Technology and implementation science to forge the future of evidence- based psychotherapies: the PRIDE scale- up study.

Objective To report the interim results from the training of providers inevidence-based psychotherapies (EBPs) and use of mobile applications. Design and Setting The Partnerships in Research to Implement and Disseminate Sustainable and Scalable Evidence (PRIDE) study is a cluster-randomised hybrid e...

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Publicado en:Evidence-based Mental Health Vol. 24; no. 1; pp. 19 - 25
Autores principales: Wainberg, Milton L., Gouveia, Maria Lídia, Stockton, Melissa Ann, Feliciano, Paulino, Suleman, Antonio, Mootz, Jennifer J., Mello, Milena, Salem, Andre Fiks, Greene, M. Claire, Bezuidenhout, Charl, Ngwepe, Phuti, Lovero, Kathryn L., Santos, Palmira Fortunato dos, Schriger, Simone H., Mandell, David S., Mulumba, Rogerio, Anube, Anibal Neves, Mabunda, Dirceu, Mandlate, Flavio, Cournos, Francine
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: BMJ Publishing Group Feb2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2021
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        10.1136/ebmental-2020-300199
        149218733
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        atl: Technology and implementation science to forge the future of evidence- based psychotherapies: the PRIDE scale- up study.
      aug:
        au:
          Wainberg, Milton L.
          Gouveia, Maria Lídia
          Stockton, Melissa Ann
          Feliciano, Paulino
          Suleman, Antonio
          Mootz, Jennifer J.
          Mello, Milena
          Salem, Andre Fiks
          Greene, M. Claire
          Bezuidenhout, Charl
          Ngwepe, Phuti
          Lovero, Kathryn L.
          Santos, Palmira Fortunato dos
          Schriger, Simone H.
          Mandell, David S.
          Mulumba, Rogerio
          Anube, Anibal Neves
          Mabunda, Dirceu
          Mandlate, Flavio
          Cournos, Francine
        affil: Department of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA
      sug:
        subj:
          Implementation Science
          Mental Health Services
          Psychotherapy
          Mobile Applications Utilization
          Primary Health Care
          Human
          Mozambique
          Diffusion of Innovation
          Focus Groups
          Professional Practice, Evidence-Based
          Physicians, Family
          Psychiatric Technicians
          Mental Disorders
          Digital Technology
      ab: Objective To report the interim results from the training of providers inevidence-based psychotherapies (EBPs) and use of mobile applications. Design and Setting The Partnerships in Research to Implement and Disseminate Sustainable and Scalable Evidence (PRIDE) study is a cluster-randomised hybrid effectiveness-implementation trial comparing three delivery pathways for integrating comprehensive mental healthcare into primary care in Mozambique. Innovations include the use of EBPs and scaling-up of task-shifted mental health services using mobile applications. Main outcome measures We examined EBP training attendance, certification, knowledge and intentions to deliver each component. We collected qualitative data through rapid ethnography and focus groups. We tracked the use of the mobile applications to investigate early reach of a valid screening tool (Electronic Mental Wellness Tool) and the roll out of the EBPs Participants Psychiatric technicians and primary care providers trained in the EBPs. Results PRIDE has trained 110 EBP providers, supervisors and trainers and will train 279 community health workers in upcoming months. The trainings improved knowledge about the EBPs and trainees indicated strong intentions to deliver the EBP core components. Trained providers began using the mobile applications and appear to identify cases and provide appropriate treatment. Conclusions The future of EBPs requires implementation within existing systems of care with fidelity to their core evidence-based components. To sustainably address the vast mental health treatment gap globally, EBP implementation demands: expanding the mental health workforce by training existing human resources; sequential use of EBPs to comprehensively treat mental disorders and their comorbid presentations and leveraging digital screening and treatment applications.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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