Training antenatal care providers to deliver brief problem-solving therapy in rural Ethiopia
A developmental evaluation
Datos Bibliográficos
| ID | 21257421 |
|---|---|
| Autores | Roxanne Keynejad (0000-0003-4434-3526, King's College London, autor de correspondencia), Adiyam Mulushoa (Addis Ababa University), Tesera Bitew, Tesera Bitew Fenta (0000-0002-2270-9542, Jigjiga University), Louise M Howard (0000-0001-9942-744X, King's College London), C Hanlon (0000-0002-7937-3226, University of Edinburgh), Sharon Markless (King's College London) |
| Año | 2025 |
| Volumen | 8 |
| Páginas | 100492 |
| Fecha de publicación | 2025-12-01 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | SSM - Mental Health (JOURNAL) |
| Identificadores de la revista | ISSN: 2666-5603 • E-ISSN: 2666-5603 |
| Editorial | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.ssmmh.2025.100492 |
| OpenAlex | W4412463165 |
| Idioma | EN |
| Citas recibidas | 1 |
| Referencias citadas | 46 |
Background Task-sharing is the redistribution of tasks usually performed by specialists, to staff with less training and fewer qualifications. Despite the established clinical efficacy of task-shared brief psychological interventions in low and middle-income countries, training and supervision models are infrequently reported and rarely evaluated. Methods From the interpretive paradigm, we conducted a developmental evaluation of training, supervision, and task-sharing of antenatal care providers (ANCPs) to deliver problem-solving therapy for antenatal depression in rural Ethiopia. We triangulated 18 qualitative interviews with women intervention recipients, ANCPs, mental health specialist trainer/supervisors and research staff, with documentary data. We employed reflexive thematic analysis before ‘peer review’ of our interpretations by a female Ethiopian research assistant. Findings Four over-arching themes encompassed the developmental journey, impacts, factors influencing success, and improvements. The complex adaptive healthcare system exerted unforeseen effects on the iterative development of training, supervisory and task-sharing plans. High quality communication skills (‘common elements’) training was most valued by ANCPs, while women especially appreciated psychological intervention ‘specific elements.’ An apprenticeship cascade model could balance the need for frequent, in-person specialist supervision against logistical barriers to travel from the capital. Fostering peer ‘communities of practice’ could support ANCPs' well-being and enhance their continued professional development. Conclusions This study contributes to sparse literature evaluating task-sharing training and supervisory approaches in resource-restricted settings, from an interpretive paradigm. Developmental evaluation proved a flexible methodological approach for exploring perspectives of stakeholders occupying diverse roles. We demonstrate the importance of embedding in-depth pedagogical consideration and qualitative evaluation into trials which depend on high quality clinical education
Geography · Medical education · Family and Disability Support Research · Global Maternal and Child Health · Interprofessional Education and Collaboration · Medicine · Nursing · Psychology
Lessons from Complex Interventions to Improve Health
Psychological Treatments for the World
A new framework for developing and evaluating complex interventions
Implementation of a task-shared psychosocial intervention for perinatal depression in South Africa
Problem-solving therapy for pregnant women experiencing depressive symptoms and intimate partner violence
Reflecting on reflexive thematic analysis
Perspectives of health workers engaging in task shifting to deliver health care in low-and-middle-income countries
Task‐Sharing Approaches to Improve Mental Health Care in Rural and Other Low‐Resource Settings
Scaling-up psychological interventions in resource-poor settings
Using technology to scale-up training and supervision of community health workers in the psychosocial management of perinatal depression
What is Essential in Developmental Evaluation? On Integrity, Fidelity, Adultery, Abstinence, Impotence, Long-Term Commitment, Integrity, and Sensitivity in Implementing Evaluation Models
Designed Blindness
Thinking about Cross-Cultural Differences in Qualitative Interviewing
Application of Rigour and Credibility in Qualitative Document Analysis
On the Inside Looking In
The silencing of political context in health research in Ethiopia
Theorising Interventions as Events in Systems
The double burden of treating traumatic stress in low-resource communities
Member‐Checking through Diagrammatic Elicitation
Thinking together
Design and Evaluation of Peer Supervision for Community Mental Health Workers
Task Sharing or Task Dumping
Using thematic analysis in psychology
Psychosocial distress among unpaid community health workers in rural Ethiopia
Comprehensive integrated primary mental health care for South Africa. Pipedream or possibility
Where Silence Takes Us, if We Listen to It
Using diagrams to support the research process
Qualitative Research and Translation Dilemmas
| Obras citantes distintas | 1 |
|---|---|
| Citas por año | 1 |
| Intervalo de citas | 2026 - 2026 (1) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 1 |