ArticleGlobal mental health (Cambridge, England)2017
Factors promoting and inhibiting sustained impact of a mental health task-shifting program for HIV providers in Ethiopia.
Article in Global mental health (Cambridge, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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The trial behind it
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Who cites it
6 citing papers in PubMed.
- Applying the Exploration Preparation Implementation Sustainment (EPIS) Framework to the Kigali Imbereheza Project for Rwandan Adolescents Living With HIV.Journal of acquired immune deficiency syndromes (1999) · 2019Trial
- The end of the trial: Perspectives on cognitive processing therapy from community-based providers in the Democratic Republic of Congo.Journal of traumatic stress · 2022Article
- Article
- Article
- Barriers and facilitators to the integration of mental health services into primary healthcare: a qualitative study among Ugandan primary care providers using the COM-B framework.BMC health services research · 2018Article
- Does mhGAP training of primary health care providers improve the identification of child- and adolescent mental, neurological or substance use disorders? Results from a randomized controlled trial in Uganda.Global mental health (Cambridge, England) · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundTask-shifting mental health into general medical care requires more than brief provider training. Generalists need long-term support to master new skills and changes to work context are required to sustain change in the face of competing priorities. We examined program and context factors promoting sustainability of a mental health task-shifting training for hospital-based HIV providers in Ethiopia.
methodsConvergent mixed-methods quasi-experimental study. Sustained impact was measured by trained/not-trained provider differences in case detection and management 16 months following the end of formal support. Factors related to sustainability were examined through interviews with trained providers.
resultsExtent of sustained impact: Trained providers demonstrated modest but better agreement with standardized screeners (greater sensitivity with similar specificity). They were more likely to request that patients with mental health problems return to see them
conclusionsAn intervention seen as feasible and effective, and promotion of relationships across professional lines, helped generalists sustain new skills. Failure to address key system context issues made use of the skills unsustainable as external supports ended.
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