Readiness for Change Scale: Adaptation and Validation for Mental Health Task-Sharing

变革准备量表：心理健康任务分担的适应和验证

• 批准号: 10575905
• 负责人: Saloni Dev
• 金额: $ 8.48万
• 依托单位: TUFTS UNIVERSITY BOSTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10575905
• 关键词: Accreditation; Address; Adopted; Adoption; Affect; Attention; Attitude; Belief; COVID-19 pandemic; Caring; Community Health Aides; Community Healthcare; Ensure; Evidence based practice; Factor Analysis; Female; Foundations; Funding Mechanisms; Future; Goals; Health; Health Professional; Incentives; India; Individual; Intervention; Investigation; Knowledge; Language; Learning; Literature; Measurement; Measures; Mental Health; Mental Health Services; Modeling; Motivation; National Institute of Mental Health; Outcome; Outcome Study; Population; Primary Care; Primary Health Care; Privatization; Public Health; Quality of Care; Randomized, Controlled Trials; Readiness; Recommendation; Research; Resource-limited setting; Role; Self Efficacy; Services; Solid; Strategic Planning; Structure; Supervision; System; Target Populations; Testing; Translating; Translations; United States; United States National Institutes of Health; Validation; Validity and Reliability; Work; World Health Organization; cognitive interview; cost effectiveness; health care availability; health care settings; implementation barriers; implementation strategy; improved; indexing; low and middle-income countries; medical specialties; model building; programs; provider factors; psychologic; routine care; scale up; skills; social; structural determinants; tool; usability; willingness

Readiness for Change Scale: Adaptation and Validation for Mental Health Task-Sharing PROJECT SUMMARY: Mental health task-sharing, or the involvement of non-specialist health workers (NSHWs) such as community health workers (CHWs) to make mental health care more available and accessible, has been proven to be efficacious in randomized controlled trials in multiple low-resource settings including low- and middle-income countries. However, in routine care settings, the impact of mental health programs based on task-sharing paradigm greatly depend on its adoption by CHWs and the fidelity with which they implement it which, in-turn, is influenced by their readiness for change (RFC). However, there is dearth of literature assessing the role of RFC as an important predictor of CHW adoption and fidelity within mental health task-sharing. Importantly, research on RFC among CHWs within mental health task-sharing is hindered by the absence of a culturally-adapted, reliable, and valid measurement tool. To address this significant gap in research and knowledge, we build on our previous qualitative work investigating the cultural- and context-specific nuances of RFC among Accredited Social Health Activists (ASHAs), a cadre of female CHWs in India, for engaging in mental health task-sharing. Utilizing our qualitative findings, we aim to adapt the Readiness for Change Scale and translate it into Marathi language by following the World Health Organization's recommendations on scale translation. In addition, we aim to assess the content and construct validity, as well as internal consistency of the translated (Marathi) version of the Readiness for Change Scale among n=330 ASHAs in Rahata sub-district of Ahmednagar district in the state of Maharashtra, India. We will assess content validity through involving an expert panel, and calculate content validity ratios and a content validity index. For evaluating construct (convergent) validity, we will calculate the correlation between the revised scale scores and scores from the General Self-Efficacy Scale. Furthermore, we will use Cronbach's alpha to assess the internal consistency of the revised scale, and factor analysis to identify scale constructs. The outcome of this study—an adapted and validated measure for RFC among CHWs for mental health task-sharing—will build a solid foundation to develop and test an implementation strategy to build RFC among CHWs for mental health task-sharing through NIH's R21 funding mechanism which will be useful for low-resource setting globally, including the United States.

变革准备量表：心理健康任务分担的适应和验证 项目概要： 精神卫生任务分担，或社区等非专业卫生工作者 (NSHW) 的参与 事实证明，卫生工作者 (CHW) 使精神卫生保健更容易获得和获得 在多个低资源环境（包括低收入和中等收入）的随机对照试验中有效 国家。然而，在常规护理环境中，基于任务分担的心理健康计划的影响 范式在很大程度上取决于社区卫生工作者对它的采用以及他们实施它的忠诚度，而这反过来又是 受到变革准备度 (RFC) 的影响。然而，缺乏评估 RFC 作用的文献 作为社区卫生工作者采用和心理健康任务分担中忠诚度的重要预测因素。重要的是，研究 由于缺乏文化适应的、 可靠、有效的测量工具。为了解决研究和知识方面的这一重大差距，我们以 我们之前的定性工作调查了经认可的 RFC 的文化和特定背景的细微差别 社会健康活动家 (ASHA)，印度女性社区卫生工作者的骨干成员，参与心理健康任务分担。 利用我们的定性研究结果，我们的目标是调整“变革准备程度”并将其翻译成马拉地语 遵循世界卫生组织关于量表翻译的建议来使用语言。此外，我们 旨在评估翻译（马拉地语）版本的内容和结构有效性以及内部一致性 艾哈迈德纳加尔区拉哈塔分区 n=330 名 ASHA 的变革准备量表 印度马哈拉施特拉邦。我们将通过专家小组评估内容有效性，并计算 内容有效性比率和内容有效性指数。为了评估构造（收敛）有效性，我们将计算 修订后的量表分数与一般自我效能量表分数之间的相关性。此外， 我们将使用 Cronbach's alpha 来评估修订后量表的内部一致性，并使用因子分析来评估 识别尺度结构。本研究的结果——针对社区卫生工作者 RFC 的适应性和验证性衡量标准 心理健康任务分担——将为制定和测试实施战略奠定坚实的基础 通过 NIH 的 R21 资助机制，在 CHW 之间建立 RFC，以实现心理健康任务分担，该机制将 对于包括美国在内的全球资源匮乏地区非常有用。