A pilot study to evaluate feasibility and acceptability of training mental health workers in India to select case-specific intervention procedures within a dynamic modular treatment designed for a low-resource setting

Knudsen, Kendra S, Becker, Kimberly D, Guan, Karen, Gellatly, Resham, Patel, Vikram, Malik, Kanika, Boustani, Maya M, Mathur, Sonal and Chorpita, Bruce (2021) A pilot study to evaluate feasibility and acceptability of training mental health workers in India to select case-specific intervention procedures within a dynamic modular treatment designed for a low-resource setting. Journal of Evaluation in Clinical Practice, 28 (4). pp. 531-541. ISSN 13561294

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Abstract

A key consideration in designing scalable solutions for improving global mental health involves balancing the need for interventions tobe uncomplicated for mental health workers (MHWs) and the need for the intervention to be widely applicable to many clients. Often these needs are in the competition since interventions are routinely simplified by removing procedures or reducing their dynamic responsivity, which in turn lowers their overall utility in serving large, clini-cally diverse populations. The principal aim of this pilot study involved evaluating the feasibility and acceptability of a brief strategy designed to delegate problem classification and practice selection to MHWs operating within a flexible, modular, cognitive behavioral protocol. A secondary aim involved gathering data on which to base ahypothesis regarding the potential effectiveness of this strategy.Method:Within an open trial, an educationally diverse sample of local MHWs in India (N=18) reviewed fictional case vignettes, classified mental health problems, and then selected practices before and after a two-hour training that included a one-page decision-making resource. Feasibility was measured by assessing the integrity of the study protocol and training, the measurement and administration of question-naires as well as study recruitment and completion. Acceptability of the intervention was measured by MHW-perceived performance, ease of use, value, importance, and intention for continued use. Decision-making accuracy was assessed by comparingMHWs' clinical decisions with criteria established through consensus among psychologists with expertise in modular protocols.Results: Results suggested high feasibility and acceptability on all metrics. Secondary analysis revealed that MHW's decision-making accuracy and confidence also signifi-cantly improved, providing a basis for the hypothesis that this brief approach is useful for building MHW capacity in low-resource settings. Conclusion: Overall these findings provide initial support for these methods and potential training outcomes to test within a larger, randomized controlled trial.

Item Type: Article
Keywords: Clinical Decision-Making | Evidence-Based Practice | Health Workforce | India | Mental Heath Services | Pilot Projects
Subjects: Social Sciences and humanities > Psychology > Applied Psychology
JGU School/Centre: Jindal Institute of Behavioural Sciences
Depositing User: Amees Mohammad
Date Deposited: 01 Feb 2022 11:03
Last Modified: 21 Feb 2023 11:16
Official URL: https://doi.org/ 10.1111/jep.13623
Funders: Wellcome Trust, New Delhi, India
URI: https://pure.jgu.edu.in/id/eprint/980

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