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Developing an mHealth intervention to strengthen the community mental health system in the context of the COVID-19 pandemic in Peru

在秘鲁 COVID-19 大流行的背景下制定移动医疗干预措施以加强社区心理健康系统

基本信息

批准号：
MR/V014919/1
负责人：
Francisco Diez Canseco
金额：
$ 25.78万
依托单位：
Cayetano Heredia University
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2022
资助国家：
英国
起止时间：
2022 至无数据
项目状态：
未结题

来源：
https://gtr.ukri.org/projects?ref=MR%2FV014919%2F1
关键词：
Developing mHealth intervention strengthen community

项目摘要

The COVID-19 pandemic and the measures of mandatory social distancing presented a challenge to the Peruvian health system, which is not equipped to provide remote care to patients. This situation worsened an already fragile health system, limiting the population's access to adequate care. People with mental disorders are particularly vulnerable in this context, due to the impact of the pandemic on their mental health, as well as the limitations in accessing mental health services.This proposal aims to (1) assess the impact of the COVID-19 pandemic on the provision of mental health services in Peru, (2) identify the strategies used to address this situation, particularly those involving mobile technology, as well as the main advantages and challenges faced, (3) design and test an intervention based on mobile technology (i.e. mobile phones, tablets) to provide mental health care, with the input from health providers, patients, and policymakers.To achieve our objectives we will conduct a 2-year project with 3 phases: (1) Phase 1: We will examine the impact of the pandemic on the public mental health services and the strategies used to continue the provision of care, through the review of guidelines and protocols, as well as interviews with the patients, health providers and policymakers; (2) Phase 2: We will design and develop our technological intervention based on the information collected in the previous phase. In this process, users, health providers, managers and policymakers will provide their opinions to make the intervention acceptable, feasible and adaptable to the Peruvian public mental health care system; (3) Phase 3: We will perform a pilot study to field test the developed intervention in 3 community mental health centers in Lima, Peru. The results of this 2-year project will help us to understand the viability of our idea, and potentially an implementation at a larger scale. Additionally, we will organize regular meetings with mental health policymakers to share our findings and discuss how they could be integrated within the public health system. Our research team, consisting of researchers from Peru and the United Kingdom, will also share the project results with an international audience, through conferences and publications in specialized journals.

新型冠状病毒疫情及强制性社交距离措施对秘鲁卫生系统构成挑战，该系统不具备为患者提供远程护理的能力。这种情况使本已脆弱的卫生系统更加恶化，限制了民众获得适当保健的机会。本提案旨在（1）评估COVID-19大流行对秘鲁精神卫生服务的影响，（2）确定用于解决这一情况的策略，特别是涉及移动的技术的策略，（3）确定用于解决这一情况的策略，以及面临的主要优势和挑战，（3）设计和测试基于移动的技术的干预措施（即移动的手机、平板电脑）提供心理健康护理，并由医疗服务提供者、患者和政策制定者提供意见。为了实现我们的目标，我们将开展一个为期2年的项目，分为3个阶段：（1）第1阶段：我们将通过审查指导方针和方案，以及与患者、卫生服务提供者和决策者的访谈，研究大流行对公共精神卫生服务的影响，以及继续提供护理的战略;（2）第2阶段：我们将根据前一阶段收集的信息设计和开发我们的技术干预措施。在此过程中，用户，卫生服务提供者，管理者和政策制定者将提供他们的意见，使干预措施可接受的，可行的和适应秘鲁的公共精神卫生保健系统;（3）第三阶段：我们将进行一项试点研究，实地测试在秘鲁利马的3个社区精神卫生中心的干预措施。这个为期2年的项目的结果将帮助我们了解我们的想法的可行性，并可能在更大的规模实施。此外，我们将定期与精神卫生政策制定者举行会议，分享我们的研究结果，并讨论如何将其纳入公共卫生系统。我们的研究小组由来自秘鲁和联合王国的研究人员组成，他们还将通过会议和在专门刊物上发表文章，与国际受众分享项目成果。