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Applying Human-Centered Design to Inform Mobile Technology-Mediated Supervision with Lay Counselors in Kenya

应用以人为本的设计为肯尼亚非专业辅导员提供移动技术介导的监督

基本信息

批准号：
10478182
负责人：
Noah Shay Triplett
金额：
$ 4.13万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-09-16 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10478182
关键词：
Area Caring Child Clinical Cognitive Therapy Community Health Country Diagnosis Education Effectiveness Evidence based practice Film Funding Goals Government Health Income Internet Intervention Interview Kenya Mediating Mental Health Mental Health Services Mental disorders Methods National Institute of Mental Health Outcome Ownership Perception Persons Plant Roots Process Professional counselor Public Health Research Research Personnel Research Support Resource-limited setting Resources Sampling Services Site Supervision Support System System Techniques Technology Testing Time Training Trauma Travel United States Work acceptability and feasibility cost digital effectiveness testing evidence base experience health training human centered design improved low and middle-income countries meetings mobile computing novel pilot trial scale up teacher tool usability volunteer

项目摘要

PROJECT ABSTRACT Research indicates that evidence-based mental health treatments can be delivered via task-shifting, in which non-professionals deliver care under supervision. However, the potential promise of task-shifting to reduce the mental health treatment gap goes unrealized without empirical guidance on scalable and sustainable methods to supervise lay counselors. Given the rise in access to digital technology worldwide, opportunities may exist to leverage technology to supervise lay counselors. To maximize acceptability and feasibility in low-resource settings, research on mobile technology supervision should be rooted in the needs of lay counselors and supervisors. This project builds on a current NIMH-funded study, “Building and Sustaining Interventions for Children (BASIC): Task-Sharing Mental Health Care in Low-Resource Settings” (R01MH112633), which aims to test the effectiveness and implementation of Trauma-focused Cognitive Behavioral Therapy (TF-CBT) in two government-supported systems in Kenya: Education (via teachers) and Health Extension (via community health volunteers). Mobile technology (i.e., WhatsApp) emerged as a frequently used supervision support for some counselors during the BASIC trial. This project capitalizes on an unexpected, naturally occurring phenomenon within an already funded trial, and draws from human-centered design (HCD) techniques to gain lay counselor and supervisor perspectives on using mobile technology to conduct clinical supervision. Study aims are to: (1a) Investigate the ways mobile technology is currently being used to support supervision; (1b) identify barriers and facilitators of technology-mediated supervision. We conduct qualitative interviews with supervisors and lay counselors to answer research questions in Aim 1. (2) Engage stakeholders to redesign supervision processes to leverage mobile technology. We employ HCD techniques, such as brainstorming and roleplaying, in an in-person collaborative meeting with supervisors and lay counselors to systematically develop and select three most optimal workflows to inform implementation of mobile technology supervision in Aim 3. (3) Examine the acceptability, feasibility, and usability of mobile technology supervision, as well as perceptions of effectiveness in a pilot trial. We examine differences in these outcomes among lay counselors receiving supervision exclusively via mobile technology, compared to counselors receiving standard in-person supervision. Study findings can help inform the potential for greater reliance on lower-cost, existing mobile technology to provide clinical supervision in low-resource settings.

项目摘要研究表明，基于证据的心理健康治疗可以通过任务转移来提供，其中非专业人员在监督下提供护理。然而，任务转移的潜在前景是减少如果没有可扩展和可持续方法的经验指导，心理健康治疗差距就无法实现监督非专业辅导员。鉴于全球范围内数字技术的普及，可能存在以下机会：利用技术来监督非专业辅导员。在资源匮乏的情况下最大限度地提高可接受性和可行性移动技术监管的研究应植根于非专业辅导员和非专业辅导员的需求。监事。该项目建立在 NIMH 目前资助的一项研究“建立和维持干预措施儿童（基础）：资源匮乏环境中的任务分担心理保健”（R01MH112633），其目标在两个阶段测试以创伤为中心的认知行为疗法（TF-CBT）的有效性和实施情况肯尼亚政府支持的系统：教育（通过教师）和健康推广（通过社区）健康志愿者）。移动技术（即 WhatsApp）成为常用的监督支持 BASIC 试验期间的一些辅导员。该项目利用了一种意想不到的、自然发生的现象已经资助的试验中的现象，并借鉴以人为本的设计（HCD）技术来获得阐述辅导员和主管对使用移动技术进行临床监督的看法。学习目标是： (1a) 调查目前使用移动技术支持监管的方式； (1b) 确定技术介导的监管的障碍和促进因素。我们进行定性与主管和非专业辅导员访谈，回答目标 1 中的研究问题。 (2) 参与利益相关者重新设计监管流程以利用移动技术。我们雇用 HCD 与主管和人员进行面对面的协作会议，例如头脑风暴和角色扮演等技巧外行顾问系统地开发和选择三个最佳工作流程来通知实施目标 3 中的移动技术监管。 (3) 审查移动技术的可接受性、可行性和可用性技术监督以及对试点试验有效性的看法。我们检查差异与仅通过移动技术接受监督的非专业辅导员相比，这些结果辅导员接受标准的现场监督。研究结果有助于揭示更大的潜力依靠成本较低的现有移动技术在资源匮乏的环境中提供临床监督。

项目成果

期刊论文数量（5）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

The impact of implementation climate on community mental health clinicians' attitudes toward exposure: An evaluation of the effects of training and consultation.

DOI：
10.1177/26334895211057883
发表时间：
2021-01
期刊：
Implementation research and practice
影响因子：
0
作者：
Woodard, Grace S.;Triplett, Noah S.;Frank, Hannah E.;Harrison, Julie P.;Robinson, Sophia;Dorsey, Shannon
通讯作者：
Dorsey, Shannon

Application of Evidence-Based Treatment in Community Mental Health Settings: Examining EBT Delivery Duration and Client Discharge.