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Community Ment Health J. 2023 Jan;59(1):175-184. doi: 10.1007/s10597-022-00996-w. Epub 2022 Jul 2.
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Assessing costs of developing a digital program for training community health workers to deliver treatment for depression: A case study in rural India.评估为培训社区卫生工作者提供抑郁症治疗培训的数字项目开发成本:印度农村地区的案例研究。
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Chhattisgarh community mental healthcare tele-mentoring program (CHaMP): Digitally driven initiative to reach the unreached.恰蒂斯加尔邦社区精神卫生保健远程指导计划(CHaMP):数字驱动的计划,以触及未被触及的人群。
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The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990-2017.印度各邦精神障碍负担:1990 - 2017年全球疾病负担研究
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Task-Sharing Approaches to Improve Mental Health Care in Rural and Other Low-Resource Settings: A Systematic Review.任务分担方法在改善农村和其他资源匮乏地区精神卫生保健中的应用:系统评价。
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The influence of motivation in recruitment and retention of rural and remote allied health professionals: a literature review.动机对农村及偏远地区专职医疗人员招聘与留用的影响:一项文献综述
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培训师对初级保健提供者数字心理健康培训的看法:焦点小组讨论的见解

Trainers' Perspectives Towards Digital Mental Health Training for Primary Care Providers: Insights from Focused Group Discussion.

作者信息

Mullerpattan Gauri S, Pearala Nishchala, Shetty Tanisha, Hegde Prakyath Ravindranath, Patley Rahul, Manjunatha Narayana, Math Suresh Bada, Kumar Channaveerachari Naveen

机构信息

Dept. of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.

出版信息

Indian J Psychol Med. 2025 Aug 13:02537176251360938. doi: 10.1177/02537176251360938.

DOI:10.1177/02537176251360938
PMID:40821933
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12350295/
Abstract

BACKGROUND

In resource-limited primary care settings, Digital Mental Health Training (DMHT) programs have emerged as scalable solutions to bridge the mental health care gap. It is essential to consider the views and perspectives of trainers, as they play a crucial role in implementing these programs.

METHODS

This qualitative study was conducted within the "Mutistate Digital Mental Health Capacity Building Program for Primary Healthcare" and explored the perspectives of 15 trainers from various professional backgrounds regarding DMHT via a Focus Group Discussion (FGDs). The transcript of the FGDs was thematically analyzed to identify key themes.

RESULTS

The study highlighted the effectiveness of hybrid training models in delivering mental healthcare. Such models incorporate the benefits of in-person sessions along with the scalability of online platforms. However, some notable barriers to DMHT programs included limited digital literacy among primary care providers, unreliable infrastructure, and competing participant responsibilities. It was found that for DMHT's success, there is a need for culturally adapted content, interactive teaching methods, and sustained administrative support. Other recommendations included improving digital infrastructure, offering pre-training sessions to enhance digital literacy, and addressing structural barriers through policy changes.

CONCLUSION

The DMHT programs can be viable solutions to improve mental healthcare delivery in low- and middle-income countries if supported by strong infrastructure, culturally relevant content, enhanced digital literacy, and ongoing administrative support.

摘要

背景

在资源有限的基层医疗环境中,数字心理健康培训(DMHT)项目已成为缩小精神卫生保健差距的可扩展解决方案。考虑培训师的观点和看法至关重要,因为他们在实施这些项目中发挥着关键作用。

方法

本定性研究在“基层医疗多州数字心理健康能力建设项目”中开展,通过焦点小组讨论(FGD)探讨了15名来自不同专业背景的培训师对DMHT的看法。对FGD的文字记录进行了主题分析,以确定关键主题。

结果

该研究强调了混合培训模式在提供精神卫生保健方面的有效性。此类模式融合了面对面授课的优点以及在线平台的可扩展性。然而,DMHT项目存在一些显著障碍,包括基层医疗服务提供者的数字素养有限、基础设施不可靠以及参与者有其他职责需要兼顾。研究发现,为使DMHT取得成功,需要有文化适应性的内容、互动式教学方法以及持续的行政支持。其他建议包括改善数字基础设施、提供预培训课程以提高数字素养,以及通过政策变革解决结构性障碍。

结论

如果有强大的基础设施、与文化相关的内容、提高的数字素养以及持续的行政支持,DMHT项目可以成为改善低收入和中等收入国家精神卫生保健服务的可行解决方案。