Evaluation of a culturally adapted training course in Indigenous e-mental health

Dingwall, Kylie; Puszka, Stefanie; Sweet, Michelle; Mills, Patj Patj Janama Robert; Nagel, Tricia

doi:10.1177/1039856215608282

Cited by 33 publications

(57 citation statements)

References 14 publications

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“…Limited knowledge of e-mental health tools amongst health practitioners is a key obstacle to use. This finding accords with results from a recent eMHPrac training evaluation [ 21 ] and reports of poor implementation of e-mental health approaches across Australian health services, despite Australian developers playing a leading role in the development of e-mental health innovations internationally [ 22 ]. Similarly, a recent systematic review found that one of the key impediments to more widespread use included lack of awareness and knowledge about e-mental health amongst clients and practitioners [ 17 ].…”

Section: Discussionsupporting

confidence: 89%

“…Some have found that e-mental health approaches can be implemented successfully by practitioners with little mental health training [ 26 ]. An evaluation of a one-day e-mental health training course provided through eMHPrac has shown that participants with diverse roles and professional backgrounds improved their knowledge and skills in e-mental health significantly post-training [ 21 ]. The availability of appropriately-targeted training in e-mental health will be a crucial component of e-mental health implementation; however, workforce factors also indicate a need earlier in the development phase for production of new tools which are evidence-based, easily understood, appropriately targeted and require little training.…”

Section: Discussionmentioning

confidence: 99%

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E-Mental Health Innovations for Aboriginal and Torres Strait Islander Australians: A Qualitative Study of Implementation Needs in Health Services

Puszka

Dingwall²,

Sweet³

et al. 2016

JMIR Ment Health

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BackgroundElectronic mental health (e-mental health) interventions offer effective, easily accessible, and cost effective treatment and support for mental illness and well-being concerns. However, e-mental health approaches have not been well utilized by health services to date and little is known about their implementation in practice, particularly in diverse contexts and communities.ObjectiveThis study aims to understand stakeholder perspectives on the requirements for implementing e-mental health approaches in regional and remote health services for Indigenous Australians.MethodsQualitative interviews were conducted with 32 managers, directors, chief executive officers (CEOs), and senior practitioners of mental health, well-being, alcohol and other drug and chronic disease services.ResultsThe implementation of e-mental health approaches in this context is likely to be influenced by characteristics related to the adopter (practitioner skill and knowledge, client characteristics, communication barriers), the innovation (engaging and supportive approach, culturally appropriate design, evidence base, data capture, professional development opportunities), and organizational systems (innovation-systems fit, implementation planning, investment).ConclusionsThere is potential for e-mental health approaches to address mental illness and poor social and emotional well-being amongst Indigenous people and to advance their quality of care. Health service stakeholders reported that e-mental health interventions are likely to be most effective when used to support or extend existing health services, including elements of client-driven and practitioner-supported use. Potential solutions to obstacles for integration of e-mental health approaches into practice were proposed including practitioner training, appropriate tool design using a consultative approach, internal organizational directives and support structures, adaptations to existing systems and policies, implementation planning and organizational and government investment.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

E-Mental Health Innovations for Aboriginal and Torres Strait Islander Australians: A Qualitative Study of Implementation Needs in Health Services

Puszka

Dingwall²,

Sweet³

et al. 2016

JMIR Ment Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…There were also dissimilarities in the primary cultural differences discussed across studies which justified the need for cultural competence. Some included studies discussed cultural differences as distinctions in understandings of health that exist among different population groups, for example the holistic understandings of health held by Indigenous people and how this differs from mainstream approaches to health [ 41 , 42 ]. Other studies discussed communication issues related to language discordance and cultural differences and how these affect clinical encounters, particularly for Hispanic populations in the United States [ 43 – 45 ].…”

Section: Resultsmentioning

confidence: 99%

“…Professional development interventions used both training and mentoring/supervision to increase the cultural competence of the health workforce. Five studies delivered training concentrated on particular health issues/fields or specific interventions [ 41 , 42 , 48 , 51 , 52 ], and four studies used mentoring/supervision strategies [ 39 , 43 , 52 , 53 ]. Mentoring and supervision strategies aimed at increasing cultural competency were employed with individual practitioners, entire health services, and minority research faculty and students.…”

Section: Resultsmentioning

confidence: 99%

Health workforce cultural competency interventions: a systematic scoping review

Jongen

McCalman

Bainbridge

2018

BMC Health Serv Res

226

178

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BackgroundAddressing health workforce cultural competence is a common approach to improving health service quality for culturally and ethnically diverse groups. Research evidence in this area is primarily focused on cultural competency training and its effects on practitioners’ knowledge, attitudes, skills and behaviour. While improvements in measures of healthcare practitioner cultural competency and other healthcare outcomes have been reported, there are concerns around evidence strength and quality. This scoping review reports on the intervention strategies, outcomes, and measures of included studies with the purpose of informing the implementation and evaluation of future interventions to improve health workforce cultural competence.MethodsThis systematic scoping review was completed as part of a larger systematic literature search conducted on cultural competence intervention evaluations in health care in Canada, the United States, Australia and New Zealand published from 2006 to 2015. Overall, 64 studies on cultural competency interventions were found, with 16 aimed directly at the health workforce.ResultsThere was significant heterogeneity in workforce intervention strategies, measures and outcomes reported across studies making comparisons of intervention effects difficult. The two main workforce intervention strategies identified were cultural competency training and other professional development interventions including other training and mentoring. Positive outcomes were commonly reported for improved practitioner knowledge (9/16), skills (7/16), and attitudes/beliefs (5/16). Although health care (6/16) and health (2/16) outcomes were reported in some studies there was very limited evidence of positive intervention impacts. Only four studies utilised existing validated measurement tools to assess intervention outcomes.ConclusionTraining and development of the health workforce remain a principle strategy towards the goal of improved cultural competence in health services and systems. Diverse approaches are available to increase health workforce cultural competence. However, the effects of interventions beyond practitioner knowledge and attitudes remains unclear. Assessment of practitioner behavioural outcomes as well as measures of intervention impact on healthcare and health outcomes are needed to build a stronger evidence base.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3001-5) contains supplementary material, which is available to authorized users.

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“…The Stay Strong Care plan was developed and evaluated by Professor Tricia Nagel and developed into a mobile electronic app for iPads and other tablets in collaboration with Queensland University of Technology [ 19 , 20 ]. The app is a structured mental health and substance misuse intervention available through iTunes or Google Play.…”

Section: Methodsmentioning

confidence: 99%

A Peer-Led Electronic Mental Health Recovery App in an Adult Mental Health Service: Study Protocol for a Pilot Trial

et al. 2017

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BackgroundThere is growing demand for peer workers (people who use their own lived experience to support others in their recovery) to work alongside consumers to improve outcomes and recovery. Augmenting the workforce with peer workers has strong capacity to enhance mental health and recovery outcomes and make a positive contribution to the workforce within mental health systems and to the peer workers themselves. Technology-based applications are highly engaging and desirable methods of service delivery.ObjectiveThis project is an exploratory proof-of-concept study, which aims to determine if a peer worker-led electronic mental (e-mental) health recovery program is a feasible, acceptable, and effective adjunct to usual treatment for people with moderate to severe mental illness.MethodsThe study design comprises a recovery app intervention delivered by a peer worker to individual consumers at an adult mental health service. Evaluation measures will be conducted at post-intervention. To further inform the acceptability and feasibility of the model, consumers will be invited to participate in a focus group to discuss the program. The peer worker, peer supervisor, and key staff at the mental health service will also be individually interviewed to further evaluate the feasibility of the program within the health service and further inform its future development.ResultsThe program will be delivered over a period of approximately 4 months, commencing June 2017.ConclusionsIf the peer worker-led recovery app is found to be feasible, acceptable, and effective, it could be used to improve recovery in mental health service consumers.

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Evaluation of a culturally adapted training course in Indigenous e-mental health

Cited by 33 publications

References 14 publications

E-Mental Health Innovations for Aboriginal and Torres Strait Islander Australians: A Qualitative Study of Implementation Needs in Health Services

E-Mental Health Innovations for Aboriginal and Torres Strait Islander Australians: A Qualitative Study of Implementation Needs in Health Services

Health workforce cultural competency interventions: a systematic scoping review

A Peer-Led Electronic Mental Health Recovery App in an Adult Mental Health Service: Study Protocol for a Pilot Trial

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