EMPOWER: Toward the Global Dissemination of Psychosocial                     Interventions

Patel, Vikram; Naslund, John A.; Wood, Sheena; Patel, Anushka; Chauvin, Joshua J.; Agrawal, Ravindra; Bhan, Anant; Joshi, Udita; Amara, Margaux; Kohrt, Brandon A.; Singla, Daisy R.; Fairburn, Christopher G.

doi:10.1176/appi.focus.20220042

Cited by 21 publications

(11 citation statements)

References 29 publications

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“…These contextual influences need to be investigated further within developing countries, where healthcare is not as aligned to the western biomedical system 32 33 40 43. The training and active education of HCPs should be culturally sensitive and should take the athlete’s contextual environment into consideration 41 49 53 54…”

Section: Discussionmentioning

confidence: 99%

Evaluating workforce needs: an investigation of healthcare professionals’ attitudes, beliefs and preparedness towards the management of Para athlete mental health at the Tokyo 2020 and Beijing 2022 Paralympic Games

Runciman,

Eken,

van der Hoven

et al. 2024

Br J Sports Med

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ObjectivesTo examine healthcare professionals (HCPs) attitudes, beliefs and preparedness towards the management of Para athlete mental health during the Tokyo 2020 and Beijing 2022 Paralympic Games.MethodsA cross-sectional observational study was conducted. National Paralympic Committee’s HCPs (n=857) working at the Tokyo 2020 and Beijing 2022 Paralympic Games were invited to respond to an anonymous online survey regarding the management of Para athlete mental health in their team. Data were analysed using descriptive frequency statistics.ResultsThe survey was completed by 256 HCPs (30% of respondents). Most HCPs agreed that mental health was a concern in Para athletes (n=210; 82%). However, half (n=122; 48%) agreed that they did not screen Para athletes for mental health symptoms, and half (n=130; 51%) agreed that there was increased stigma around disclosure of mental health symptoms among Para athletes, compared with athletes without disability. Most HCPs (n=221; 86%) agreed they wanted to improve their knowledge and skills surrounding athlete mental healthcare. Culturally sensitivite, non-discriminatory and contextual factors were highlighted as desired areas of education for HCPs and active information dissemination for Para athletes.ConclusionHCPs working at the Paralympic Games considered Para athlete mental healthcare important and reported perceived stigma, yet indicated low rates of mental health screening. Most respondents expressed the need for mental health education. Culturally sensitive training and active education strategies should be implemented to optimally manage Para athlete mental health.

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Section: Discussionmentioning

confidence: 99%

Evaluating workforce needs: an investigation of healthcare professionals’ attitudes, beliefs and preparedness towards the management of Para athlete mental health at the Tokyo 2020 and Beijing 2022 Paralympic Games

Runciman,

Eken,

van der Hoven

et al. 2024

Br J Sports Med

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“…Our study also adds to an increasing number of programs focused on leveraging widely available digital technology for enabling task sharing through training community health workers in LMICs [ 23 , 64 ], and expanding services for severe mental disorders [ 65 ]. Recent studies have demonstrated the potential for use of digital technology for training ASHAs about mental disorders in India [ 66 ], and studies from other countries have found that a hybrid approach where technology is used as an adjunct to in-person instruction and supervision can support training of community health workers in lower resource settings [ 67 ].…”

Section: Discussionmentioning

confidence: 99%

Development of a Digital Program for Training Community Health Workers in the Detection and Referral of Schizophrenia in Rural India

et al. 2023

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This study aimed to develop and assess the acceptability of a digital program for training community health workers (CHWs) in the detection and referral of patients with schizophrenia in community settings in rural India. An iterative design process was employed. First, evidence-based content from existing community programs for schizophrenia care was incorporated into the curriculum, and reviewed by experts to ensure clinical utility and fidelity of the adapted content. Second, CHWs provided feedback on the appropriateness of language, content, and an initial prototype of the digital training program to ensure relevance for the local context. Focus group discussions were then used to understand the acceptability of the digital training prototype and to inform modifications to the design and layout. Qualitative data was analysed using a rapid thematic analysis approach based on predetermined topics pertaining to acceptability of the training content and digital platform. Development of the initial prototype involved content review by 13 subject matter experts with clinical expertise or experience accessing and receiving mental health services, and engagement of 23 CHWs, of which 11 provided feedback for contextualization of the training content and 12 participated in focus group discussions on the acceptability of the prototype. Additionally, 2 service-users with lived experience of schizophrenia contributed to initial testing of the digital training prototype and offered feedback in a focus group discussion. During contextualization of the training content, key feedback pertained to simplifying the language and presentation of the content by removing technical terms and including interactive content and images to enhance interest and engagement with the digital training. During prototype testing, CHWs shared their familiarity with similar symptoms but were unaware of schizophrenia as a treatable illness. They shared that training can help them identify symptoms of schizophrenia and connect patients with specialized care. They were also able to understand misconceptions and discrimination towards people with schizophrenia, and how to address these challenges by supporting others and spreading awareness in their communities. Participants also appreciated the digital training, as it could save them time and could be incorporated within their routine work. This study shows the acceptability of leveraging digital technology for building capacity of CHWs to support early detection and referral of schizophrenia in community settings in rural India. These findings can inform the subsequent evaluation of this digital training program to determine its impact on enhancing the knowledge and skills of CHWs. Supplementary Information The online version contains supplementary material available at 10.1007/s11126-023-10019-w.

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“…SARATHA similarly focuses on building the capacity of community health workers, taking this initiative a step further by leveraging widely available smartphone technologies, which hold potential for wide scalability, to bridge gaps in care among vulnerable patient communities suffering from severe mental disorders. The findings from this pilot study will add to mounting evidence highlighting the key role for the inclusion of mobile technologies in the training of community health workers [ 24 , 57 ].…”

Section: Discussionmentioning

confidence: 99%

Schizophrenia Assessment, Referral and Awareness Training for Health Auxiliaries (SARATHA): Protocol for a Mixed-Methods Pilot Study in Rural India

Naslund

Tyagi

Khan

et al. 2022

IJERPH

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Background: Workforce shortages pose major obstacles to the timely detection and treatment of schizophrenia, particularly in low-income and middle-income countries. The SARATHA (Schizophrenia Assessment, Referral, and Awareness Training for Health Auxiliaries) project involves the systematic development, iterative refinement, and pilot testing of a digital program for training community health workers in the early detection and referral of schizophrenia in primary care settings in rural India. Methods: SARATHA is a three-phase study. Phase 1 involves consulting with experts and clinicians, and drawing from existing evidence to inform the development of a curriculum for training community health workers. Phase 2 consists of designing and digitizing the training content for delivery on a smartphone app. Design workshops and focus group discussions will be conducted to seek input from community health workers and service users living with schizophrenia to guide revisions and refinements to the program content. Lastly, Phase 3 entails piloting the training program with a target sample of 20 community health workers to assess feasibility and acceptability. Preliminary effectiveness will be explored, as measured by community health workers’ changes in knowledge about schizophrenia and the program content after completing the training. Discussion: If successful, this digital training program will offer a potentially scalable approach for building capacity of frontline community health workers towards reducing delays in early detection of schizophrenia in primary care settings in rural India. This study can inform efforts to improve treatment outcomes for persons living with schizophrenia in low-resource settings.

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EMPOWER: Toward the Global Dissemination of Psychosocial Interventions

Cited by 21 publications

References 29 publications

Evaluating workforce needs: an investigation of healthcare professionals’ attitudes, beliefs and preparedness towards the management of Para athlete mental health at the Tokyo 2020 and Beijing 2022 Paralympic Games

Evaluating workforce needs: an investigation of healthcare professionals’ attitudes, beliefs and preparedness towards the management of Para athlete mental health at the Tokyo 2020 and Beijing 2022 Paralympic Games

Development of a Digital Program for Training Community Health Workers in the Detection and Referral of Schizophrenia in Rural India

Schizophrenia Assessment, Referral and Awareness Training for Health Auxiliaries (SARATHA): Protocol for a Mixed-Methods Pilot Study in Rural India

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