A mixed methods evaluation of a World Health Organization competency-based training package for foundational helping skills among pre-service and in-service health workers in Nepal, Peru and Uganda.

Autor:	Pedersen GA; Center for Global Mental Health Equity, Department of Psychiatry and Behavioral Health, George Washington University, Washington, DC, USA., Shrestha P; Program Department, Transcultural Psychosocial Organization (TPO) Nepal, Kathmandu, Nepal., Akellot J; Uganda Country Office, Programs Department, HealthRight International, Kampala, Uganda., Sepulveda A; Socios En Salud Sucursal Perú, Lima, Peru., Luitel NP; Program Department, Transcultural Psychosocial Organization (TPO) Nepal, Kathmandu, Nepal., Kasujja R; School of Psychology, Department of Mental Health, Makerere University, Kampala, Uganda., Contreras C; Socios En Salud Sucursal Perú, Lima, Peru.; Harvard Global Health Institute, Harvard University, Cambridge, MA, USA.; School of Social Work, University of South Florida, Tampa, FL, USA., Galea JT; School of Social Work, University of South Florida, Tampa, FL, USA.; Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA., Moran L; Socios En Salud Sucursal Perú, Lima, Peru., Neupane V; Program Department, Transcultural Psychosocial Organization (TPO) Nepal, Kathmandu, Nepal., Rimal D; Program Department, Transcultural Psychosocial Organization (TPO) Nepal, Kathmandu, Nepal., Schafer A; Department of Mental Health and Substance Use, World Health Organization, Geneva, Switzerland., Kohrt BA; Center for Global Mental Health Equity, Department of Psychiatry and Behavioral Health, George Washington University, Washington, DC, USA.
Jazyk:	angličtina
Zdroj:	Global mental health (Cambridge, England) [Glob Ment Health (Camb)] 2023 Aug 14; Vol. 10, pp. e55. Date of Electronic Publication: 2023 Aug 14 (Print Publication: 2023).
DOI:	10.1017/gmh.2023.43
Abstrakt:	Health systems globally demand more competent workers but lack competency-based training programs to reach their goals. This study evaluates the effectiveness of a competency-based curriculum (EQUIP-FHS) for trainers and supervisors to teach foundational helping knowledge, attitudes and skills, guided by the WHO/UNICEF EQUIP platform, to improve the competency of in-service and pre-service workers from various health and other service sectors. A mixed-methods, uncontrolled before-and-after trial was conducted in Nepal, Peru, and Uganda from 2020 to 2021. Trainees' ( N = 150) competency data were collected during 13 FHS trainings. Paired t -tests assessed pre- to post-change in ENACT competency measures (e.g., harmful, helpful). Qualitative data was analyzed using thematic analysis. EQUIP-FHS trainings, on average, were 20 h in duration. Harmful behaviors significantly decreased, and helpful behaviors significantly increased, across and within sites from pre-to post-training. Qualitatively, trainees and trainers promoted the training and highlighted difficult competencies and areas for scaling the training. A brief competency-based curriculum on foundational helping delivered through pre-service or in-service training can reduce the risk that healthcare workers and other service providers display harmful behaviors. We recommend governmental and nongovernmental organizations implement competency-based approaches to enhance the quality of their existing workforce programming and be one step closer to achieving the goal of quality healthcare around the globe. Competing Interests: A.S. is employed with the World Health Organization. All other authors declare no competing interests. (© The Author(s) 2023.)
Databáze:	MEDLINE
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