Randomized Control Trial on Implementation Strategies for Task-Shifting Depression Care in Vietnam
越南任务转移抑郁症护理实施策略的随机对照试验
基本信息
- 批准号:10470812
- 负责人:
- 金额:$ 63.85万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2019
- 资助国家:美国
- 起止时间:2019-07-01 至 2024-06-30
- 项目状态:已结题
- 来源:
- 关键词:AccountingAddressAdoptedAdoptionCanadaCaringClinicCollaborationsCommunitiesCommunity HealthCompetenceCountryDepressed moodEducational workshopEffectivenessEffectiveness of InterventionsEvaluationEvidence based interventionFundingGovernmentHealthHealth PersonnelHealth ResourcesHealth systemHealthcareHealthcare SystemsHuman ResourcesIncomeIndividualInterventionKnowledgeLeadLeadershipLearningMaintenanceMeasuresMental DepressionMental HealthMethodsMissionModelingNational Institute of Mental HealthOrganizational CultureOwnershipPatient-Focused OutcomesPatientsPoliciesPopulationPrimary Health CareProblem SolvingProviderPsychiatric HospitalsPsychiatristRandomized Controlled TrialsResearchResistanceResource-limited settingResourcesRestSelf EfficacyServicesSupervisionSystemTestingTimeTrainingVietnamWorkWorkloadWorld Bankbasecare burdencare providerscollaborative carecommunity engagementcompare effectivenesscostcost effectivenessdepression modeleconomic costeffectiveness implementation studyimplementation barriersimplementation determinantsimplementation effortsimplementation evaluationimplementation interventionimplementation outcomesimplementation scienceimplementation strategyimplementation studyimprovedimproved outcomeincremental cost-effectivenessinnovationliteracylow and middle-income countriespatient populationprogramsprovider factorsscale upvirtual
项目摘要
Research Abstract
Depression is the single largest health care burden in the world, with no other illness accounting for even half
its burden. Recently, the World Bank, WHO, Grand Challenges of Canada, and NIMH highlighted the crippling
economic costs of unaddressed depression and the need to scale up depression care globally. In Vietnam, we
found collaborative care effective and conducted a clustered randomized control trial (RCT) that has shown
large effect sizes for a Multicomponent Collaborative Care Model for Depression (MCCD), in which depression
care was task-shifted to primary care providers in local community health clinics and supported by mobile
psychiatrists. While the benefits of collaborative care for depression are well-established, the most appropriate
and effective implementation strategies for scaling up this model have not been identified. To address this
need, our R01 proposal will build on our team's previous work on the MCCD and leverage current policy
initiatives related to depression care in Vietnam—Grand Challenges of Canada, GCC, funding, which includes
80% matched funds supported by the Vietnamese health care system to support establishing a Center of
Excellence at Danang Psychiatric Hospital and scaling up another NIMH R34 Depression program (LIFE-
DM)—to identify implementation models most likely to lead to successful implementation and sustainment of
effective services in low-resource settings. We will partner with local and national community and government
organizations to conduct an RCT comparing effectiveness of three implementation models: (a) usual
implementation (UI), which typically includes one workshop and toolkit; (b) enhanced supervision (ES;
includes model UI); and (c) community-engaged learning collaborative (CELC; includes ES). According to the
RE-AIM Implementation Evaluation framework, to have a population-level impact, an EBI must be adopted by
providers, reach a large proportion of the targeted patient population, be implemented with fidelity, effectively
improve outcomes, and be maintained after research funds are withdrawn. Thus, we will assess
implementation outcomes at the organizational, provider, and patient levels based on this framework, assess
organizational and provider factors associated with successful implementation, and measure the incremental
cost-effectiveness of each implementation strategy. Doing this can guide policy decisions on best strategies to
support scale-up of collaborative care models for depression and other EBIs. This comprehensive and rigorous
implementation effectiveness study will contribute to our understanding of the added value of using a CELC
strategy over and above the best practice in training (ES), which has not been done even in high-income
countries. This timely evaluation of an depression care task-shifting will provide much needed knowledge
about what implementation strategies and factors promote adoption, delivery, and sustainment of high-quality
depression care in low-resource settings where limited mental health human resources are available, thus
addressing global priority knowledge gaps in implementation science and mental health research.
研究摘要
抑郁症是世界上最大的单一医疗保健负担,没有其他疾病占一半
它的负担。最近,世界银行、世卫组织、加拿大大挑战和NIMH强调了
未解决的抑郁症的经济成本以及在全球范围内扩大抑郁症护理的必要性。在越南,我们
发现合作治疗有效,并进行了一项群集随机对照试验(RCT),
抑郁症多因素协作护理模型(MCCD)的大效应量,其中抑郁症
护理任务转移到当地社区卫生诊所的初级保健提供者,并由移动的
精神病医生虽然协作护理抑郁症的好处是众所周知的,
目前还没有确定推广这一模式的有效实施战略。为了解决这个
需要,我们的R 01提案将建立在我们团队先前关于MCCD的工作基础上,并利用当前政策
与越南抑郁症护理相关的倡议-加拿大的重大挑战,海湾合作委员会,资金,其中包括
80%的资金与越南卫生保健系统支持的资金相匹配,以支持建立一个中心,
卓越的岘港精神病医院和扩大另一个NIMH R34抑郁症计划(生活-
确定最有可能导致成功执行和维持
在低资源环境下提供有效服务。我们将与当地和国家社区和政府合作
组织进行随机对照试验,比较三种实施模式的有效性:(a)通常
执行,通常包括一个讲习班和工具包;(B)加强监督;
包括UI模型);以及(c)社区参与学习协作(CELC;包括ES)。根据
RE-AIM实施评估框架,要产生人口层面的影响,EBI必须由
提供者,达到目标患者人群的很大比例,以保真度,有效地实施
改善成果,并在研究资金撤回后予以维持。我们将评估
基于此框架,评估组织、提供者和患者层面的实施结果,
与成功实施相关的组织和提供商因素,并衡量
每项实施战略的成本效益。这样做可以指导关于最佳战略的政策决定,
支持扩大抑郁症和其他EBI的合作护理模式。这种全面而严谨的
实施效果研究将有助于我们理解使用CELC的附加值
战略高于培训的最佳做法,即使在高收入国家也没有这样做。
国家这种及时评估抑郁症护理任务转移将提供急需的知识
什么样的实施战略和因素促进采用,交付和维持高质量的
抑郁症护理在资源匮乏的环境中,那里的精神卫生人力资源有限,因此
解决执行科学和心理健康研究方面的全球优先知识差距。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Victoria Khanh Ngo其他文献
Examining the relations between psychosocial and caregiving factors with mental health among Vietnamese family caregivers of hospitalized lung cancer patients
- DOI:
10.1038/s41598-025-96409-5 - 发表时间:
2025-04-23 - 期刊:
- 影响因子:3.900
- 作者:
Thinh Toan Vu;Glen Johnson;Sasha Fleary;Van Thi Nguyen;Victoria Khanh Ngo - 通讯作者:
Victoria Khanh Ngo
Victoria Khanh Ngo的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Victoria Khanh Ngo', 18)}}的其他基金
Harlem Strong Mental Health Coalition: A Multi-sector Community-Engaged Collaborative for System Transformation
哈林区强大心理健康联盟:多部门社区参与的系统转型合作
- 批准号:
10414696 - 财政年份:2021
- 资助金额:
$ 63.85万 - 项目类别:
Harlem Strong Mental Health Coalition: A Multi-sector Community-Engaged Collaborative for System Transformation
哈林区强大心理健康联盟:多部门社区参与的系统转型合作
- 批准号:
10831876 - 财政年份:2021
- 资助金额:
$ 63.85万 - 项目类别:
Randomized Control Trial on Implementation Strategies for Task-Shifting Depression Care in Vietnam
越南任务转移抑郁症护理实施策略的随机对照试验
- 批准号:
9531167 - 财政年份:2019
- 资助金额:
$ 63.85万 - 项目类别:
Randomized Control Trial on Implementation Strategies for Task-Shifting Depression Care in Vietnam
越南任务转移抑郁症护理实施策略的随机对照试验
- 批准号:
10244889 - 财政年份:2019
- 资助金额:
$ 63.85万 - 项目类别:
Randomized Control Trial On Implementation Strategies for Task-Shifting Depression Care in Vietnam
越南任务转移抑郁症护理实施策略的随机对照试验
- 批准号:
9540281 - 财政年份:2017
- 资助金额:
$ 63.85万 - 项目类别:
Development of an Integrated Microfinance and Depression Care Program for Women
为妇女制定综合小额信贷和抑郁症护理计划
- 批准号:
8302170 - 财政年份:2012
- 资助金额:
$ 63.85万 - 项目类别:
Development of an Integrated Microfinance and Depression Care Program for Women
为妇女制定综合小额信贷和抑郁症护理计划
- 批准号:
8463623 - 财政年份:2012
- 资助金额:
$ 63.85万 - 项目类别:
Sources of Bias in the CBCL for African Americans
CBCL 对非裔美国人的偏见来源
- 批准号:
7023819 - 财政年份:2005
- 资助金额:
$ 63.85万 - 项目类别:
Sources of Bias in the CBCL for African Americans
CBCL 对非裔美国人的偏见来源
- 批准号:
6943727 - 财政年份:2005
- 资助金额:
$ 63.85万 - 项目类别:
相似海外基金
Rational design of rapidly translatable, highly antigenic and novel recombinant immunogens to address deficiencies of current snakebite treatments
合理设计可快速翻译、高抗原性和新型重组免疫原,以解决当前蛇咬伤治疗的缺陷
- 批准号:
MR/S03398X/2 - 财政年份:2024
- 资助金额:
$ 63.85万 - 项目类别:
Fellowship
Re-thinking drug nanocrystals as highly loaded vectors to address key unmet therapeutic challenges
重新思考药物纳米晶体作为高负载载体以解决关键的未满足的治疗挑战
- 批准号:
EP/Y001486/1 - 财政年份:2024
- 资助金额:
$ 63.85万 - 项目类别:
Research Grant
CAREER: FEAST (Food Ecosystems And circularity for Sustainable Transformation) framework to address Hidden Hunger
职业:FEAST(食品生态系统和可持续转型循环)框架解决隐性饥饿
- 批准号:
2338423 - 财政年份:2024
- 资助金额:
$ 63.85万 - 项目类别:
Continuing Grant
Metrology to address ion suppression in multimodal mass spectrometry imaging with application in oncology
计量学解决多模态质谱成像中的离子抑制问题及其在肿瘤学中的应用
- 批准号:
MR/X03657X/1 - 财政年份:2024
- 资助金额:
$ 63.85万 - 项目类别:
Fellowship
CRII: SHF: A Novel Address Translation Architecture for Virtualized Clouds
CRII:SHF:一种用于虚拟化云的新型地址转换架构
- 批准号:
2348066 - 财政年份:2024
- 资助金额:
$ 63.85万 - 项目类别:
Standard Grant
BIORETS: Convergence Research Experiences for Teachers in Synthetic and Systems Biology to Address Challenges in Food, Health, Energy, and Environment
BIORETS:合成和系统生物学教师的融合研究经验,以应对食品、健康、能源和环境方面的挑战
- 批准号:
2341402 - 财政年份:2024
- 资助金额:
$ 63.85万 - 项目类别:
Standard Grant
The Abundance Project: Enhancing Cultural & Green Inclusion in Social Prescribing in Southwest London to Address Ethnic Inequalities in Mental Health
丰富项目:增强文化
- 批准号:
AH/Z505481/1 - 财政年份:2024
- 资助金额:
$ 63.85万 - 项目类别:
Research Grant
ERAMET - Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
ERAMET - 快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
- 批准号:
10107647 - 财政年份:2024
- 资助金额:
$ 63.85万 - 项目类别:
EU-Funded
Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
- 批准号:
10106221 - 财政年份:2024
- 资助金额:
$ 63.85万 - 项目类别:
EU-Funded
Recite: Building Research by Communities to Address Inequities through Expression
背诵:社区开展研究,通过表达解决不平等问题
- 批准号:
AH/Z505341/1 - 财政年份:2024
- 资助金额:
$ 63.85万 - 项目类别:
Research Grant