wow-inequalities/02-data/intermediate/wos_sample/a73cf7472a2b6ab9335530a61a3ea17b-spagnolo-jessica-an/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'BackgroundPrimary care physicians (PCPs) working in mental health care
in Tunisia often lack knowledge and skills needed to adequately address
mental health-related issues. To address these lacunas, a training based
on the Mental Health Gap Action Programme (mhGAP) Intervention Guide
(IG) was offered to PCPs working in the Greater Tunis area between
February and April 2016. While the mhGAP-IG has been used extensively in
low- and middle-income countries (LMICs) to help build non-specialists''
mental health capacity, little research has focused on how contextual
factors interact with the implemented training program to influence its
expected outcomes. This paper''s objective is to fill that lack.MethodsWe
conducted a case study with a purposeful sample of 18 trained PCPs. Data
was collected by semi-structured interviews between March and April
2016. Qualitative data was analyzed using thematic
analysis.ResultsParticipants identified more barriers than facilitators
when describing contextual factors influencing the mhGAP-based
training''s expected outcomes. Barriers were regrouped into five
categories: structural factors (e.g., policies, social context, local
workforce development, and physical aspects of the environment),
organizational factors (e.g., logistical issues for the provision of
care and collaboration within and across healthcare organizations),
provider factors (e.g., previous mental health experience and personal
characteristics), patient factors (e.g., beliefs about the health system
and healthcare professionals, and motivation to seek care), and
innovation factors (e.g., training characteristics). These contextual
factors interacted with the implemented training to influence knowledge
about pharmacological treatments and symptoms of mental illness,
confidence in providing treatment, negative beliefs about certain mental
health conditions, and the understanding of the role of PCPs in mental
health care delivery. In addition, post-training, participants still
felt uncomfortable with certain aspects of treatment and the management
of some mental health conditions.ConclusionsFindings highlight the
complexity of implementing a mhGAP-based training given its interaction
with contextual factors to influence the attainment of expected
outcomes. Results may be used to tailor structural, organizational,
provider, patient, and innovation factors prior to future
implementations of the mhGAP-based training in Tunisia. Findings may
also be used by decision-makers interested in implementing the mhGAP-IG
training in other LMICs.'
affiliation: 'Spagnolo, J (Corresponding Author), Univ Montreal, IRSPUM, Sch Publ
Hlth, Montreal, PQ H3N 1X9, Canada.
Spagnolo, Jessica; Champagne, Francois, Univ Montreal, IRSPUM, Sch Publ Hlth, Montreal,
PQ H3N 1X9, Canada.
Leduc, Nicole, Univ Montreal, Sch Publ Hlth, Montreal, PQ, Canada.
Melki, Wahid; Bram, Nesrine, Univ Tunis El Manar, Razi Hosp, Tunis, Tunisia.
Piat, Myra, McGill Univ, Douglas Mental Hlth Univ Inst, Montreal, PQ, Canada.
Laporta, Marc, McGill Univ, Montreal WHO PAHO Collaborating Ctr Res \& Trainin,
Montreal, PQ, Canada.
Guesmi, Imen, Ctr Sch \& Univ Med Manouba, Manouba, Tunisia.
Charfi, Fatma, Univ Tunis El Manar, Mongi Slim Hosp, Tunis, Tunisia.'
article-number: '1398'
author: Spagnolo, Jessica and Champagne, Francois and Leduc, Nicole and Melki, Wahid
and Piat, Myra and Laporta, Marc and Bram, Nesrine and Guesmi, Imen and Charfi,
Fatma
author-email: jessica.maria-violanda.spagnolo@umontreal.ca
author_list:
- family: Spagnolo
given: Jessica
- family: Champagne
given: Francois
- family: Leduc
given: Nicole
- family: Melki
given: Wahid
- family: Piat
given: Myra
- family: Laporta
given: Marc
- family: Bram
given: Nesrine
- family: Guesmi
given: Imen
- family: Charfi
given: Fatma
da: '2023-09-28'
doi: 10.1186/s12889-018-6261-4
eissn: 1471-2458
files: []
journal: BMC PUBLIC HEALTH
keywords: 'Implementation; mhGAP; Training; Mental health; Primary care;
Physicians; Case study; Tunisia'
keywords-plus: MIDDLE-INCOME COUNTRIES; DISORDERS; GAP
language: English
month: DEC 20
number-of-cited-references: '71'
orcid-numbers: 'Spagnolo, Jessica/0000-0002-1125-3121
Charfi, Fatma/0000-0002-5171-2767'
papis_id: ade6f79cd987993f3a7cfad6a4cf0abc
ref: Spagnolo2018wefind
researcherid-numbers: 'Charfi, Fatma/AAZ-8912-2020
'
times-cited: '12'
title: '``We find what we look for, and we look for what we know″: factors interacting
with a mental health training program to influence its expected outcomes in Tunisia'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000454103900006
usage-count-last-180-days: '1'
usage-count-since-2013: '5'
volume: '18'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2018'