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

ObjectiveTo report the interim results from the training of providers inevidence-based psychotherapies (EBPs) and use of mobile applications.Design and SettingThe Partnerships in Research to Implement and Disseminate Sustainable and Scalable Evidence (PRIDE) study is a cluster-randomised hybrid effe...

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Veröffentlicht in:BMJ mental health 2021-02, Vol.24 (1), p.19-24
Hauptverfasser: Wainberg, Milton L, Gouveia, Maria Lídia, Stockton, Melissa Ann, Feliciano, Paulino, Suleman, Antonio, Mootz, Jennifer J., Mello, Milena, Fiks Salem, Andre, Greene, M. Claire, Bezuidenhout, Charl, Ngwepe, Phuti, Lovero, Kathryn L, Fortunato dos Santos, Palmira, Schriger, Simone H., Mandell, David S., Mulumba, Rogerio, Neves Anube, Anibal, Mabunda, Dirceu, Mandlate, Flavio, Cournos, Francine, Alves-Bradford, Jean-Marie, Nicholson, Terriann, Kann, Bianca, Fumo, Wilza, Duarte, Cristiane S, de Jesus Mari, Jair, Mello, Marcelo F., Mocumbi, Ana O, Oquendo, Maria A, Weissman, Myrna M
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container_end_page 24
container_issue 1
container_start_page 19
container_title BMJ mental health
container_volume 24
creator Wainberg, Milton L
Gouveia, Maria Lídia
Stockton, Melissa Ann
Feliciano, Paulino
Suleman, Antonio
Mootz, Jennifer J.
Mello, Milena
Fiks Salem, Andre
Greene, M. Claire
Bezuidenhout, Charl
Ngwepe, Phuti
Lovero, Kathryn L
Fortunato dos Santos, Palmira
Schriger, Simone H.
Mandell, David S.
Mulumba, Rogerio
Neves Anube, Anibal
Mabunda, Dirceu
Mandlate, Flavio
Cournos, Francine
Alves-Bradford, Jean-Marie
Nicholson, Terriann
Kann, Bianca
Fumo, Wilza
Duarte, Cristiane S
de Jesus Mari, Jair
Mello, Marcelo F.
Mocumbi, Ana O
Oquendo, Maria A
Weissman, Myrna M
description ObjectiveTo report the interim results from the training of providers inevidence-based psychotherapies (EBPs) and use of mobile applications.Design and SettingThe 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 measuresWe 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 EBPsParticipantsPsychiatric technicians and primary care providers trained in the EBPs.ResultsPRIDE 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.ConclusionsThe 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.
doi_str_mv 10.1136/ebmental-2020-300199
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Claire ; Bezuidenhout, Charl ; Ngwepe, Phuti ; Lovero, Kathryn L ; Fortunato dos Santos, Palmira ; Schriger, Simone H. ; Mandell, David S. ; Mulumba, Rogerio ; Neves Anube, Anibal ; Mabunda, Dirceu ; Mandlate, Flavio ; Cournos, Francine ; Alves-Bradford, Jean-Marie ; Nicholson, Terriann ; Kann, Bianca ; Fumo, Wilza ; Duarte, Cristiane S ; de Jesus Mari, Jair ; Mello, Marcelo F. ; Mocumbi, Ana O ; Oquendo, Maria A ; Weissman, Myrna M</creator><creatorcontrib>Wainberg, Milton L ; Gouveia, Maria Lídia ; Stockton, Melissa Ann ; Feliciano, Paulino ; Suleman, Antonio ; Mootz, Jennifer J. ; Mello, Milena ; Fiks Salem, Andre ; Greene, M. Claire ; Bezuidenhout, Charl ; Ngwepe, Phuti ; Lovero, Kathryn L ; Fortunato dos Santos, Palmira ; Schriger, Simone H. ; Mandell, David S. ; Mulumba, Rogerio ; Neves Anube, Anibal ; Mabunda, Dirceu ; Mandlate, Flavio ; Cournos, Francine ; Alves-Bradford, Jean-Marie ; Nicholson, Terriann ; Kann, Bianca ; Fumo, Wilza ; Duarte, Cristiane S ; de Jesus Mari, Jair ; Mello, Marcelo F. ; Mocumbi, Ana O ; Oquendo, Maria A ; Weissman, Myrna M</creatorcontrib><description>ObjectiveTo report the interim results from the training of providers inevidence-based psychotherapies (EBPs) and use of mobile applications.Design and SettingThe 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 measuresWe 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 EBPsParticipantsPsychiatric technicians and primary care providers trained in the EBPs.ResultsPRIDE 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.ConclusionsThe 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.</description><identifier>ISSN: 1362-0347</identifier><identifier>EISSN: 1468-960X</identifier><identifier>EISSN: 2755-9734</identifier><identifier>DOI: 10.1136/ebmental-2020-300199</identifier><identifier>PMID: 33177149</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adaptation ; Anxiety ; Anxiety disorders ; Behavior modification ; Bilingualism ; Cost analysis ; Digital technology ; Drug use ; Evidence-based practice ; Health services ; HIV ; Human immunodeficiency virus ; Humans ; Implementation Science ; Intervention ; Medical personnel ; Mental depression ; Mental disorders ; Mental Disorders - therapy ; Mental health ; Mental Health Services ; Post traumatic stress disorder ; Primary care ; Psychotherapy ; Suicides &amp; suicide attempts ; Supervision ; Sustainability ; Technology</subject><ispartof>BMJ mental health, 2021-02, Vol.24 (1), p.19-24</ispartof><rights>Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2021 Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b476t-5c2d1f74481adddbf74770e344afda2d8100a455a54098a5598e5fb1f0fe4d913</citedby><cites>FETCH-LOGICAL-b476t-5c2d1f74481adddbf74770e344afda2d8100a455a54098a5598e5fb1f0fe4d913</cites><orcidid>0000-0002-0478-6333 ; 0000-0002-0737-7180</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2499265651/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2499265651?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,21368,21369,21370,21371,23236,27903,27904,33509,33682,33723,33984,34293,43638,43766,43784,43932,44046,53770,53772,64362,64366,72216,73851,74030,74049,74220,74337</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33177149$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wainberg, Milton L</creatorcontrib><creatorcontrib>Gouveia, Maria Lídia</creatorcontrib><creatorcontrib>Stockton, Melissa Ann</creatorcontrib><creatorcontrib>Feliciano, Paulino</creatorcontrib><creatorcontrib>Suleman, Antonio</creatorcontrib><creatorcontrib>Mootz, Jennifer J.</creatorcontrib><creatorcontrib>Mello, Milena</creatorcontrib><creatorcontrib>Fiks Salem, Andre</creatorcontrib><creatorcontrib>Greene, M. Claire</creatorcontrib><creatorcontrib>Bezuidenhout, Charl</creatorcontrib><creatorcontrib>Ngwepe, Phuti</creatorcontrib><creatorcontrib>Lovero, Kathryn L</creatorcontrib><creatorcontrib>Fortunato dos Santos, Palmira</creatorcontrib><creatorcontrib>Schriger, Simone H.</creatorcontrib><creatorcontrib>Mandell, David S.</creatorcontrib><creatorcontrib>Mulumba, Rogerio</creatorcontrib><creatorcontrib>Neves Anube, Anibal</creatorcontrib><creatorcontrib>Mabunda, Dirceu</creatorcontrib><creatorcontrib>Mandlate, Flavio</creatorcontrib><creatorcontrib>Cournos, Francine</creatorcontrib><creatorcontrib>Alves-Bradford, Jean-Marie</creatorcontrib><creatorcontrib>Nicholson, Terriann</creatorcontrib><creatorcontrib>Kann, Bianca</creatorcontrib><creatorcontrib>Fumo, Wilza</creatorcontrib><creatorcontrib>Duarte, Cristiane S</creatorcontrib><creatorcontrib>de Jesus Mari, Jair</creatorcontrib><creatorcontrib>Mello, Marcelo F.</creatorcontrib><creatorcontrib>Mocumbi, Ana O</creatorcontrib><creatorcontrib>Oquendo, Maria A</creatorcontrib><creatorcontrib>Weissman, Myrna M</creatorcontrib><title>Technology and implementation science to forge the future of evidence-based psychotherapies: the PRIDE scale-up study</title><title>BMJ mental health</title><addtitle>Evid Based Ment Health</addtitle><description>ObjectiveTo report the interim results from the training of providers inevidence-based psychotherapies (EBPs) and use of mobile applications.Design and SettingThe 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 measuresWe 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 EBPsParticipantsPsychiatric technicians and primary care providers trained in the EBPs.ResultsPRIDE 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.ConclusionsThe 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.</description><subject>Adaptation</subject><subject>Anxiety</subject><subject>Anxiety disorders</subject><subject>Behavior modification</subject><subject>Bilingualism</subject><subject>Cost analysis</subject><subject>Digital technology</subject><subject>Drug use</subject><subject>Evidence-based practice</subject><subject>Health services</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Implementation Science</subject><subject>Intervention</subject><subject>Medical personnel</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Mental Disorders - therapy</subject><subject>Mental health</subject><subject>Mental Health Services</subject><subject>Post traumatic stress disorder</subject><subject>Primary care</subject><subject>Psychotherapy</subject><subject>Suicides &amp; suicide attempts</subject><subject>Supervision</subject><subject>Sustainability</subject><subject>Technology</subject><issn>1362-0347</issn><issn>1468-960X</issn><issn>2755-9734</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkc1rFTEUxYMo9kP_A5GAGzexyUw-ZlwIUlstFBSp4C5kJjfv5TEzGZNJ4f33Zvraoq5c5cD93cM9OQi9YvQdY7U8g26EaTEDqWhFSU0pa9sn6Jhx2ZBW0p9Pi65lRWjN1RE6SWlXkFoK9Rwd1TVTivH2GOUb6LdTGMJmj81ksR_nAe6MFx8mnHoPUw94CdiFuCliC9jlJUfAwWG49Xadk84ksHhO-34bChLN7CG9v6O_fb_6dFGMzAAkzzgt2e5foGfODAle3r-n6Mflxc35F3L99fPV-cdr0nElFyL6yjKnOG-YsdZ2RSpFoebcOGsq2zBKDRfCCE7bxgjRNiBcxxx1wG3L6lP04eA75_Jbti-5ohn0HP1o4l4H4_Xfk8lv9Sbc6oZWgvGmGLy9N4jhV4a06NGnHobBTBBy0hWXlDaSqhV98w-6CzlOJV6h2raSQor1In6g-hhSiuAej2FUr73qh1712qs-9FrWXv8Z5HHpocgCnB2Abtz9n-Vvau6yDQ</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Wainberg, Milton L</creator><creator>Gouveia, Maria Lídia</creator><creator>Stockton, Melissa Ann</creator><creator>Feliciano, Paulino</creator><creator>Suleman, Antonio</creator><creator>Mootz, Jennifer J.</creator><creator>Mello, Milena</creator><creator>Fiks Salem, Andre</creator><creator>Greene, M. 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Claire ; Bezuidenhout, Charl ; Ngwepe, Phuti ; Lovero, Kathryn L ; Fortunato dos Santos, Palmira ; Schriger, Simone H. ; Mandell, David S. ; Mulumba, Rogerio ; Neves Anube, Anibal ; Mabunda, Dirceu ; Mandlate, Flavio ; Cournos, Francine ; Alves-Bradford, Jean-Marie ; Nicholson, Terriann ; Kann, Bianca ; Fumo, Wilza ; Duarte, Cristiane S ; de Jesus Mari, Jair ; Mello, Marcelo F. ; Mocumbi, Ana O ; Oquendo, Maria A ; Weissman, Myrna M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b476t-5c2d1f74481adddbf74770e344afda2d8100a455a54098a5598e5fb1f0fe4d913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adaptation</topic><topic>Anxiety</topic><topic>Anxiety disorders</topic><topic>Behavior modification</topic><topic>Bilingualism</topic><topic>Cost analysis</topic><topic>Digital technology</topic><topic>Drug use</topic><topic>Evidence-based practice</topic><topic>Health services</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Implementation Science</topic><topic>Intervention</topic><topic>Medical personnel</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Mental Disorders - therapy</topic><topic>Mental health</topic><topic>Mental Health Services</topic><topic>Post traumatic stress disorder</topic><topic>Primary care</topic><topic>Psychotherapy</topic><topic>Suicides &amp; suicide attempts</topic><topic>Supervision</topic><topic>Sustainability</topic><topic>Technology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wainberg, Milton L</creatorcontrib><creatorcontrib>Gouveia, Maria Lídia</creatorcontrib><creatorcontrib>Stockton, Melissa Ann</creatorcontrib><creatorcontrib>Feliciano, Paulino</creatorcontrib><creatorcontrib>Suleman, Antonio</creatorcontrib><creatorcontrib>Mootz, Jennifer J.</creatorcontrib><creatorcontrib>Mello, Milena</creatorcontrib><creatorcontrib>Fiks Salem, Andre</creatorcontrib><creatorcontrib>Greene, M. 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Claire</au><au>Bezuidenhout, Charl</au><au>Ngwepe, Phuti</au><au>Lovero, Kathryn L</au><au>Fortunato dos Santos, Palmira</au><au>Schriger, Simone H.</au><au>Mandell, David S.</au><au>Mulumba, Rogerio</au><au>Neves Anube, Anibal</au><au>Mabunda, Dirceu</au><au>Mandlate, Flavio</au><au>Cournos, Francine</au><au>Alves-Bradford, Jean-Marie</au><au>Nicholson, Terriann</au><au>Kann, Bianca</au><au>Fumo, Wilza</au><au>Duarte, Cristiane S</au><au>de Jesus Mari, Jair</au><au>Mello, Marcelo F.</au><au>Mocumbi, Ana O</au><au>Oquendo, Maria A</au><au>Weissman, Myrna M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Technology and implementation science to forge the future of evidence-based psychotherapies: the PRIDE scale-up study</atitle><jtitle>BMJ mental health</jtitle><addtitle>Evid Based Ment Health</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>24</volume><issue>1</issue><spage>19</spage><epage>24</epage><pages>19-24</pages><issn>1362-0347</issn><eissn>1468-960X</eissn><eissn>2755-9734</eissn><abstract>ObjectiveTo report the interim results from the training of providers inevidence-based psychotherapies (EBPs) and use of mobile applications.Design and SettingThe 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 measuresWe 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 EBPsParticipantsPsychiatric technicians and primary care providers trained in the EBPs.ResultsPRIDE 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.ConclusionsThe 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.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>33177149</pmid><doi>10.1136/ebmental-2020-300199</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-0478-6333</orcidid><orcidid>https://orcid.org/0000-0002-0737-7180</orcidid><oa>free_for_read</oa></addata></record>
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issn 1362-0347
1468-960X
2755-9734
language eng
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subjects Adaptation
Anxiety
Anxiety disorders
Behavior modification
Bilingualism
Cost analysis
Digital technology
Drug use
Evidence-based practice
Health services
HIV
Human immunodeficiency virus
Humans
Implementation Science
Intervention
Medical personnel
Mental depression
Mental disorders
Mental Disorders - therapy
Mental health
Mental Health Services
Post traumatic stress disorder
Primary care
Psychotherapy
Suicides & suicide attempts
Supervision
Sustainability
Technology
title Technology and implementation science to forge the future of evidence-based psychotherapies: the PRIDE scale-up study
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