Scaling-up psychological interventions in resource-poor settings: training and supervising peer volunteers to deliver the 'Thinking Healthy Programme' for perinatal depression in rural Pakistan
被引:28
作者:
Atif, N.
论文数: 0引用数: 0
h-index: 0
机构:
Human Dev Res Fdn, Islamabad, PakistanHuman Dev Res Fdn, Islamabad, Pakistan
Atif, N.
[1
]
Nisar, A.
论文数: 0引用数: 0
h-index: 0
机构:
Human Dev Res Fdn, Islamabad, PakistanHuman Dev Res Fdn, Islamabad, Pakistan
Nisar, A.
[1
]
Bibi, A.
论文数: 0引用数: 0
h-index: 0
机构:
Human Dev Res Fdn, Islamabad, PakistanHuman Dev Res Fdn, Islamabad, Pakistan
Bibi, A.
[1
]
Khan, S.
论文数: 0引用数: 0
h-index: 0
机构:
Human Dev Res Fdn, Islamabad, PakistanHuman Dev Res Fdn, Islamabad, Pakistan
Khan, S.
[1
]
Zulfiqar, S.
论文数: 0引用数: 0
h-index: 0
机构:
Human Dev Res Fdn, Islamabad, PakistanHuman Dev Res Fdn, Islamabad, Pakistan
Zulfiqar, S.
[1
]
Ahmad, I.
论文数: 0引用数: 0
h-index: 0
机构:
Human Dev Res Fdn, Islamabad, PakistanHuman Dev Res Fdn, Islamabad, Pakistan
Ahmad, I.
[1
]
Sikander, S.
论文数: 0引用数: 0
h-index: 0
机构:
Human Dev Res Fdn, Islamabad, Pakistan
Hlth Serv Acad, Islamabad, PakistanHuman Dev Res Fdn, Islamabad, Pakistan
Peer volunteers;
perinatal depression;
psychosocial intervention;
task shifting;
training and supervision;
MENTAL-HEALTH;
THERAPIST COMPETENCE;
QUALITY;
INCOME;
CARE;
D O I:
10.1017/gmh.2019.4
中图分类号:
R749 [精神病学];
学科分类号:
100205 ;
摘要:
Background There is a scarcity of specialist trainers and supervisors for psychosocial interventions in low- and middle-income countries. A cascaded model of training and supervision was developed to sustain delivery of an evidence-based peer-delivered intervention for perinatal depression (the Thinking Healthy Programme) in rural Pakistan. The study aimed to evaluate the model. Methods Mixed methods were employed as part of a randomised controlled trial of the intervention. Quantitative data consisted of the peers' competencies assessed during field training and over the implementation phase of the intervention, using a specially developed checklist. Qualitative data were collected from peers and their trainers through 11 focus groups during the second and third year of intervention rollout. Results Following training, 43 peers out of 45 (95%) achieved at least a 'satisfactory' level of competency (scores of > 70% on the Quality and Competency Checklist). Of the cohort of 45 peers initially recruited 34 (75%) were retained over 3 years and showed sustained or improved competencies over time. Qualitatively, the key factors contributing to peers' competency were use of interactive training and supervision techniques, the trainer-peer relationship, and their cultural similarity. The partnership with community health workers and use of primary health care facilities for training and supervision gave credibility to the peers in the community. Conclusion The study demonstrates that lay-workers such as peers can be trained and supervised to deliver a psychological intervention using a cascaded model, thus addressing the barrier of scarcity of specialist trainers and supervisors.
机构:
Human Dev Res Fdn, Islamabad, Pakistan
Univ Manchester, Sch Nursing Midwifery & Social Work, Manchester, Lancs, EnglandHuman Dev Res Fdn, Islamabad, Pakistan
Atif, Najia
;
Lovell, Karina
论文数: 0引用数: 0
h-index: 0
机构:
Univ Manchester, Sch Nursing Midwifery & Social Work, Manchester, Lancs, EnglandHuman Dev Res Fdn, Islamabad, Pakistan
Lovell, Karina
;
Husain, Nusrat
论文数: 0引用数: 0
h-index: 0
机构:
Univ Manchester, Inst Brain Behav & Mental Hlth, Manchester, Lancs, EnglandHuman Dev Res Fdn, Islamabad, Pakistan
Husain, Nusrat
;
Sikander, Siham
论文数: 0引用数: 0
h-index: 0
机构:
Human Dev Res Fdn, Islamabad, PakistanHuman Dev Res Fdn, Islamabad, Pakistan
Sikander, Siham
;
Patel, Vikram
论文数: 0引用数: 0
h-index: 0
机构:
Sangath Ctr, Porvorim, Goa, India
London Sch Hyg & Trop Med, London WC1, EnglandHuman Dev Res Fdn, Islamabad, Pakistan
Patel, Vikram
;
Rahman, Atif
论文数: 0引用数: 0
h-index: 0
机构:
Human Dev Res Fdn, Islamabad, Pakistan
Univ Liverpool, Inst Psychol Hlth & Soc, Liverpool L69 3BX, Merseyside, EnglandHuman Dev Res Fdn, Islamabad, Pakistan
机构:
UCL, Inst Global Hlth, London, EnglandUCL, Inst Global Hlth, London, England
Clarke, Kelly
;
Azad, Kishwar
论文数: 0引用数: 0
h-index: 0
机构:
Diabet Assoc Bangladesh, Perinatal Care Project, Dhaka, BangladeshUCL, Inst Global Hlth, London, England
Azad, Kishwar
;
Kuddus, Abdul
论文数: 0引用数: 0
h-index: 0
机构:
Diabet Assoc Bangladesh, Perinatal Care Project, Dhaka, BangladeshUCL, Inst Global Hlth, London, England
Kuddus, Abdul
;
Shaha, Sanjit
论文数: 0引用数: 0
h-index: 0
机构:
Diabet Assoc Bangladesh, Perinatal Care Project, Dhaka, BangladeshUCL, Inst Global Hlth, London, England
Shaha, Sanjit
;
Nahar, Tasmin
论文数: 0引用数: 0
h-index: 0
机构:
Diabet Assoc Bangladesh, Perinatal Care Project, Dhaka, BangladeshUCL, Inst Global Hlth, London, England
Nahar, Tasmin
;
Aumon, Bedowra Haq
论文数: 0引用数: 0
h-index: 0
机构:
Diabet Assoc Bangladesh, Perinatal Care Project, Dhaka, BangladeshUCL, Inst Global Hlth, London, England
Aumon, Bedowra Haq
;
Hossen, Mohammed Munir
论文数: 0引用数: 0
h-index: 0
机构:
Diabet Assoc Bangladesh, Perinatal Care Project, Dhaka, BangladeshUCL, Inst Global Hlth, London, England
Hossen, Mohammed Munir
;
Beard, James
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Inst Global Hlth, London, EnglandUCL, Inst Global Hlth, London, England
Beard, James
;
Costello, Anthony
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Inst Global Hlth, London, EnglandUCL, Inst Global Hlth, London, England
Costello, Anthony
;
Houweling, Tanja A. J.
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Inst Global Hlth, London, England
Erasmus MC Univ, Med Ctr Rotterdam, Dept Publ Hlth, Rotterdam, NetherlandsUCL, Inst Global Hlth, London, England
Houweling, Tanja A. J.
;
Prost, Audrey
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Inst Global Hlth, London, EnglandUCL, Inst Global Hlth, London, England
Prost, Audrey
;
Fottrell, Edward
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Inst Global Hlth, London, EnglandUCL, Inst Global Hlth, London, England
机构:
Univ San Diego, Dept Sch Family & Mental Hlth Profess, San Diego, CA 92110 USAUniv San Diego, Dept Sch Family & Mental Hlth Profess, San Diego, CA 92110 USA
Garland, Ann
;
Schoenwald, Sonja K.
论文数: 0引用数: 0
h-index: 0
机构:
Med Univ S Carolina, Dept Psychiat & Behav Sci, Charleston, SC USAUniv San Diego, Dept Sch Family & Mental Hlth Profess, San Diego, CA 92110 USA
机构:
Human Dev Res Fdn, Islamabad, Pakistan
Univ Manchester, Sch Nursing Midwifery & Social Work, Manchester, Lancs, EnglandHuman Dev Res Fdn, Islamabad, Pakistan
Atif, Najia
;
Lovell, Karina
论文数: 0引用数: 0
h-index: 0
机构:
Univ Manchester, Sch Nursing Midwifery & Social Work, Manchester, Lancs, EnglandHuman Dev Res Fdn, Islamabad, Pakistan
Lovell, Karina
;
Husain, Nusrat
论文数: 0引用数: 0
h-index: 0
机构:
Univ Manchester, Inst Brain Behav & Mental Hlth, Manchester, Lancs, EnglandHuman Dev Res Fdn, Islamabad, Pakistan
Husain, Nusrat
;
Sikander, Siham
论文数: 0引用数: 0
h-index: 0
机构:
Human Dev Res Fdn, Islamabad, PakistanHuman Dev Res Fdn, Islamabad, Pakistan
Sikander, Siham
;
Patel, Vikram
论文数: 0引用数: 0
h-index: 0
机构:
Sangath Ctr, Porvorim, Goa, India
London Sch Hyg & Trop Med, London WC1, EnglandHuman Dev Res Fdn, Islamabad, Pakistan
Patel, Vikram
;
Rahman, Atif
论文数: 0引用数: 0
h-index: 0
机构:
Human Dev Res Fdn, Islamabad, Pakistan
Univ Liverpool, Inst Psychol Hlth & Soc, Liverpool L69 3BX, Merseyside, EnglandHuman Dev Res Fdn, Islamabad, Pakistan
机构:
UCL, Inst Global Hlth, London, EnglandUCL, Inst Global Hlth, London, England
Clarke, Kelly
;
Azad, Kishwar
论文数: 0引用数: 0
h-index: 0
机构:
Diabet Assoc Bangladesh, Perinatal Care Project, Dhaka, BangladeshUCL, Inst Global Hlth, London, England
Azad, Kishwar
;
Kuddus, Abdul
论文数: 0引用数: 0
h-index: 0
机构:
Diabet Assoc Bangladesh, Perinatal Care Project, Dhaka, BangladeshUCL, Inst Global Hlth, London, England
Kuddus, Abdul
;
Shaha, Sanjit
论文数: 0引用数: 0
h-index: 0
机构:
Diabet Assoc Bangladesh, Perinatal Care Project, Dhaka, BangladeshUCL, Inst Global Hlth, London, England
Shaha, Sanjit
;
Nahar, Tasmin
论文数: 0引用数: 0
h-index: 0
机构:
Diabet Assoc Bangladesh, Perinatal Care Project, Dhaka, BangladeshUCL, Inst Global Hlth, London, England
Nahar, Tasmin
;
Aumon, Bedowra Haq
论文数: 0引用数: 0
h-index: 0
机构:
Diabet Assoc Bangladesh, Perinatal Care Project, Dhaka, BangladeshUCL, Inst Global Hlth, London, England
Aumon, Bedowra Haq
;
Hossen, Mohammed Munir
论文数: 0引用数: 0
h-index: 0
机构:
Diabet Assoc Bangladesh, Perinatal Care Project, Dhaka, BangladeshUCL, Inst Global Hlth, London, England
Hossen, Mohammed Munir
;
Beard, James
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Inst Global Hlth, London, EnglandUCL, Inst Global Hlth, London, England
Beard, James
;
Costello, Anthony
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Inst Global Hlth, London, EnglandUCL, Inst Global Hlth, London, England
Costello, Anthony
;
Houweling, Tanja A. J.
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Inst Global Hlth, London, England
Erasmus MC Univ, Med Ctr Rotterdam, Dept Publ Hlth, Rotterdam, NetherlandsUCL, Inst Global Hlth, London, England
Houweling, Tanja A. J.
;
Prost, Audrey
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Inst Global Hlth, London, EnglandUCL, Inst Global Hlth, London, England
Prost, Audrey
;
Fottrell, Edward
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Inst Global Hlth, London, EnglandUCL, Inst Global Hlth, London, England
机构:
Univ San Diego, Dept Sch Family & Mental Hlth Profess, San Diego, CA 92110 USAUniv San Diego, Dept Sch Family & Mental Hlth Profess, San Diego, CA 92110 USA
Garland, Ann
;
Schoenwald, Sonja K.
论文数: 0引用数: 0
h-index: 0
机构:
Med Univ S Carolina, Dept Psychiat & Behav Sci, Charleston, SC USAUniv San Diego, Dept Sch Family & Mental Hlth Profess, San Diego, CA 92110 USA