Implementing mental health interventions for pregnant adolescents in primary care LMIC contexts

在初级保健中低收入国家中对怀孕青少年实施心理健康干预措施

• 批准号: 10215282
• 负责人: Manasi Kumar
• 金额: $ 3.78万
• 依托单位: UNIVERSITY OF NAIROBI
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-10-01 至 2021-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10215282
• 关键词: Adolescent; Adult; African; Anxiety; Area; COVID-19; COVID-19 pandemic; Cessation of life; Child Care; Clinical Services; Collaborations; Communities; Community Health Aides; Community Services; Contracts; Counseling; Country; County; Educational Intervention; Face; Family; Feasibility Studies; Funding; Health; Health Personnel; Health Services Accessibility; Health Services Needs; Health care facility; Healthcare; Heart; Internet; Intervention; Kenya; Knowledge; Logistics; Mental Depression; Mental Health; Mental Health Services; Mentally Ill Persons; Modeling; Outcome; Output; Patients; Perinatal; Persons; Population; Primary Health Care; Public Health; Research; SARS coronavirus; Service provision; Service setting; Services; System; Technology; Telemedicine; Testing; Time; Training; Training Support; Transportation; Trauma; Virus Diseases; Work; base; care systems; community setting; coronavirus disease; digital; eHealth; evidence base; health training; implementation research; literacy; low and middle-income countries; member; metropolitan; pregnant teen; primary care services; response; service delivery; service intervention; social; stressor; transmission process; user centered design; vulnerable adolescent; young adult; young woman

Adapting the mhGAP/IPT-G Integrated Mental Health Care Training to a Remote/Distance Digital Training to Support Mental Health Service Needs in Kenya under COVID-19 Context (INSPIRE for COVID) The number of patients who have contracted SARS- COV-1 virus disease is increasing every day in Kenya just like many other countries.The INSPIRE study (K43 TW010716-03), with aim to integrate mhGAP and evidence-based mental health intervention (IPT-G) for pregnant adolescents in primary maternal child care (MCH) service, is now about to begin its third year and we have begun our mhGAP community toolkit and intervention trainings for community health workers and health facility staff. However, due to COVID-19 pandemic, mental health problems in Kenyan has been increased significantly, and clinical services and patients’ access to care have been disrupted. For our implementation study, carrying out in-person training/support for health care workforce and providing in-person counseling/ intervention sessions for adolescents/families are also facing many challenges due to transportation restriction, financial lose, and other logistic barriers. In response to the increased mental health needs and service provision challenges, the Kenyan Ministry of Health (MOH) is seeking for eHealth and telemedicine solutions to provide timely mental health training for health care workers and mental health care to vulnerable adolescents and women. Therefore, developing technology solutions for training primary care workforce to provide mental health care are urgently needed. The overarching aim of this proposed 1-year supplemental research is to respond to the public health and our research needs by adapting our current face-to-face training for the mhGAP/ group-based mental health intervention (IPT-G) to a web/video/eHealth- version of training, and studying whether the technology-delivered version of mhGAP/IPT-G training is feasible and useful to support health workforce and community mental health needs.

将MHGAP/IPT-G集成心理保健培训适应遥远/距离 根据Covid-19的数字培训以支持肯尼亚的心理健康服务需求 上下文（激发库维德） 患有SARS-COV-1病毒疾病的患者人数正在增加 像其他许多国家一样，肯尼亚的一天。 整合MHGAP和基于证据的心理健康干预措施（IPT-G） 初级母性儿童保育（MCH）服务的青少年现在即将开始第三年 我们已经开始为社区的MHGAP社区工具包和干预培训 卫生工作者和卫生机构工作人员。但是，由于19日大流行，心理健康 肯尼亚的问题已大大增加，临床服务和患者的访问 谨慎的工作已被禁用。对于我们的实施研究，进行面对面 培训/支持医疗保健员工并提供面对面的咨询/干预 由于运输而针对青少年/家庭的会议也面临许多挑战 限制，财务损失和其他逻辑障碍。应对心理健康的增长 需求和服务提供挑战，肯尼亚卫生部（MOH）正在寻求 eHealth和远程医疗解决方案，为医疗保健提供及时的心理健康培训 工人和精神保健给弱势青少年和妇女。因此，发展 培训初级保健员工提供心理保健的技术解决方案是 迫切需要。这项拟议的一年补充研究的总体目的是 通过改编我们当前的面对面来应对公共卫生和我们的研究需求 基于MHGAP/基于小组的心理健康干预措施（IPT-G）培训Web/Video/Ehealth- 培训的版本，并研究MHGAP/IPT-G的技术传递版本是否 培训对于支持健康劳动力和社区心理健康需求是可行的和有用的。