Agudelo-Hernández Felipe, Guapacha-Montoya Marcela, Delgado-Reyes Andrés Camilo
Ph.D in Social Sciences, Childhood and Youth, MD, Child and adolescent psychiatrist; Pan American Health Organization, Bogotá, Colombia.
M.D, Universidad de Caldas, Facultad de Ciencias para la Salud, Manizales, Caldas, Colombia.
Prim Health Care Res Dev. 2025 Jul 15;26:e57. doi: 10.1017/S146342362510025X.
The objectives of this study were to study the psychometric properties of the Implementation Drivers Scale (IDS), for the mhGAP programme, both clinical and community; to test its structural validity, and to propose an instrument to accompany the implementation of the mhGAP in similar contexts. For this purpose, a cross-sectional quantitative methodology study was conducted.
Mental health programmes proposed in low- and middle-income countries to address gaps in care have implementation problems.
A cross-sectional quantitative methodology study was conducted. During 2022 and 2023, the instrument was administered to 204 individuals, including primary care professionals (50%), national administrative leaders (19.11%), and community strategy leaders. Three departments of Colombia participated, two with low levels of implementation in mental health programmes and one with high levels of implementation of programmes and services.
The Kaiser-Meyer-Olkin factor analysis resulted in 0.861, which indicated the suitability of the data for a factor analysis. Bartlett's Test of Sphericity had a value of 2480.907 (153 degrees of freedom, p <.001). The exploratory factor analysis explained variance of 66.781%. The four factors proposed in the AIF model (System enablers for implementation, Accessibility of the strategy, Adaptability and acceptability, and Strategy training and supervision) were confirmed, with all items with loadings greater than 0.4. For the entire instrument, a Cronbach's alpha was 0.907. The IDS could contribute to the monitoring of some components of mhGAP implementation, both clinical and community-based, in low- and middle-income settings through appropriate validation processes.
本研究的目的是研究用于精神、神经和物质使用障碍全球行动规划（mhGAP）项目的实施驱动因素量表（IDS）在临床和社区环境中的心理测量特性；测试其结构效度，并提出一种工具以在类似背景下辅助mhGAP的实施。为此，开展了一项横断面定量方法研究。
低收入和中等收入国家提出的心理健康项目在护理服务差距方面存在实施问题。
开展了一项横断面定量方法研究。在2022年至2023年期间，该工具被应用于204个人，包括初级保健专业人员（50%）、国家行政领导人（19.11%）和社区战略领导人。哥伦比亚的三个部门参与其中，两个部门在心理健康项目中的实施水平较低，一个部门在项目和服务的实施方面水平较高。
Kaiser-Meyer-Olkin因子分析得出的值为0.861，表明数据适合进行因子分析。巴特利特球形检验值为2480.907（自由度为153，p<.001）。探索性因子分析解释了66.781%的方差。AIF模型中提出的四个因子（实施的系统促成因素、战略的可及性、适应性和可接受性以及战略培训和监督）得到了证实，所有项目的载荷均大于0.4。对于整个工具，克朗巴哈系数为0.907。通过适当的验证过程，IDS有助于监测低收入和中等收入环境中mhGAP在临床和社区层面实施的一些组成部分。
