Validation of an instrument to guide the implementation of strategies for mental health care in Colombia.
Objectives. To validate the implementation drivers scale among first-level mental health care professionals in Colombia. The scale is designed as a tool to guide the implementation of strategies that effectively reduce gaps in mental health care. Methods. The Active Implementation Framework was adop...
| Publicado en: | Pan American Journal of Public Health Vol. 48; pp. 1 - 10 |
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| Autores principales: | , |
| Formato: | Artículo |
| Publicado: |
World Health Organization
2024
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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=183442108&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 183442108 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10204989 55OA jtl: Pan American Journal of Public Health issn: 10204989 maglogo: N pubinfo: dt: 2024 vid: 48 pid: 437 pub: World Health Organization artinfo: ui: 183442108 10.26633/RPSP.2024.10 ppf: 1 ppct: 9 formats: tig: atl: Validation of an instrument to guide the implementation of strategies for mental health care in Colombia. aug: au: Rojas-Andrade, Rodrigo Agudelo-Hernández, Felipe affil: University Santiago de Chile, Santiago, Chile University of Manizales, Manizales, Colombia su: Mental health services Medical personnel Psychology Exploratory factor analysis Mental health personnel sug: subj: Mental health services Medical personnel Psychology Exploratory factor analysis Offices of Mental Health Practitioners (except Physicians) Residential Mental Health and Substance Abuse Facilities Psychiatric and Substance Abuse Hospitals Mental health personnel keyword: Colombia Implementation science mental health primary health care validation study atención primaria de salud Ciencia de la implementación estudio de validación salud mental atenção primária à saúd Ciência da implementação Colômbia saúde mental studo de validação Colombia Implementation science mental health primary health care validation study atención primaria de salud Ciencia de la implementación estudio de validación salud mental atenção primária à saúd Ciência da implementação Colômbia saúde mental studo de validação ab: Objectives. To validate the implementation drivers scale among first-level mental health care professionals in Colombia. The scale is designed as a tool to guide the implementation of strategies that effectively reduce gaps in mental health care. Methods. The Active Implementation Framework was adopted, which is a widely used model for measuring implementation. The participants included 380 individuals (55.56% men) - 349 health personnel trained in the Mental Health Gap Action Programme (mhGAP) and 31 territorial personnel in charge of planning mental health strategies at the territorial level in Colombia. To assess the critical dimensions of mhGAP implementation, we developed a scale of 18 items based on the active implementation framework. We conducted content validity assessments and exploratory factor analysis to evaluate the scale. We used the Organizational Readiness for Knowledge Translation scale as a comparative standard. Results. The implementation drivers scale identified four dimensions: system enablers for implementation, accessibility of the strategy, adaptability and acceptability, and strategy training and supervision. These dimensions had Cronbach alpha values of 0.914, 0.868, 0.927, and 0.725, respectively, indicating high internal consistency. In addition, all dimensions demonstrated adequate correlation with the Organizational Readiness for Knowledge Translation scale. Conclusion. The implementation drivers scale effectively determines the adaptability and implementation of various components of mental health programs, particularly those focusing on community-based approaches and primary care settings. As such, this scale can contribute to the more effective implementation of strategies outlined by global and local political frameworks, thus improving mental health care. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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