Optimising implementation strategies of the first scaleup of a primary care psychological intervention for common mental disorders in Sub-Saharan Africa: a mixed methods study protocol for the optimised Friendship Bench (OptFB).
Optimising implementation strategies of the first scaleup of a primary care psychological intervention for common mental disorders in Sub-Saharan Africa: a mixed methods study protocol for the optimised Friendship Bench (OptFB).
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DOI：
10.1136/bmjopen-2020-045481
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发表时间：
2021-09-13
期刊：
影响因子：
2.9
通讯作者：
Araya R
中科院分区：
文献类型：
--
作者：
Verhey R;Chitiyo C;Mboweni SN;Chiriseri E;Chibanda D;Healey A;Wagenaar B;Araya R
常见精神障碍（CMD）是全球残疾的主要原因。CMD在津巴布韦非常普遍，并通过一种基于证据的任务转移心理干预措施来解决，称为友谊长凳（FB）。任务转移FB计划通过解决问题的治疗指导客户。2016年，该项目在津巴布韦的36个实施地点得到扩大。本研究将采用混合方法框架。其目的是：（1）使用围绕覆盖范围、有效性、采用、实施和维持评估框架组织的定量调查方法，评估目前扩大FB干预的情况，并根据绩效水平对36家诊所进行分类;（2）利用围绕实施研究综合框架组织的定性焦点小组讨论和半结构化访谈，分析实施成功的决定因素，以及通过比较高绩效和低绩效诊所来阐明实施策略的异质性;以及（3）使用目标1和2的结果来制定优化友谊长凳干预的策略，并将该模型应用于一项群集随机对照试验，以评估低绩效诊所的潜在改进。该试验将在泛非临床试验登记处（www.pactr.org）注册。计划中的第三个研究目标的随机对照试验将在完成目标1和2后注册，因为干预措施依赖于这些阶段产生的知识。该研究方案获得了津巴布韦医学研究理事会的全面授权（MRCZ A/242）。预计在研究的所有三个阶段将对数据收集工具和知情同意书进行变更，并将寻求MRCZ的批准。所有访谈伙伴都将被要求知情同意。研究团队将优先考虑开放获取出版物，以传播研究成果。
Common mental disorders (CMDs) are a leading cause of disability globally. CMDs are highly prevalent in Zimbabwe and have been addressed by an evidence-based, task-shifting psychological intervention called the Friendship Bench (FB). The task-shifted FB programme guides clients through problem-solving therapy. It was scaled up across 36 implementation sites in Zimbabwe in 2016. This study will employ a mixed-method framework. It aims to: (1) use quantitative survey methodologies organised around the Reach, Effectiveness, Adoption and Implementation and Maintenance evaluation framework to assess the current scaleup of the FB intervention and classify 36 clinics according to levels of performance; (2) use qualitative focus group discussions and semistructured interviews organised around the Consolidated Framework for Implementation Research to analyse determinants of implementation success, as well as elucidate heterogeneity in implementation strategies through comparing high-performing and low-performing clinics; and (3) use the results from aims 1 and 2 to develop strategies to optimise the Friendship Bench intervention and apply this model in a cluster randomised controlled trial to evaluate potential improvements among low-performing clinics. The trial will be registered with the Pan African Clinical Trial Registry (www.pactr.org). The planned randomised controlled trial for the third research aim will be registered after completing aims one and two because the intervention is dependent on knowledge generated during these phases. The research protocol received full authorisation from the Medical Research Council of Zimbabwe (MRCZ A/242). It is anticipated that changes in data collection tools and consent forms will take place at all three phases of the study and approval from MRCZ will be sought. All interview partners will be asked for informed consent. The research team will prioritise open-access publications to disseminate research results.
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影响因子：
15.8
作者：
Patel V;Thornicroft G
通讯作者：
Thornicroft G
影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
7.4
作者：
Alonso J;Liu Z;Evans-Lacko S;Sadikova E;Sampson N;Chatterji S;Abdulmalik J;Aguilar-Gaxiola S;Al-Hamzawi A;Andrade LH;Bruffaerts R;Cardoso G;Cia A;Florescu S;de Girolamo G;Gureje O;Haro JM;He Y;de Jonge P;Karam EG;Kawakami N;Kovess-Masfety V;Lee S;Levinson D;Medina-Mora ME;Navarro-Mateu F;Pennell BE;Piazza M;Posada-Villa J;Ten Have M;Zarkov Z;Kessler RC;Thornicroft G;WHO World Mental Health Survey Collaborators
通讯作者：
WHO World Mental Health Survey Collaborators
影响因子：
120.7
作者：
Bolton, P;Bass, J;Weissman, M
通讯作者：
Weissman, M