ArticleJournal of technology in behavioral science2020
Design and Development of a Digital Program for Training Non-Specialist Health Workers to Deliver an Evidence-Based Psychological Treatment for Depression in Primary Care in India.
Article in Journal of technology in behavioral science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Next-Generation Cognitive-Behavioral Therapy for Depression: Integrating Digital Tools, Teletherapy, and Personalization for Enhanced Mental Health Outcomes.Medicina (Kaunas, Lithuania) · 2025Pooled it
- Digital Training for Lay Health Care Workers' Knowledge and Skills in HIV Index Case Testing: Cluster Randomized Trial.JMIR medical education · 2026Trial
- Digital Training for Non-Specialist Health Workers to Deliver a Brief Psychological Treatment for Depression in Primary Care in India: Findings from a Randomized Pilot Study.International journal of environmental research and public health · 2020Trial
- Understanding how digital training enhances healthcare worker perceptions of HIV index case testing: a qualitative explanatory analysis.Research square · 2026Article
- Scaling Up Task-Shared Depression Care in Texas: Evaluating the Preliminary Effectiveness and Acceptability of a Digital Program for Training Non-Specialist Providers.Psychiatric research and clinical practice · 2026Article
- A Conversational Agent (PracticePal) to Support the Delivery of a Brief Behavioral Activation Treatment for Depression in Rural India: Development and Pilot-Testing Study.JMIR formative research · 2025Article
- A comprehensive review on the impact of polyphenol supplementation and exercise on depression and brain function parameters.Behavioral and brain functions : BBF · 2025Review
- A scoping review and expert consensus on digital determinants of health.Bulletin of the World Health Organization · 2025Article
- Applying user-centered design to enhance the usability and acceptability of an mHealth supervision tool for community health workers delivering an evidence-based intervention in rural Sierra Leone.Global mental health (Cambridge, England) · 2025Article
- Development of a digital program for training non-specialist providers to deliver a psychosocial intervention for depression: a formative study to support scaling up task-shared depression care in the United States.Global mental health (Cambridge, England) · 2025Article
- Barriers and facilitators for the use of telehealth by healthcare providers in India-A systematic review.PLOS digital health · 2024Article
- Knowledge, attitude, and practice of depression among university students.Brain and behavior · 2024Article
- ESSENCE: An Implementation Research Program to Scale Up Depression Care in Rural Communities.Psychiatric services (Washington, D.C.) · 2024Article
- Adapting and deploying a digital program for training non-specialist providers on a brief psychological intervention for depression in rural Gujarat, India.PLOS global public health · 2024Article
- Stress Alleviation Methods for community-Based Health ActiVists (SAMBHAV): Development of a digital program for stress reduction for community health workers in rural India.SSM. Mental health · 2023Article
- Coach-Supported Versus Self-guided Digital Training Course for a Problem-solving Psychological Intervention for Nonspecialists: Protocol for a Pre-Post Nested Randomized Controlled Trial.JMIR research protocols · 2023Article
- Development of a Digital Program for Training Community Health Workers in the Detection and Referral of Schizophrenia in Rural India.The Psychiatric quarterly · 2023Article
- Adaptation and translation of a scalable measure for assessing health worker competence to deliver a brief psychological intervention: A case study from central India of its comparison to a performance-based measure.The Psychiatric quarterly · 2023Article
- Applying Human-Centered Design in Global Mental Health to Improve Reach Among Underserved Populations in the United States and India.Global health, science and practice · 2023Article
- Developing knowledge-based psychotherapeutic competencies in non-specialist providers: A pre-post study with a nested randomised controlled trial of a coach-supported versus self-guided digital training course for a problem-solving psychological intervention in India.Global mental health (Cambridge, England) · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundDigital technologies hold promise for building capacity of non-specialist health workers towards scaling up depression care in low-resource settings. The purpose of this study was to describe the systematic approach to designing a digital program for training non-specialist health workers to deliver an evidence-based brief psychological treatment for depression, called the Healthy Activity Program, in primary care in rural India.
methodsThe design and development of the training program involved 5 steps: 1) develop program blueprint; 2) create instructional content; 3) digitize content for a smartphone app; 4) develop a platform for uploading and hosting the digital content; and 5) user-testing and refinements to ensure program functioning. This was followed by field-testing and focus group discussions with non-specialist health workers recruited from primary care facilities in Madhya Pradesh, India, to inform further modifications and improvements to the digital training program.
resultsTraining program development occurred over 12-months, and the final digital training consisted of 16 modules with videos, role-plays, and digital content tailored to the local culture and context. Focus group discussions with 19 non-specialist health workers generated three key action items and modifications to the digital training in response to participant feedback: 1) addressing technical challenges by making the digital content available offline; 2) account for low digital literacy by including a comprehensive orientation session about navigating the smartphone app; and 3) addition of remote coaching to support participants in completing the training.
conclusionsThis study illustrates a step-wise approach to combine evidence-based content with iterative feedback from stakeholders to develop a digital training program tailored to the context in a low-resource setting. Further research is needed to validate this approach and to evaluate the effectiveness of the final modified digital training program, while considering whether this approach can be adopted and replicated in other settings.
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