A novel digital platform for measurement-based peer supervision of non-specialist providers conducting brief psychological interventions

项目摘要 未得到满足的心理健康需求仍然是美国和欧洲的一个重大公共卫生挑战 报告的与新冠肺炎发病相关的不良心理健康状况增加 大流行可能加剧了这一问题。我们提出了一个反向创新解决方案， 一种基于证据的任务分享方法，用于治疗来自 服务不足的社区，由于缺乏卫生保健服务， 心理健康专家和缺乏资源。数字平台将被设计为 托管一套工具，以支持基于测量的对等监督（MBPS），其中包括 非专业提供者（NSP）能够记录治疗会话，使用 经过验证的质量量表，并与主持组中的同行安全可靠地审查评级 讨论。目标最终用户将是接受过行为激活计划培训的NSP 在印度已经成功应用于治疗抑郁症。第一阶段的目标是 该项目旨在证明拟议数字解决方案的可接受性和可行性。我们将 实现这一目标有两个具体目标。在目标1中，我们将与专家密切合作， 在MBPS和NSP的咨询小组，以确定设计要求和制定 数字解决方案的原型。在目标2中，有目的的样本针对最终用户（即，培训的国家战略伙伴 行为激活）将测试目标1中开发的原型。我们将使用混合方法 （采访、调查、被动使用数据）以探索可用性和用户体验并识别 执行的障碍和促进因素。第一阶段的结果将告知潜在的第二阶段 研究数字平台的大规模实施及其对NSP绩效的影响的项目 长期目标是改善心理健康结果，特别是在难以达到的地区， 最能从国家战略计划主导的支持中受益的社区。

PROJECT SUMMARY Unmet mental health needs continue to be a significant public health challenge in the US and the increase in reported adverse mental health conditions associated with the onset of the Covid-19 pandemic have likely exacerbated this problem. We propose a reverse innovation solution to digitize an evidence-based task sharing approach for treating depression in individuals from underserved communities, where health inequities are most pronounced due to a shortage of mental health specialists and lack of access to resources. The digital platform will be designed to host a suite of tools to support measurement-based peer supervision (MBPS), which includes the ability for non-specialist providers (NSPs) to record therapy sessions, rate sessions using a validated quality scale, and review ratings safely and securely with peers in moderated group discussions. Target end users will be NSPs who are trained on a behavioral activation program which has been successfully implemented in India to treat depression. The goal of this Phase I project is to demonstrate acceptability and feasibility of the proposed digital solution. We will address this goal with two specific aims. In Aim 1, we will work in close collaboration with experts in MBPS and an advisory group of NSPs to determine design requirements and develop a prototype of the digital solution. In Aim 2, a purposive sample target end users (i.e., NSPs trained in behavioral activation) will test the prototype developed in Aim 1. We will use mixed methods (interviews, surveys, passive usage data) to probe usability and user experience and identify barriers and facilitators to implementation. Results from Phase I will inform a potential Phase II project to study the digital platform’s implementation at scale and its effect on NSP performance with the long-term goal of improving mental health outcomes, particularly in hard-to-reach communities that can benefit the most from NSP-led support.