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，基于循证的心理健康治疗可以通过任务转换提供非专业人士在监督下提供护理。但是，任务移动的潜在承诺以减少心理健康治疗差距未实现，而没有关于可扩展和可持续方法的经验指南监督外行硬币。鉴于全球访问数字技术的访问量，可能存在机会利用技术来监督外行硬币。最大化低资源的可接受性和可行性设置，有关移动技术监督的研究应植根于外行硬币的需求和主管。该项目以当前由NIMH资助的研究为基础：“建立和维持干预措施儿童（基本）：低资源环境中的任务分享心理保健”（R01MH112633），旨在测试以创伤为重点的认知行为疗法（TF-CBT）的有效性和实施肯尼亚政府支持的系统：教育（通过教师）和卫生扩展（通过社区卫生志愿者）。移动技术（即WhatsApp）作为对经常使用的监督支持基本试验期间有些计数。该项目利用了出乎意料的，自然发生的在一项已经有资助的试验中的现象，并从以人为中心的设计（HCD）技术中获取以获得外行顾问和主管对使用移动技术进行临床监督的观点。学习目的是：（1A）研究当前使用移动技术来支持监督的方式；（1B）确定技术介导的监督的障碍和促进者。我们进行定性与主管的访谈并铺设硬币，以回答目标1。（2）参与利益相关者重新设计监督流程以利用移动技术。我们员工HCD 在与主管和主管的面对面合作会议上，诸如集思广益和角色扮演等技术铺设硬币以系统地开发并选择三个最佳的工作流程，以告知实施 AIM 3中的移动技术监督。（3）检查移动的可接受性，可行性和可用性技术监督以及对试点试验中有效性的看法。我们检查了外行共同商中的这些结果专门通过移动技术获得监督，接受标准面对面监督的计数。研究发现可以帮助告知潜力依靠较低成本的现有移动技术在低资源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.