There’s No App for That: Assessing the Impact of mHealth on the Supervision, Motivation, Engagement, and Satisfaction of Community Health Workers in Sierra Leone

Vallières, Frédérique; McAuliffe, Éilish; Bavel, Bianca van; Wall, Patrick J.; Trye, Augustine

doi:10.1016/j.aogh.2016.07.002

Cited by 16 publications

(26 citation statements)

References 46 publications

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“…In April 2018, we used the key term "work engagement" to conduct a separate search of the literature on randomized controlled trials (RCTs) using UWES to measure overall work engagement. We found 19 RCTs conducted since 2012 (Hengel et al, 2012;Vuori et al, 2012;Strijk et al, 2013;Ângelo and Chambel, 2013;Coffeng et al, 2014;van Berkel et al, 2014;Imamura et al, 2015Imamura et al, , 2017Bernburg et al, 2016;Buijze et al, 2016;Ebert et al, 2016a,b;Heber et al, 2016;Vallières et al, 2016;van Dongen et al, 2016;Klatt et al, 2017;Michishita et al, 2017;Steinberg et al, 2017;Gollwitzer et al, 2018). However, only six studies showed a significant improvement in work engagement in the intervention group compared to the control group (Imamura et al, 2015(Imamura et al, , 2017Ebert et al, 2016a;Heber et al, 2016;Steinberg et al, 2017;Gollwitzer et al, 2018).…”

Section: The Intervention Studies To Improve Work Engagementmentioning

confidence: 98%

Effects of a Job Crafting Intervention Program on Work Engagement Among Japanese Employees: A Randomized Controlled Trial

et al. 2020

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The current randomized controlled trial investigated the effectiveness of a job crafting intervention program on work engagement as the primary outcome and job crafting as the secondary outcome among Japanese employees. Methods: Participants who met the inclusion criteria were randomly assigned to an intervention group (n = 138) or a control group (n = 143). The job crafting intervention program provided only to the intervention group consisted of two 120-minute group sessions with e-mail or letter follow-up. Outcomes were assessed at baseline and at 3-month and 6-month follow-up in both groups. Results: In the total sample, the job crafting intervention program showed a nonsignificant effect on work engagement at both 3-month and 6-month follow-up. Also, job crafting did not improve significantly. However, the program showed a significant intervention effect on work engagement (p = 0.04) with small effect size (Cohen's d = 0.33 at 3-month follow-up) of workers in a lower job crafting subgroup. Conclusion: The job crafting intervention program may not be sufficiently effective to improve work engagement and job crafting for the entire sample of participants. However, it may be effective for workers in lower job crafting subcategories.

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Section: The Intervention Studies To Improve Work Engagementmentioning

confidence: 98%

Effects of a Job Crafting Intervention Program on Work Engagement Among Japanese Employees: A Randomized Controlled Trial

et al. 2020

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“…A small number of studies used self-reported satisfaction, 64 motivation 58 or increased agency 57 as outcomes to measure the impact of ongoing training. These are what Kok et al 88 refer to as ‘software’ of a training programme and can affect motivation and performance.…”

Section: Discussionmentioning

confidence: 99%

Ongoing training of community health workers in low-income and middle-income countries: a systematic scoping review of the literature

O’Donovan

Kuhn

et al. 2018

BMJ Open

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ObjectivesUnderstanding the current landscape of ongoing training for community health workers (CHWs) in low-income and middle-income countries (LMICs) is important both for organisations responsible for their training, as well as researchers and policy makers. This scoping review explores this under-researched area by mapping the current delivery implementation and evaluation of ongoing training provision for CHWs in LMICs.DesignSystematic scoping review.Data sourcesMEDLINE, Embase, AMED, Global Health, Web of Science, Scopus, ASSIA, LILACS, BEI and ERIC.Study selectionOriginal studies focusing on the provision of ongoing training for CHWs working in a country defined as low income and middle income according to World Bank Group 2012 classification of economies.ResultsThe scoping review found 35 original studies that met the inclusion criteria. Ongoing training activities for CHWs were described as supervision (n=19), inservice or refresher training (n=13) or a mixture of both (n=3). Although the majority of studies emphasised the importance of providing ongoing training, several studies reported no impact of ongoing training on performance indicators. The majority of ongoing training was delivered inperson; however, four studies reported the use of mobile technologies to support training delivery. The outcomes from ongoing training activities were measured and reported in different ways, including changes in behaviour, attitudes and practice measured in a quantitative manner (n=16), knowledge and skills (n=6), qualitative assessments (n=5) or a mixed methods approach combining one of the aforementioned modalities (n=8).ConclusionsThis scoping review highlights the diverse range of ongoing training for CHWs in LMICs. Given the expansion of CHW programmes globally, more attention should be given to the design, delivery, monitoring and sustainability of ongoing training from a health systems strengthening perspective.

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“…Challenges with supervision have been observed in other large-scale CHW programs [14, 21, 22], but the literature also reaffirms that CHWs are most effective when supported by a skilled health worker [23]. Therefore, in cases where CHAs are not co-located with their supervisors, alternative models of supervision should be explored such as using mobile technology; fostering peer supervision, learning, and support; and establishing community monitoring and feedback mechanisms [24, 25]. Though context plays an important role in the choice of supervision models, the overarching theme is to have a supervision approach that focuses on supportive approaches, problem solving, community involvement, and quality assurance [24].…”

Section: Discussionmentioning

confidence: 99%

An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study

Phiri¹,

Prust

Chibawe

et al. 2017

Hum Resour Health

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Background: In 2010 a public sector cadre of community health workers called Community Health Assistants (CHAs) was created in Zambia through the National Community Health Worker Strategy to expand access to health services. This cadre continues to be scaled up to meet the growing demands of Zambia's rural population. We summarize factors that have facilitated the scale-up of the CHA program into a nationwide CHW cadre and the challenges of introducing and institutionalizing the cadre within the Zambian health system. Methods: Semi-structured, individual interviews were held across 5 districts with 16 CHAs and 6 CHA supervisors, and 10 focus group discussions were held with 93 community members. Audio recordings of interviews and focus group discussions were transcribed and thematically coded using Dedoose web-based software. Results: The study showed that the CHAs play a critical role in providing a wide range of services at the community level, as described by supervisors and community members. Some challenges still remain, that may inhibit the CHAs ability to provide health services effectively. In particular, the respondents highlighted infrequent supervision, lack of medical and non-medical supplies for outreach services, and challenges with the mobile data reporting system. Conclusions: The study shows that in order to optimize the impact of CHAs or other community health workers, key health-system support structures need to be functioning effectively, such as supervision, community surveillance systems, supplies, and reporting. The Ministry of Health with support from partners are currently addressing these challenges through nationwide supervisor and community data trainings, as well as advocating for adding primary health care as a specific focus area in the new National Health Strategy Plan 2017-2021. This study contributes to the evidence base on the introduction of formalized community health worker cadres in developing countries.

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There’s No App for That: Assessing the Impact of mHealth on the Supervision, Motivation, Engagement, and Satisfaction of Community Health Workers in Sierra Leone

Cited by 16 publications

References 46 publications

Effects of a Job Crafting Intervention Program on Work Engagement Among Japanese Employees: A Randomized Controlled Trial

Effects of a Job Crafting Intervention Program on Work Engagement Among Japanese Employees: A Randomized Controlled Trial

Ongoing training of community health workers in low-income and middle-income countries: a systematic scoping review of the literature

An exploration of facilitators and challenges in the scale-up of a national, public sector community health worker cadre in Zambia: a qualitative study

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