Addressing barriers to Scaling-up Perinatal Mental Health Intervention

解决扩大围产期心理健康干预的障碍

基本信息

批准号：
9977300
负责人：
Siham Sikander
金额：
$ 1.65万
依托单位：
HUMAN DEVELOPMENT RESEARCH FOUNDATION
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-07-22 至 2021-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9977300
关键词：
Address Adopted Award Child Child Health Child Health Services Community Health Aides Competence Critical Thinking Development Documentation Educational workshop Evaluation Focus Groups Foundational Skills Goals Government Health Health Personnel Health Professional Healthcare Infrastructure International Intervention Interview K-Series Research Career Programs Knowledge Link Maintenance Mental Health Mentors Mentorship Methodology Mothers National Institute of Child Health and Human Development National Institute of Mental Health Outcome Pakistan Pathway interactions Policies Policy Maker Process Qualitative Methods Randomized Randomized Controlled Trials Research Research Design Research Personnel Research Project Grants Respondent Series Services Structure Supervision Technology Theory of Change Thinking Training United States National Institutes of Health base career development effective intervention evidence base implementation research implementation science improved innovation low and middle-income countries meetings perinatal mental health peripartum depression programs psychosocial scale up theories

项目摘要

Project Summary/Abstract The burden of perinatal depression is extremely high in LMICs. It is linked with poor child health outcomes. Psychosocial interventions delivered through non-mental health professionals as part of task sharing have shown to be effective in reducing perinatal depression. Recently, WHO mhGAP Program adopted the evidence based psychosocial intervention Thinking Healthy Program (THP) for global dissemination. There is increasing evidence that task sharing interventions are effective in improving mental health in LMIC. There is also growing documentation of barriers to the scalability of such interventions. Lack of integration into existing health care platforms and large scale quality training and supervision are some of the barriers to scaling up. The goal of this International Research Career Development Award K43 is to develop candidate’s expertise in implementing scale up of evidence based perinatal mental health interventions. Through research, coursework, and structured mentorship activities, the candidate will develop new competencies in implementation research including i) conceptual knowledge of implementation research grounded in theory and practice; ii) methodological expertise in implementation research designs, and iii) professional development towards becoming an independent LIMIC researcher. Drs Lawrence Wissow, Atif Rahman, Assad Hafeez, Vikram Patel and Joanna Maselko will mentor the candidate in these three objectives. The research will be conducted in Pakistan and the infrastructure provided by the ongoing NIMH U19 SHARE and NICHD/NIH RO1 SHARE CHILD projects in Pakistan. The candidate will evaluate, in a randomized controlled trial competencies of government employed community health workers trained and supervised on a technology assisted version of THP (called THP-TA for short) and elaborate the process of scaling-up THP-TA by identifying barriers and strategies. Using community health workers in Pakistan delivering MCH services and technology innovation has the potential of scaling-up THP in Pakistan. It also has the potential of take up by WHO for global dissemination. By the conclusion of this mentored career development, candidate will have the foundational skills for implementation research with grounding in the principles of implementation science. Furthermore the candidate will have the technology assisted version of THP developed and assessed for acquisition of competencies lay workers and the pathway to scale up informed. This will inform an R01 for an implementation program of Thinking Healthy Program – Technology Assisted (THP-TA).

项目概要/摘要中低收入国家围产期抑郁症的负担非常高，这与儿童健康状况不佳有关。作为任务分担的一部分，通过非心理健康专业人员提供的心理社会干预措施已经最近，世界卫生组织 mhGAP 计划采纳了这一证据。基于心理社会干预的健康思维计划（THP）在全球范围内的传播日益增多。越来越多的证据表明，任务分担干预措施可有效改善中低收入国家的心理健康。缺乏对此类干预措施可扩展性的障碍的记录。平台和大规模的质量培训和监督是扩大规模的一些障碍。国际研究职业发展奖 K43 旨在培养候选人的专业知识通过研究扩大基于证据的围产期心理健康干预措施。课程作业和结构化的指导活动，候选人将发展新的能力实施研究包括 i) 基于理论的实施研究的概念知识和实践；ii) 实施研究设计的方法专业知识，以及 iii) 专业发展成为独立的 LIMIC 研究员 Lawrence Wissow、Atif Rahman、Assad 博士。 Hafeez、Vikram Patel 和 Joanna Maselko 将指导候选人实现这三个目标。在巴基斯坦进行，基础设施由正在进行的 NIMH U19 SHARE 和 NICHD/NIH 提供候选人将在巴基斯坦的 RO1 SHARE CHILD 项目中进行评估。受技术培训和监督的政府雇用的社区卫生工作者的能力 THP（简称THP-TA）的辅助版本，并详细阐述了THP-TA的放大过程在巴基斯坦使用社区卫生工作者提供妇幼保健服务和战略。技术创新有潜力扩大巴基斯坦的THP规模，也有可能被巴基斯坦采用。世卫组织全球传播。在这一指导性职业发展结束时，候选人将拥有以实施科学原理为基础的研究基本技能。此外，候选人还将开发 THP 的技术辅助版本并对其进行评估获得非专业工人的能力和扩大规模的途径这将为 R01 提供信息。健康思考计划——技术辅助（THP-TA）的实施计划。