在塞拉利昂的学校推进基于证据的心理健康干预措施的可持续实施:混合型3实施-有效性试验的方案
Alethea Desrosiers1, Bidemi Carrol2, Haley Ritsema3
1Department of Psychiatry and Human Behavior, Brown University, Warren Alport Medical School, 345 Blackstone Blvd Providence, Providence, RI, 02906, USA. alethea_desrosiers@brown.edu.
BMC public health
|February 3, 2024
概括
这项研究测试了一种基于移动的方法,为塞拉利昂的年轻人提供心理健康支持. 培训教师使用移动工具可以弥合年轻人心理健康治疗的巨大差距.
科学领域:
- 全球心理健康全球心理健康
- 实施科学 实施科学
- 青少年心理学 青少年心理学
背景情况:
- 青少年心理健康障碍是一个重大的全球负担,特别是在低收入和中等收入国家 (LMICs).
- 塞拉利昂面临着98%的心理健康治疗缺口,需要可扩展的干预措施.
- 青年准备干预 (YRI) 是一个基于证据的计划,适用于非专业卫生工作者.
研究的目的:
- 评估基于移动的监督模型的可行性,可接受性,成本和忠实性,以提供塞拉利昂教师的YRI.
- 为了比较基于移动的监督与标准的面对面的监督为YRI.
- 探索移动技术的潜力,以提高资源有限的环境中青少年心理健康服务的覆盖范围和可持续性.
主要方法:
- 一个混合型3实施-有效性集群随机试验,涉及塞拉利昂50所学校.
- 将学校随机划分为三个部门:YRI带有移动监督,YRI带有标准监督,以及等候名单控制.
- 混合方法收集教师,校长和青年实施结果的数据,以及青年心理健康和成本效益的次要结果.
主要成果:
- 数据收集正在进行中;结果将决定基于移动的YRI交付模型的有效性和可扩展性.
- 该研究将提供关于培训教师提供心理健康干预措施的可行性和可接受性的见解.
- 成本效益数据将为类似环境中的青少年心理健康计划未来的资源配置提供信息.
结论:
- 通过利用教师劳动力,研究结果可以显著扩大低资源环境中的年轻人获得心理健康服务的机会.
- 移动工具的成功实施可能有助于在塞拉利昂和西非范围内更广泛地扩大YRI.
- 这种方法有可能大幅缩小服务不足的年轻人之间的心理健康治疗差距.
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