Peer-delivered Problem-solving Therapy for Adolescent Mental Health in Kenya: Adaptation for Context and Training of Peer-counselors.
Peer-delivered interventions for adolescent mental health can help address poor access to mental health interventions. Questions remain about how interventions can be adapted for peer delivery and whether peers can be trained. In this study, we adapted problem solving therapy (PST) for peer-delivery...
| Publicado en: | Research on Child & Adolescent Psychopathology Vol. 51; no. 9; pp. 1243 - 1257 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Sep2023
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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=171346107&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 171346107 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 27307166 MNIX jtl: Research on Child & Adolescent Psychopathology issn: 27307166 maglogo: N pubinfo: dt: Sep2023 vid: 51 iid: 9 pid: 237 pub: Springer Nature artinfo: ui: 171346107 10.1007/s10802-023-01075-8 ppf: 1243 ppct: 14 formats: tig: atl: Peer-delivered Problem-solving Therapy for Adolescent Mental Health in Kenya: Adaptation for Context and Training of Peer-counselors. aug: au: Giusto, Ali Vander Missen, Marissa R. Kosgei, Gilliane Njiriri, Faith Puffer, Eve Kamaru Kwobah, Edith Barasa, Julius Turissini, Matthew Rasmussen, Justin Ott, Mary Binayo, Joseph Rono, Wilter Jaguga, Florence affil: Department of Psychiatry, New York State Psychiatric Institute, Columbia University Medical Center, 10032, New York, NY, USA Department of Medicine, Indiana University, 47405, Bloomington, IN, USA Department of Mental Health, Moi Teaching & Referral Hospital, Eldoret, Kenya Duke Global Health Institute, 27710, Durham, NC, USA Department of Neuroscience and Psychology, Duke University, 27708, Durham, NC, USA Family Health Options Kenya, Eldoret, Kenya su: Kenya India Mental health Adolescent health Problem-solving therapy Kenyans sug: subj: Mental health Adolescent health Kenya India Offices of Mental Health Practitioners (except Physicians) Problem-solving therapy Kenyans keyword: Adaptation Adolescents Lay-counselors Peers Adaptation Adolescents Lay-counselors Peers ab: Peer-delivered interventions for adolescent mental health can help address poor access to mental health interventions. Questions remain about how interventions can be adapted for peer delivery and whether peers can be trained. In this study, we adapted problem solving therapy (PST) for peer-delivery with adolescents in Kenya and explored whether peer counselors can be trained in PST. We adapted treatment prior to and during training using the Cultural Adaptation and Contextualization for Implementation framework. Nine peer counselors (Ages 20–24) were selected and trained over 10 days. Peer competencies and knowledge were measured pre-post using a written exam, a written case study, and role plays rated using a standardized competency measure. We chose a version of PST used in India with secondary school adolescents originally delivered by teachers. All materials were translated into Kiswahili. Language and format were adapted to Kenyan adolescents as well as for delivery by peers with a focus on understandability and relevance (e.g., noting shared experience). Metaphors, examples, and visual materials were adapted for the context to reflect the culture and vernacular of Kenyan youth. Peer counselors were able to be trained in PST. Pre-post competencies and understanding of content showed improvements with peers minimally meeting patient needs (pre) on average to moderate/fully meeting patient needs (post). Post-training written exam score showed an average 90% correct. There is an adapted version of PST for Kenyan adolescents and peer delivery. Peer counselors can be trained to deliver a 5-session PST in a community context. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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