使用项目ECHOTM模型在危地马拉农村地区教授心理健康主题:一个实施科学指导评估
Francisco Javier de la Garza Iga1, Marinés Mejía Alvarez2, Joshua D Cockroft1,3
1Department of Family and Community Medicine, College of Medicine, University of Cincinnati, OH, USA.
项目ECHOTM提高了危地马拉农村地区医疗保健提供者的自我效能,解决了心理健康 (MH) 培训缺口. 虚拟教育模式被证明是可以接受的,可行的,并适合服务不足的社区.
科学领域:
- 全球健康 全球健康
- 医学教育 医学教育
- 精神病学是一个精神病学.
背景情况:
- 心理健康障碍对危地马拉的残疾率有很大影响.
- 资源有限限制了获得心理健康护理的机会,特别是在农村地区的土著人口.
- 项目ECHOTM为服务不足地区的医疗保健提供者提供虚拟培训解决方案.
研究的目的:
- 实施和评估一个项目ECHOTM计划,旨在加强为服务于危地马拉农村社区的提供者提供心理健康 (MH) 培训.
- 弥合现有的MH教育和护理可访问性的差距.
主要方法:
- 通过危地马拉和美国机构的合作,提供了一个Project ECHOTM课程.
- 参与者包括来自危地马拉农村的初级保健医生,护士和学生.
- 评估采用混合方法方法 (RE-AIM框架,前后调查,重点小组) 来评估覆盖范围,有效性,采用,忠实性,可持续性,可接受性,可行性和适当性.
主要成果:
- 四十名参与者参加了五次会议,在四个模块的自我有效性中取得了显著的改善.
- 在两个会议中观察到高保真度得分,可持续性,可接受性,可行性和适当性被评为高.
- 质量反表明,课程填补了教育上的差距,并提出了模型适应的建议.
结论:
- 项目ECHOTM模型证明了有效的覆盖和采用,提高了提供者在心理健康护理中的自我效能.
- 该计划被认为是可接受的,可行的和适当的,并确定了促进者和可持续性的障碍.
- 建议对ECHOTM项目模型进行进一步评估和调整,以便在拉丁美洲得到更广泛的应用.
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