Recruitment, training and supervision of nurses and nurse assistants for a task-shifting depression intervention in two RCTs in Brazil and Peru

Human Resources for Health

Liliana Hidalgo-Padilla¹  J. Jaime Miranda¹  Ricardo Araya²  Daniela Vera Cruz dos Santos³  Suzana Crismanis de Almeida Lopes Aschar³  Thais Izabel Ugeda Rocha³  Heloísa Garcia Claro³  Hellen Carolina Martins Castro³  Kate Daley³  Paulo Rossi Menezes³ 

[1] CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendáriz 445, Miraflores, Lima, Peru;Centre for Global Mental Health and Primary Care Research, Health Service and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, 18 De Crespigny Park, SE5 8AF, London, UK;Faculty of Medicine of Sao Paulo University-Preventive Medicine Department, Av. Dr. Arnaldo, 455-Cerqueira César, sala 2364, 01246-903, Sao Paulo, SP, Brazil;

关键词: Task-shifting;    mhealth;    Mental health;    Recruitment;    Supervision;    Training;    Depression;    Diabetes;    Hypertension;   

DOI  :  10.1186/s12960-021-00556-5

来源: Springer

【 摘 要 】

BackgroundTask-shifting and technology in psychological interventions are two solutions to increasing access to mental health intervention and overcoming the treatment gap in low and middle-income countries. The CONEMO intervention combines a smartphone app with support from non-specialized professionals, aiming to treat depression in patients with diabetes and/or hypertension. The aim of this paper is to describe the process of recruitment, training and supervision of the non-specialized professionals who participated in the CONEMO task-shifting intervention in Brazil and Peru.MethodsWe described and analyzed data related to the recruitment, training and supervision of 62 nurse assistants from the health system in Sao Paulo, Brazil, and three hired nurses in Lima, Peru. The data were collected from information provided by nurses and nurse assistants, supervisor records from supervision meetings and the CONEMO platform database.ResultsWe found that task-shifting was feasible using existing resources in Sao Paulo and additional human resources in Lima. Training and supervision were found to be crucial and well received by the staff; however, time was a limitation when using existing human resources. Ensuring technological competence prior to the start of the intervention was essential. Group supervision meetings allowed non-specialized professionals to learn from each other’s experiences.ConclusionCarefully considering recruitment, training and supervision of non-specialized professionals is important for effective task-shifting when delivering an mHealth intervention for depression. Opportunities and challenges of working in different health systems are described, which should be considered in future implementation, either for research or real settings.Trial registration NCT028406662 (Sao Paulo), NCT03026426 (Peru).

【 授权许可】

CC BY