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.

改变准备程度量表：心理健康任务分担的适应和验证 项目总结： 精神卫生任务分担，或社区等非专科卫生工作者(NSHW)的参与 卫生工作者(CHW)使精神卫生保健更容易获得和获得，已被证明是 在包括低收入和中等收入在内的多种低资源环境下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方案的影响 范式在很大程度上取决于CHW采用它和他们实施它的忠诚度，而这反过来又是 受其变革准备(RFC)的影响。然而，缺乏评估rfc作用的文献。 作为心理健康任务分担中采用CHW和忠诚度的重要预测因子。重要的是，研究 在精神健康任务分担中的社区卫生工作者之间的RFC由于缺乏文化适应者而受到阻碍， 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，我们在 我们之前的定性工作调查了RFC在经过认证的 社会健康活动家(ASHA)，印度的一支女性社区卫生工作者队伍，因为他们参与了精神健康的任务分担。 利用我们的定性结果，我们的目标是调整适应变化的准备程度量表，并将其转化为马拉松 遵循世界卫生组织关于比额表翻译的建议。此外，我们 目的评价(马拉提语)译本的内容和结构效度以及内部一致性 在艾哈迈德纳加尔区Rahata分区的n=330个ASHA中，准备变化的规模 印度马哈拉施特拉邦。我们将通过邀请专家小组来评估内容的有效性，并计算 内容效度比和内容效度指数。为了评估构造(收敛)有效性，我们将计算 修订后的量表得分与一般自我效能感量表得分之间的相关分析。此外， 我们将使用Cronbach‘s Alpha来评估修订后的量表的内部一致性，并进行因素分析 确定规模结构。这项研究的结果--在CHW中适用和验证的RFC措施 对于心理健康-分担任务-将为制定和测试实施战略奠定坚实基础 通过NIH的R21资助机制，在CHW中建立RFC，以分担精神健康任务，该机制将是 适用于全球资源匮乏的环境，包括美国。