The end of the trial: Perspectives on cognitive processing therapy from community-based providers in the Democratic Republic of Congo.

Autor: Lakin DP; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Murray SM; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Lasater ME; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Kaysen D; Department of Psychiatry and Behavioral Sciences, Stanford University Medical Center, Palo Alto, California, USA., Mataboro A; Action Kivu, Bukavu, South Kivu, Democratic Republic of Congo., Annan J; International Rescue Committee, New York, New York, USA., Bolton P; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Bass JK; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Jazyk: angličtina
Zdroj: Journal of traumatic stress [J Trauma Stress] 2022 Feb; Vol. 35 (1), pp. 269-277. Date of Electronic Publication: 2021 Oct 13.
DOI: 10.1002/jts.22734
Abstrakt: Despite calls forincreased mental health programming in low-resource and humanitarian contexts and effectiveness trials of psychotherapy in these settings, little research exists on the extent to which providers and recipients continue to practice skills learned during trials of these programs. To understand if and how providers continued to use mental health intervention skills without ongoing institutional support following the completion of randomized controlled trials (RCTs), we analyzed data from semistructured interviews with six of seven providers who participated in an RCT of cognitive processing therapy (CPT) in the Democratic Republic of Congo 7 years prior. Provider interviews revealed continued knowledge of and, in some cases, the practice of core CPT skills as well as efforts to keep meeting with women in the community and a strong desire to learn new skills. Although financial limitations sometimes prohibited providers from formally convening CPT groups with women in need, participants maintained knowledge and skill use. Providers also reported feeling more valued in their communities, and they continued providing services beyond the planned intervention period despite a lack of ongoing support. In addition, participants described a strong desire to continue psychosocial interventions for trauma and learn more about this type of intervention. Reframing the evaluation of psychological interventions as program development and maintaining a strong working relationship with community partners may allow for increased sustainability of mental health services beyond the end of academic research studies in low-resource contexts.
(© 2021 International Society for Traumatic Stress Studies.)
Databáze: MEDLINE
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