| Autor: |
M. Claire Greene, Diany Castellar, Manaswi Sangraula, Natalia Camargo, Jennifer Diaz, Valeria Meriño, Lucy Miller-Suchet, Ana Maria Chamorro Coneo, Marcela Venegas, Maria Cristobal, David Chávez, Brandon Kohrt, Peter Ventevogel, Miguel Uribe, Marilyn DeLuca, James Shultz, Zelde Espinel, Leslie Snider, Lisa Marsch, Sara Romero, Monica Ferrer, Abel Guerrero Gonzalez, Camilo Ramirez, Ana Maria Trejos Herrera, Matthew Schojan, Annie G. Bonz, Adam Brown |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Cambridge Prisms: Global Mental Health, Vol 11 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2054-4251 |
| DOI: |
10.1017/gmh.2024.95 |
| Popis: |
Migrants and refugees face elevated risks for mental health problems but have limited access to services. This study compared two strategies for training and supervising nonspecialists to deliver a scalable psychological intervention, Group Problem Management Plus (gPM+), in northern Colombia. Adult women who reported elevated psychological distress and functional impairment were randomized to receive gPM+ delivered by nonspecialists who received training and supervision by: 1) a psychologist (specialized technical support); or 2) a nonspecialist who had been trained as a trainer/supervisor (nonspecialized technical support). We examined effectiveness and implementation outcomes using a mixed-methods approach. Thirteen nonspecialists were trained as gPM+ facilitators and three were trained-as-trainers. We enrolled 128 women to participate in gPM+ across the two conditions. Intervention attendance was higher in the specialized technical support condition. The nonspecialized technical support condition demonstrated higher fidelity to gPM+ and lower cost of implementation. Other indicators of effectiveness, adoption and implementation were comparable between the two implementation strategies. These results suggest it is feasible to implement mental health interventions, like gPM+, using lower-resource, community-embedded task sharing models, while maintaining safety and fidelity. Further evidence from fully powered trials is needed to make definitive conclusions about the relative cost of these implementation strategies. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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