Technology and implementation science to forge the future of evidence-based psychotherapies: the PRIDE scale-up study.

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TitleTechnology and implementation science to forge the future of evidence-based psychotherapies: the PRIDE scale-up study.
Publication TypeJournal Article
Year of Publication2021
AuthorsWainberg, ML, Gouveia, MLídia, Stockton, MAnn, Feliciano, P, Suleman, A, Mootz, JJ, Mello, M, Salem, AFiks, M Greene, C, Bezuidenhout, C, Ngwepe, P, Lovero, KL, Santos, PFortunato, Schriger, SH, Mandell, DS, Mulumba, R, Anube, ANeves, Mabunda, D, Mandlate, F, Cournos, F, Alves-Bradford, J-M, Nicholson, T, Kann, B, Fumo, W, Duarte, CS, Mari, Jde Jesus, Mello, MF, Mocumbi, AO, Oquendo, MA, Weissman, MM
JournalEvid Based Ment Health
Volume24
Issue1
Pagination19-24
Date Published2021 02
ISSN1468-960X
KeywordsHumans, Implementation Science, Mental Disorders, Mental Health Services, Psychotherapy, Technology
Abstract

OBJECTIVE: To report the interim results from the training of providers inevidence-based psychotherapies (EBPs) and use of mobile applications.

DESIGN AND SETTING: The Partnerships in Research to Implement and Disseminate Sustainable and Scalable Evidence (PRIDE) study is a cluster-randomised hybrid effectiveness-implementation trial comparing three delivery pathways for integrating comprehensive mental healthcare into primary care in Mozambique. Innovations include the use of EBPs and scaling-up of task-shifted mental health services using mobile applications.

MAIN OUTCOME MEASURES: We examined EBP training attendance, certification, knowledge and intentions to deliver each component. We collected qualitative data through rapid ethnography and focus groups. We tracked the use of the mobile applications to investigate early reach of a valid screening tool (Electronic Mental Wellness Tool) and the roll out of the EBPs PARTICIPANTS: Psychiatric technicians and primary care providers trained in the EBPs.

RESULTS: PRIDE has trained 110 EBP providers, supervisors and trainers and will train 279 community health workers in upcoming months. The trainings improved knowledge about the EBPs and trainees indicated strong intentions to deliver the EBP core components. Trained providers began using the mobile applications and appear to identify cases and provide appropriate treatment.

CONCLUSIONS: The future of EBPs requires implementation within existing systems of care with fidelity to their core evidence-based components. To sustainably address the vast mental health treatment gap globally, EBP implementation demands: expanding the mental health workforce by training existing human resources; sequential use of EBPs to comprehensively treat mental disorders and their comorbid presentations and leveraging digital screening and treatment applications.

DOI10.1136/ebmental-2020-300199
Alternate JournalEvid Based Ment Health
PubMed ID33177149
PubMed Central IDPMC8025148
Grant ListD43 TW009675 / TW / FIC NIH HHS / United States
R01 AA025947 / AA / NIAAA NIH HHS / United States
T32 MH096724 / MH / NIMH NIH HHS / United States
U19 MH113203 / MH / NIMH NIH HHS / United States