Pragya Shrestha
Dados Biográficos
| ID | 5014965 |
|---|---|
| NOME | Pragya Shrestha |
| PRENOMES | Pragya |
| SOBRENOME | Shrestha |
| ASSINATURA | SHRESTHA P |
| AFILIAÇÕES | NLR Nepal |
| ORCID | 0000-0003-2864-1961 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 9 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 9 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2015 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 0 |
Thinking local, thinking healthy
Background: The thinking healthy program (THP) is an evidence-based psychological intervention for perinatal depression designed for delivery by nonspecialist health workers. To ensure its relevance in Nepal, we adapted THP using the mental health Cultural Adaptation and Contextualization for Implementation (mhCACI) framework. Methods: Using mhCACI’s 10-step process, we applied a participatory approach involving a multidisciplinary team to adapt …
A guide to selecting psychological interventions that can be delivered by people who are not mental health specialists in low-resource settings
Globally, most individuals with mental health conditions lack access to specialized care. One strategy to bridge this gap is training people who are not mental health professionals (non-specialists) to deliver brief, manualized psychological interventions, which have demonstrated effectiveness across diverse settings. However, selecting the most suitable intervention for specific populations, contexts, and psychological needs in low-resource sett…
Feasibility and acceptability of community-based psychosocial interventions delivered by nonspecialists for perinatal common mental disorders
Task sharing is endorsed as one of the strategies to address the treatment gap in common perinatal mental health conditions. There is a well-established body of evidence on the effectiveness of psychological interventions delivered by nonspecialist health workers (NSHWs); however, there is a dearth of evidence documenting factors determining the feasibility, acceptability and sustainability of integrating and implementing these interventions. Thi…
Exploring context, mechanisms and outcomes in group interpersonal therapy for adolescents with depression in Nepal
Interpersonal Psychotherapy (IPT) is an evidence-based treatment for adolescent depression. However, since it does not work for all adolescents in all settings, more research on its heterogeneous effects is needed. Using a realist approach, we aimed to generate hypotheses about mechanisms and contextual contingencies in adolescent group IPT in Nepal. We analysed 26 transcripts from qualitative interviews with IPT participants aged 13–19, facilita…
A mixed methods evaluation of a World Health Organization competency-based training package for foundational helping skills among pre-service and in-service health workers in Nepal, Peru and Uganda
Health systems globally demand more competent workers but lack competency-based training programs to reach their goals. This study evaluates the effectiveness of a competency-based curriculum (EQUIP-FHS) for trainers and supervisors to teach foundational helping knowledge, attitudes and skills, guided by the WHO/UNICEF EQUIP platform, to improve the competency of in-service and pre-service workers from various health and other service sectors. A …
School-based group interpersonal therapy for adolescents with depression in rural Nepal
School-based group IPT is feasible and acceptable in Nepal. Findings support progression to a randomised controlled trial to assess effectiveness and cost-effectiveness
Development of the mental health cultural adaptation and contextualization for implementation (mhCaci) procedure
A 10-step mhCACI process could feasibly be implemented in a humanitarian setting to rapidly prepare a psychological intervention for widespread implementation
Culturally and developmentally adapting group interpersonal therapy for adolescents with depression in rural Nepal
Group IPT can be adapted for adolescents in Nepal and delivered through the education system. A randomised controlled trial is needed to assess the impact and costs of the intervention in this setting. Future research in LMICs to adapt IPT for adolescents could use this adapted intervention as a starting point
Therapist competence in global mental health
Lack of reliable and valid measures of therapist competence is a barrier to dissemination and implementation of psychological treatments in global mental health. We developed the ENhancing Assessment of Common Therapeutic factors (ENACT) rating scale for training and supervision across settings varied by culture and access to mental health resources. We employed a four-step process in Nepal: (1) Item generation: We extracted 1081 items (grouped i…
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Therapist competence in global mental health
Lack of reliable and valid measures of therapist competence is a barrier to dissemination and implementation of psychological treatments in global mental health. We developed the ENhancing Assessment of Common Therapeutic factors (ENACT) rating scale for training and supervision across settings varied by culture and access to mental health resources. We employed a four-step process in Nepal: (1) Item generation: We extracted 1081 items (grouped i…
Culturally and developmentally adapting group interpersonal therapy for adolescents with depression in rural Nepal
Group IPT can be adapted for adolescents in Nepal and delivered through the education system. A randomised controlled trial is needed to assess the impact and costs of the intervention in this setting. Future research in LMICs to adapt IPT for adolescents could use this adapted intervention as a starting point
Development of the mental health cultural adaptation and contextualization for implementation (mhCaci) procedure
A 10-step mhCACI process could feasibly be implemented in a humanitarian setting to rapidly prepare a psychological intervention for widespread implementation
School-based group interpersonal therapy for adolescents with depression in rural Nepal
School-based group IPT is feasible and acceptable in Nepal. Findings support progression to a randomised controlled trial to assess effectiveness and cost-effectiveness
A mixed methods evaluation of a World Health Organization competency-based training package for foundational helping skills among pre-service and in-service health workers in Nepal, Peru and Uganda
Health systems globally demand more competent workers but lack competency-based training programs to reach their goals. This study evaluates the effectiveness of a competency-based curriculum (EQUIP-FHS) for trainers and supervisors to teach foundational helping knowledge, attitudes and skills, guided by the WHO/UNICEF EQUIP platform, to improve the competency of in-service and pre-service workers from various health and other service sectors. A …
A guide to selecting psychological interventions that can be delivered by people who are not mental health specialists in low-resource settings
Globally, most individuals with mental health conditions lack access to specialized care. One strategy to bridge this gap is training people who are not mental health professionals (non-specialists) to deliver brief, manualized psychological interventions, which have demonstrated effectiveness across diverse settings. However, selecting the most suitable intervention for specific populations, contexts, and psychological needs in low-resource sett…
Feasibility and acceptability of community-based psychosocial interventions delivered by nonspecialists for perinatal common mental disorders
Task sharing is endorsed as one of the strategies to address the treatment gap in common perinatal mental health conditions. There is a well-established body of evidence on the effectiveness of psychological interventions delivered by nonspecialist health workers (NSHWs); however, there is a dearth of evidence documenting factors determining the feasibility, acceptability and sustainability of integrating and implementing these interventions. Thi…
Exploring context, mechanisms and outcomes in group interpersonal therapy for adolescents with depression in Nepal
Interpersonal Psychotherapy (IPT) is an evidence-based treatment for adolescent depression. However, since it does not work for all adolescents in all settings, more research on its heterogeneous effects is needed. Using a realist approach, we aimed to generate hypotheses about mechanisms and contextual contingencies in adolescent group IPT in Nepal. We analysed 26 transcripts from qualitative interviews with IPT participants aged 13–19, facilita…
Thinking local, thinking healthy
Background: The thinking healthy program (THP) is an evidence-based psychological intervention for perinatal depression designed for delivery by nonspecialist health workers. To ensure its relevance in Nepal, we adapted THP using the mental health Cultural Adaptation and Contextualization for Implementation (mhCACI) framework. Methods: Using mhCACI’s 10-step process, we applied a participatory approach involving a multidisciplinary team to adapt …
Psychology (6 obras) · Child and Adolescent Psychosocial and Emotional Development (5 obras) · Medicine (5 obras) · Mental health (5 obras) · Mental Health Treatment and Access (5 obras) · Psychiatry (5 obras) · Psychological intervention (5 obras) · Clinical Psychology (4 obras) · Randomized controlled trial (4 obras) · Community Health and Development (3 obras)