Restivo Juliana L, Mitchell Lauren, Joshi Udita, Anand Aditya, Gugiu P Cristian, Singla Daisy R, Hollon Steven D, Patel Vikram, Naslund John A, Cooper Zafra
Department of Global Health and Social Medicine, Harvard Medical School, 641 Huntington Ave. Boston, USA 02446.
Sangath, 120, Deepak Society, Chuna Bhatti, Bhopal Madhya Pradesh, India - 462016.
J Behav Cogn Ther. 2020 Dec;30(4):253-266. doi: 10.1016/j.jbct.2020.10.001. Epub 2020 Oct 27.
Increased interest in disseminating and implementing psychological treatments has focused on the need for evidence-based training programs for providers, especially those without specialized training. To evaluate provider-training programs, validated outcome measures are necessary; however, the scalable measurement of training outcomes has been largely overlooked. Current methods of assessing providers' ability to deliver psychological treatments are generally time-consuming and costly, representing a major bottleneck in scaling up mental health care for commonly occurring disorders such as depression. The present study describes the development and initial validation of a scalable measure for assessing provider competence in delivering a brief behavioral activation treatment for depression, called the Healthy Activity Program, adapted for primary care settings. The measure focuses on testing knowledge about the treatment and applied knowledge regarding how to skillfully deliver the treatment, both essential features of competence. The measure was tested on a sample of 531 respondents with a variety of educational levels and professional backgrounds and found to meet the requirements of the Rasch model. Three versions of the measure each of equal difficulty were derived to allow repeat testing of training outcomes over time. A scalable measure of provider competence is an essential first step towards supporting the wider dissemination and implementation of brief psychological interventions for depression, especially in low-resource settings.
对传播和实施心理治疗的兴趣日益增加，这集中在为提供者，尤其是那些没有接受过专业培训的人提供循证培训项目的必要性上。为了评估提供者培训项目，有效的结果测量是必要的；然而，培训结果的可扩展测量在很大程度上被忽视了。目前评估提供者提供心理治疗能力的方法通常既耗时又昂贵，这是扩大对抑郁症等常见疾病的心理健康护理规模的一个主要瓶颈。本研究描述了一种可扩展测量方法的开发和初步验证，该方法用于评估提供者在提供一种针对抑郁症的简短行为激活治疗（称为健康活动计划）方面的能力，该计划适用于初级保健环境。该测量方法侧重于测试关于该治疗的知识以及关于如何熟练提供该治疗的应用知识，这两者都是能力的基本特征。该测量方法在531名具有不同教育水平和专业背景的受访者样本上进行了测试，发现符合拉施模型的要求。得出了三个难度相等的测量版本，以便能够随着时间的推移对培训结果进行重复测试。提供者能力的可扩展测量是支持更广泛地传播和实施针对抑郁症的简短心理干预措施的重要第一步，尤其是在资源匮乏的环境中。
