实质:一个实施研究计划,扩大农村社区的抑郁症护理规模
Deepak Tugnawat1, Abhishek Singh1, Aditya Anand1
1Sangath Bhopal Hub, Bhopal, Madhya Pradesh, India (Tugnawat, Singh, Anand, Bondre, Chandke, Dhurve, Joshi, Khan, Muke, Negi, Nikhare, Rathore, Sen, Sharma, Shrivastava, Verma, R. Vishwakarma, D. Vishwakarma, Bhan); James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati (Ramaswamy); Gillings School of Global Public Health, University of North Carolina, Chapel Hill (Ramaswamy, Vorapanya); Department of Global Health and Social Medicine, Harvard Medical School, Boston (Haney, Patel, Naslund); Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston (Patel).
数字培训和远程支持可以通过培训非专业卫生工作者 (NSHWs) 来帮助扩大心理健康护理规模. 这些方法旨在弥合在低资源环境中的治疗差距.
科学领域:
- 全球心理健康全球心理健康
- 医疗保健服务研究 医疗服务研究
- 数字健康干预措施 数字健康干预措施
背景情况:
- 任务共享培训非专业卫生工作者 (NSHWs) 提供心理健康干预,旨在减少全球治疗差距.
- 低收入和中等收入国家的NSHW培训能力有限,阻碍了这些干预措施的规模实施.
研究的目的:
- 评估NSHW在提供抑郁症干预方面的数字与面对面培训的有效性和成本效益.
- 评估与常规支持相比,远程增强实施支持对初级保健中提供抑郁症护理的影响.
主要方法:
- 在印度Madhya Pradesh的ESSENCE项目内进行了两个连续的随机对照试验.
- 一个培训试验,比较NSHW临床能力的数字和传统培训.
- 一个实施试验评估远程支持,以克服交付障碍.
主要成果:
- 开发和试点测试一种可扩展的基于智能手机的NSHW培训计划.
- 一项随机试验评估了NSHWs数字培训方法的有效性.
- 一个集群随机试验将评估远程实施支持,以提供高效的抑郁症护理.
结论:
- 调查结果可以为培训和实施支持的可持续模式提供信息.
- 将抑郁症护理整合到初级保健中对于在资源有限的环境中扩大规模至关重要.
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