Comparing Strategies for Competency-based Training in Problem Management Plus to Improve Non-specialist Competencies for Responding to Psychological Distress: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 99
- 试验地点
- 1
- 主要终点
- Enhancing Assessment of Common Therapeutic Factors (unabbreviated title: Enhancing Assessment of Common Therapeutic Factors)
研究概览
简要总结
The proposed study in Nepal will evaluate if non-specialists participating in Equip-based Problem Management Plus training show greater competencies compared to non-specialists participating in standard Problem Management Plus training. The proposed study is a randomized controlled trial with mixed-methods components evaluating both quantitative outcomes and qualitative outcomes among non-specialists participating in the training and their trainers.
详细描述
There is increasing recognition of the high burden of psychological distress among populations around the world. Increasingly, non-specialists (persons who do not have expertise in formal mental health training) are being used to deliver psychological services. There is a long history of successful implementation of psychological services by non-specialists in Nepal. Recently, a cluster randomized controlled trial of Problem Management Plus showed modest benefit over enhanced care as usual in southeastern Nepal. A recent initiative by the World Health Organization is being rolled out to improve the competencies of non-specialists participating in Problem Management Plus and similar trainings. This initiative is Ensuring Quality in Psychological Services (Equip). The proposed study in Nepal will evaluate if non-specialists participating in Equip-based Problem Management Plus training show greater competencies compared to non-specialists participating in standard Problem Management Plus training. The proposed study is a randomized controlled trial with mixed-methods components evaluating both quantitative outcomes and qualitative outcomes among non-specialists participating in the training and their trainers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Care Provider, Outcomes Assessor)
盲法说明
The persons without mental health professional training who are randomized to either training as usual or Equip-based training will not be informed about how the two training arms differ. Outcome assessors will not be told if the trainees are in training as usual or Equip-based training.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •No prior mental health professional training
- •Literate in Nepali
排除标准
- •Any prior mental health professional training
研究组 & 干预措施
Training as usual
Standard Problem Management Plus training.
干预措施: Standard Problem Management Plus training (training as usual) (Behavioral)
Equip-based training
Training that uses the Equip platform to assess competencies and incorporate this information into trainers and supervisors activities.
干预措施: Equip-based Problem Management Plus training (Behavioral)
结局指标
主要结局
Enhancing Assessment of Common Therapeutic Factors (unabbreviated title: Enhancing Assessment of Common Therapeutic Factors)
时间窗: Immediately after Problem Management Plus training (10-days post-baseline)
15-item tool with 4 response levels, range is 15 to 60, with higher scores equating to more competency
次要结局
- Enhancing Assessment of Common Therapeutic Factors (unabbreviated title: Enhancing Assessment of Common Therapeutic Factors)(After Problem Management Plus supervision (approximately 45-days post-baseline))
- Problem Management Plus Competency Assessment (unabbreviated title: Problem Management Plus Competency Assessment)(After Problem Management Plus supervision (approximately 45-days post-baseline))
- Group Facilitation Competency Assessment (unabbreviated title: Group Facilitation Competency Assessment)(After Problem Management Plus supervision (approximately 45-days post-baseline))
- Problem Management Plus Competency Assessment (unabbreviated title: Problem Management Plus Competency Assessment)(Immediately after Problem Management Plus training (10-days post-baseline))
- Group Facilitation Competency Assessment (unabbreviated title: Group Facilitation Competency Assessment)(Immediately after Problem Management Plus training (10-days post-baseline))
研究者
Brandon A Kohrt, MD, PhD
Professor
George Washington University