的技术和环境限制。以人为本的设计方法为指导，我们旨在了解移动的电话目前是如何使用时，监督外行辅导员，确定移动的电话监督的可接受性和可行性，并产生解决方案，以改善移动的电话监督。参与者是从肯尼亚西部的一项大型混合有效性实施研究中招募的，在该研究中，教师和社区卫生志愿者接受了培训，以提供以创伤为中心的认知行为治疗。非专业顾问（n=24）和主管（n=3）参加了半结构化的采访中的参与者选择的语言（即，英语或斯瓦希里语）。外行顾问参与者分层的主管额定频率的移动的电话使用，这样的采访包括高频率，平均频率，和低频率的手机用户在平等的部分。监督员根据与同龄人的电话联系频率（即电话和短信）对非专业咨询师进行评级。访谈记录，翻译时需要，并使用主题分析进行分析。参与者描述了一系列移动的电话用途，包括提供临床更新、安排和协调监督和临床小组以及支持研究程序。参与者喜欢移动的电话如何减轻负担，促进获得临床和个人支持，并使外行顾问更加独立。参与者不喜欢移动的电话如何限制主管和外行顾问之间的信息传输和关系建立。移动的电话监督促进了工作的智能手机，方便和方便的移动的电话监督，移动的电话识字，和积极的监督辅导员的关系。有限的资源、技术困难、通信挑战以及通过移动的电话有效开展活动的局限性是移动的电话监督的障碍。非专业顾问和主管提出了27种不同的解决方案，以提高移动的电话监督的可接受性和可行性。战略根据所需资源而定，包括提供电话和通话时间以支持监督，确定安静和私密的地方进行移动的电话监督，并描述请求亲自支持的程序。非专业顾问和主管以各种方式使用移动的电话;然而，必须解决其使用的不同挑战，以优化可接受性、可行性和可用性。研究人员应该考虑实施数字健康工具的局限性，并与最终用户一起设计解决方案，以优化这些工具的使用。RR2-10.1186/s43058-020-00102-9
Task shifting is an effective model for increasing access to mental health treatment via lay counselors with less specialized training that deliver care under supervision. Mobile phones may present a low-technology opportunity to replace or decrease reliance on in-person supervision in task shifting, but important technical and contextual limitations must be examined and considered. Guided by human-centered design methods, we aimed to understand how mobile phones are currently used when supervising lay counselors, determine the acceptability and feasibility of mobile phone supervision, and generate solutions to improve mobile phone supervision. Participants were recruited from a large hybrid effectiveness implementation study in western Kenya wherein teachers and community health volunteers were trained to provide trauma-focused cognitive behavioral therapy. Lay counselors (n=24) and supervisors (n=3) participated in semistructured interviews in the language of the participants’ choosing (ie, English or Kiswahili). Lay counselor participants were stratified by supervisor-rated frequency of mobile phone use such that interviews included high-frequency, average-frequency, and low-frequency phone users in equal parts. Supervisors rated lay counselors on frequency of phone contact (ie, calls and SMS text messages) relative to their peers. The interviews were transcribed, translated when needed, and analyzed using thematic analysis. Participants described a range of mobile phone uses, including providing clinical updates, scheduling and coordinating supervision and clinical groups, and supporting research procedures. Participants liked how mobile phones decreased burden, facilitated access to clinical and personal support, and enabled greater independence of lay counselors. Participants disliked how mobile phones limited information transmission and relationship building between supervisors and lay counselors. Mobile phone supervision was facilitated by access to working smartphones, ease and convenience of mobile phone supervision, mobile phone literacy, and positive supervisor-counselor relationships. Limited resources, technical difficulties, communication challenges, and limitations on which activities can be effectively performed via mobile phone were barriers to mobile phone supervision. Lay counselors and supervisors generated 27 distinct solutions to increase the acceptability and feasibility of mobile phone supervision. Strategies ranged in terms of the resources required and included providing phones and airtime to support supervision, identifying quiet and private places to hold mobile phone supervision, and delineating processes for requesting in-person support. Lay counselors and supervisors use mobile phones in a variety of ways; however, there are distinct challenges to their use that must be addressed to optimize acceptability, feasibility, and usability. Researchers should consider limitations to implementing digital health tools and design solutions alongside end users to optimize the use of these tools. RR2-10.1186/s43058-020-00102-9
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DOI：
10.9745/ghsp-d-15-00386
发表时间：
2016-06-20
期刊：
Global health, science and practice
影响因子：
--
作者：
Henry JV;Winters N;Lakati A;Oliver M;Geniets A;Mbae SM;Wanjiru H
通讯作者：
Wanjiru H
影响因子：
3.6
作者：
Dopp, Alex R.;Parisi, Kathryn E.;Lyon, Aaron R.
通讯作者：
Lyon, Aaron R.
影响因子：
4.4
作者：
Gureje, Oye;Oladeji, Bibilola Damilola;Groleau, Danielle
通讯作者：
Groleau, Danielle
影响因子：
3.8
作者：
Naslund, John A.;Shidhaye, Rahul;Patel, Vikram
通讯作者：
Patel, Vikram
影响因子：
4.5
作者：
Feroz, Anam;Jabeen, Rawshan;Saleem, Sarah
通讯作者：
Saleem, Sarah