Readiness for Change Scale: Adaptation and Validation for Mental Health Task-Sharing

变革准备量表：心理健康任务分担的适应和验证

• 批准号: 10575905
• 负责人: Saloni Dev
• 金额: $ 8.48万
• 依托单位: TUFTS UNIVERSITY BOSTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10575905
• 关键词: Accreditation; Address; Adopted; Adoption; Affect; Attention; Attitude; Belief; COVID-19 pandemic; Caring; Community Health Aides; Community Healthcare; Ensure; Evidence based practice; Factor Analysis; Female; Foundations; Funding Mechanisms; Future; Goals; Health; Health Professional; Incentives; India; Individual; Intervention; Investigation; Knowledge; Language; Learning; Literature; Measurement; Measures; Mental Health; Mental Health Services; Modeling; Motivation; National Institute of Mental Health; Outcome; Outcome Study; Population; Primary Care; Primary Health Care; Privatization; Public Health; Quality of Care; Randomized, Controlled Trials; Readiness; Recommendation; Research; Resource-limited setting; Role; Self Efficacy; Services; Solid; Strategic Planning; Structure; Supervision; System; Target Populations; Testing; Translating; Translations; United States; United States National Institutes of Health; Validation; Validity and Reliability; Work; World Health Organization; cognitive interview; cost effectiveness; health care availability; health care settings; implementation barriers; implementation strategy; improved; indexing; low and middle-income countries; medical specialties; model building; programs; provider factors; psychologic; routine care; scale up; skills; social; structural determinants; tool; usability; willingness

Readiness for Change Scale: Adaptation and Validation for Mental Health Task-Sharing PROJECT SUMMARY: Mental health task-sharing, or the involvement of non-specialist health workers (NSHWs) such as community health workers (CHWs) to make mental health care more available and accessible, has been proven to be efficacious in randomized controlled trials in multiple low-resource settings including low- and middle-income countries. However, in routine care settings, the impact of mental health programs based on task-sharing paradigm greatly depend on its adoption by CHWs and the fidelity with which they implement it which, in-turn, is influenced by their readiness for change (RFC). However, there is dearth of literature assessing the role of RFC as an important predictor of CHW adoption and fidelity within mental health task-sharing. Importantly, research on RFC among CHWs within mental health task-sharing is hindered by the absence of a culturally-adapted, reliable, and valid measurement tool. To address this significant gap in research and knowledge, we build on our previous qualitative work investigating the cultural- and context-specific nuances of RFC among Accredited Social Health Activists (ASHAs), a cadre of female CHWs in India, for engaging in mental health task-sharing. Utilizing our qualitative findings, we aim to adapt the Readiness for Change Scale and translate it into Marathi language by following the World Health Organization's recommendations on scale translation. In addition, we aim to assess the content and construct validity, as well as internal consistency of the translated (Marathi) version of the Readiness for Change Scale among n=330 ASHAs in Rahata sub-district of Ahmednagar district in the state of Maharashtra, India. We will assess content validity through involving an expert panel, and calculate content validity ratios and a content validity index. For evaluating construct (convergent) validity, we will calculate the correlation between the revised scale scores and scores from the General Self-Efficacy Scale. Furthermore, we will use Cronbach's alpha to assess the internal consistency of the revised scale, and factor analysis to identify scale constructs. The outcome of this study—an adapted and validated measure for RFC among CHWs for mental health task-sharing—will build a solid foundation to develop and test an implementation strategy to build RFC among CHWs for mental health task-sharing through NIH's R21 funding mechanism which will be useful for low-resource setting globally, including the United States.

变革量表的准备：适应和验证心理健康任务共享 项目摘要： 心理健康任务共享或非专业卫生工作者（NSHW）的参与，例如社区 卫生工作者（CHW）使心理保健更加可用和可获得，已被证明是 在多个低资源设置中的随机对照试验中有效的效率，包括低收入和中等收入 国家。但是，在常规护理环境中，基于任务共享的心理健康计划的影响 范式在很大程度上取决于CHW的采用以及他们实施的忠诚度，这是 受其准备就绪的影响（RFC）的影响。但是，文献评估了RFC的作用 作为在心理健康任务共享中采用和忠诚度的重要预测指标。重要的是，研究 在心理健康任务分担中CHW中的RFC上，由于缺乏文化适应的，阻碍了RFC。 可靠且有效的测量工具。为了解决研究和知识中的这一巨大差距，我们基于 我们以前的定性工作调查了RFC在经认可的文化和上下文特定的细微差别 社会健康活动家（ASHAS）是印度女性CHW的干部，他从事心理健康任务分担。 利用我们的定性发现，我们旨在适应变革量表的准备，并将其转化为马拉地语 通过遵循世界卫生组织对规模翻译的建议，语言。另外，我们 旨在评估内容和构造有效性以及翻译（Marathi）版本的内部一致性 n = 330 Ashas的变化量表的准备就绪 印度马哈拉施特拉邦州。我们将通过涉及专家小组来评估内容有效性，并计算 内容有效性比和内容有效性指数。为了评估构建体（收敛）有效性，我们将计算 经过一般自我效能量表的修订量表得分与得分之间的相关性。此外， 我们将使用Cronbach的Alpha评估修订量表的内部一致性，并分析因素分析 确定比例构造。这项研究的结果 - CHW中的RFC的改编和验证的测量 对于心理健康任务共享 - 将建立坚实的基础，以制定和测试实施策略 通过NIH的R21资金机制在CHW中构建RFC，以进行心理健康任务共享，这将是 对于包括美国在内的全球低资源环境有用。