Optimising implementation strategies of the scale-up of a primary care psychological intervention: The Friendship Bench

优化扩大初级保健心理干预的实施策略：友谊长凳

• 批准号: MR/S004270/1
• 负责人: Ricardo Araya
• 金额: $ 94.68万
• 依托单位: King's College London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2018
• 资助国家: 英国
• 起止时间: 2018 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FS004270%2F1
• 关键词: Optimising; implementation; strategies; scale; up

A randomised controlled trial showed unequivocally that the Friendship Bench (FB) is the first effective psychological treatment programme in primary care to be tested so far in Sub-Saharan Africa. The auspicious results persuaded the government to scale-up the FB to 72 clinics in and around Harare about one year ago. Additional scaling-up has been planned for later this year. Up until now, there has not been an evaluation of the results of this scaling-up initiative. This study aims to evaluate the scaling-up so far but most importantly to identify the factors that have influenced the outcome of the implementation of the FB with a view to design an enhancedfacilitation intervention to improve the implementation in clinics that have not performed so well. We will use two well-known implementation science frameworks (RE-AIM and CFIR) to guide our work. Whilst RE-AIM will provide us with a framework for the outcomes, CIFR will guide us through the process of exploring the 'core' factors that determine the success or failure of the implementation of the FB. We will start with an evaluation of what has been achieved so far using all the data that has been routinely collected during the scale-up effort until now. This will be supplemented with additional data captured through a survey and other qualitative methods. The results will allow us to evaluate RE-AIM outcomes and classify clinics according to their implementation outcomes. Subsequently we will conduct a workshop with the main stakeholders to discuss and agree on the CFIR framework to use for the second phase of exploration. The main aim of the second phase is to identify key or core variables deemed to be key predictors of the successful implementation of the FB. In order to do this we will focus on comparing low and high performing clinics to identify those factors that might explain implementation outcomes. During the second phase, most research will be of a qualitative nature, through focus groups and semi-structured interviews, except for small surveys and the collection of additional economic data.At the end of this phase, we will invite main stakeholders again to review our results and conclusions and to help us identify the components of an enhanced facilitation intervention that we will test in those clinics whose implementation achievements fall into the lowest quartile. We will conduct a hybrid type 3 study to ascertain if implementation outcomes improve four months after thisfacilitation takes place in comparison with control clinics. The information generated in this study is vital to continue the successful expansion of the FB and to consolidate the implementation currently underway. Besides it will provide essential information for other neighbouring countries in terms of using implementation science methodology as well as learning about potential problems in the route to implementation as well as possible approaches to improve their implementation efforts.

一项随机对照试验明确表明，友谊长凳（FB）是迄今为止在撒哈拉以南非洲进行测试的初级保健中的第一个有效的心理治疗计划。吉祥的结果说服政府大约一年前将FB扩大到Harare的72个诊所。计划于今年晚些时候进行额外扩展。到目前为止，还没有评估该扩展计划的结果。这项研究旨在评估到目前为止的扩展，但最重要的是，确定影响FB实施结果的因素，以设计增强的进展干预措施，以改善表现不佳的诊所的实施。我们将使用两个著名的实施科学框架（RE-AIM和CFIR）来指导我们的工作。尽管Re-Aim将为我们提供结果的框架，但CIFR将指导我们探索确定FB实施成功或失败的“核心”因素的过程。我们将从迄今为止在扩大工作期间经常收集的所有数据进行评估，以评估到目前为止所取得的成就。这将补充通过调查和其他定性方法捕获的其他数据。结果将使我们能够根据其实施成果评估重新成果并对诊所进行分类。随后，我们将与主要利益相关者进行研讨会，以讨论并同意CFIR框架，以用于探索的第二阶段。第二阶段的主要目的是确定被认为是成功实施FB的关键预测指标。为了做到这一点，我们将专注于比较低性能诊所，以确定可能解释实施结果的因素。在第二阶段，大多数研究将通过焦点小组和半结构化访谈具有定性性质，除了小规模的调查和收集其他经济数据外，我们将再次邀请主要利益相关者审查我们的结果和结论，并结论和结论，并帮助我们确定增强的促进干预措施的成分，我们将在这些临床中确定其实施成就的趋势。我们将进行一项混合3型研究，以确定与控制诊所相比，此进展后四个月后的实施结果是否有所改善。这项研究中产生的信息对于继续成功扩展FB至关重要，并巩固了当前正在进行的实施。此外，它将在使用实施科学方法方面为其他邻国提供必要的信息，并了解实施途径中的潜在问题以及可能改善其实施工作的方法。

项目成果

Economic threshold analysis of delivering a task-sharing treatment for common mental disorders at scale: the Friendship Bench, Zimbabwe.

• DOI: 10.1136/ebmental-2021-300317
• 发表时间: 2022-05
• 期刊: EVIDENCE-BASED MENTAL HEALTH
• 影响因子: 5.2
• 作者: Healey, Andrew;Verhey, Ruth;Mosweu, Iris;Boadu, Janet;Chibanda, Dixon;Chitiyo, Charmaine;Wagenaar, Brad;Senra, Hugo;Chiriseri, Ephraim;Mboweni, Sandra;Araya, Ricardo
• 通讯作者: Araya, Ricardo

Optimising implementation strategies of the first scaleup of a primary care psychological intervention for common mental disorders in Sub-Saharan Africa: a mixed methods study protocol for the optimised Friendship Bench (OptFB).

• DOI: 10.1136/bmjopen-2020-045481
• 发表时间: 2021-09-13
• 期刊: BMJ open
• 影响因子: 2.9
• 作者: Verhey R;Chitiyo C;Mboweni SN;Chiriseri E;Chibanda D;Healey A;Wagenaar B;Araya R
• 通讯作者: Araya R

Using the RE-AIM framework to evaluate the implementation of scaling-up the Friendship Bench in Zimbabwe - a quantitative observational study.

• DOI: 10.1186/s12913-022-08767-9
• 发表时间: 2022-11-22
• 期刊: BMC HEALTH SERVICES RESEARCH
• 影响因子: 2.8
• 作者: Verhey, Ruth;Chitiyo, Charmaine;Mboweni, Sandra;Turner, Jean;Murombo, Gift;Healey, Andy;Chibanda, Dixon;Wagenaar, Bradley H.;Araya, Ricardo
• 通讯作者: Araya, Ricardo