Implementing and Sustaining Brief Addiction Medicine Interventions with the Support of a Quality Improvement Blended-eLearning Course: Learner Experiences and Meaningful Outcomes in Kenya.
Quality improvement methods could assist in achieving needed health systems improvements to address mental health and substance use, especially in low-middle-income countries (LMICs). Online learning is a promising avenue to deliver quality improvement training. This Computer-based Drug and Alcohol...
| Publicado en: | International Journal of Mental Health & Addiction Vol. 20; no. 6; pp. 3479 - 3501 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Dec2022
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=160457985&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 160457985 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 15571874 46AW jtl: International Journal of Mental Health & Addiction issn: 15571874 maglogo: N pubinfo: dt: Dec2022 vid: 20 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 160457985 10.1007/s11469-022-00781-6 ppf: 3479 ppct: 22 formats: fmt: – @attributes: type: T – @attributes: type: P size: 2.2MB tig: atl: Implementing and Sustaining Brief Addiction Medicine Interventions with the Support of a Quality Improvement Blended-eLearning Course: Learner Experiences and Meaningful Outcomes in Kenya. aug: au: Clair, Veronic Atkinson, Kaitlin Musau, Abednego Mutiso, Victoria Bosire, Edna Gitonga, Isaiah Small, Will Ndetei, David Frank, Erica affil: Africa Mental Health Research and Training Foundation, PO Box, 48423-00100, Nairobi, Kenya School of Population and Public Health, The University of British Columbia, 2206 East Mall, V6T 1Z3, Vancouver, BC, Canada NextGenU.org, PO Box 7, 98235, Clear Lake, WA, USA Faculty of Health Sciences, Centre for Applied Research in Mental Health and Addiction (CARMHA), Simon Fraser University, 8888 University Drive, V5A 1S6, Burnaby, BC, Canada su: Kenya Addictions Mental health Substance abuse Community health workers Health services administration Drug formularies sug: subj: Addictions Mental health Substance abuse Kenya Administration of Public Health Programs Offices of Mental Health Practitioners (except Physicians) Community health workers Health services administration Drug formularies keyword: Addiction Blended courses Brief intervention eLearning Health services administration and management Lay health worker Medical education and training Primary care Qualitative research Quality improvement Substance misuse Addiction Blended courses Brief intervention eLearning Health services administration and management Lay health worker Medical education and training Primary care Qualitative research Quality improvement Substance misuse ab: Quality improvement methods could assist in achieving needed health systems improvements to address mental health and substance use, especially in low-middle-income countries (LMICs). Online learning is a promising avenue to deliver quality improvement training. This Computer-based Drug and Alcohol Training Assessment in Kenya (eDATA-K) study assessed users' experience and outcome of a blended-eLearning quality improvement course and collaborative learning sessions. A theory of change, developed with decision-makers, identified relevant indicators of success. Data, analyzed using descriptive statistics and thematic analysis, were collected through extensive field observations, the eLearning platform, focus group discussions, and key informant interviews. The results showed that 22 community health workers and clinicians in five facilities developed competencies enabling them to form quality improvement teams and sustain the new substance-use services for the 8 months of the study, resulting in 4591 people screened, of which 575 received a brief intervention. Factors promoting course completion included personal motivation, prior positive experience with NextGenU.org's courses, and a certificate. Significant challenges included workload and network issues. The findings support the effectiveness of the blended-eLearning model to assist health workers in sustaining new services, in a supportive environment, even in a LMIC peri-urban and rural settings. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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