138 lines
4.8 KiB
YAML
138 lines
4.8 KiB
YAML
abstract: 'Background Although evidence indicates that task-shared psychological
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interventions can reduce mental health treatment gaps in
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resource-constrained settings, systemic barriers have limited their
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widespread implementation. Evidence on how to sustain and scale such
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approaches is scant. This study responds to this gap by examining the
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experiences of South African health managers involved in the
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implementation of a task-shared counselling service for Project MIND.
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Objectives To qualitatively describe managers'' experiences of
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implementing the MIND programme and their insights into potential
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strategies for supporting sustained implementation. Methods Two focus
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group discussions (FGDs) and eight in-depth interviews (IDIs) were
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conducted with managers of urban and rural primary care facilities in
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the Western Cape province. All managers were female and 30-50 years old.
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FGDs and IDIs used an identical semi-structured topic guide to explore
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the experiences of the MIND programme and perceived barriers to
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sustained implementation. Normalisation process theory (NPT) guided the
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thematic analysis. Results Four themes emerged that mapped onto the NPT
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constructs. First, managers noted that their relational work with staff
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to promote support for the intervention and reduce resistance was key to
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facilitating implementation. Second, managers emphasised the need for
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staff reorientation and upskilling to foster openness to mental health
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practice and for adequate time for quality counselling. Third, managers
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underscored the importance of strengthening linkages between the health
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and social service sectors to facilitate delivery of comprehensive
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mental health services. Finally, managers recommended ongoing monitoring
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of the service and communication about its impacts as strategies for
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supporting integration into routine practice. Conclusions Findings
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contribute to the emerging literature on strategies to support
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implementation of task-shared interventions in low- and middle-income
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countries. The findings highlight the leadership role of managers in
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identifying and actioning these strategies. Investing in managers''
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capacity to support implementation of psychological interventions is
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critical for scale-up of these mental health innovations.'
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affiliation: 'Myers, B (Corresponding Author), South African Med Res Council, Alcohol
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Tobacco \& Other Drug Res Unit, Francie Van Zijl Dr, ZA-7501 Cape Town, South Africa.
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Brooke-Sumner, Carrie; Petersen-Williams, Petal; Myers, Bronwyn, South African Med
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Res Council, Alcohol Tobacco \& Other Drug Res Unit, Francie Van Zijl Dr, ZA-7501
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Cape Town, South Africa.
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Brooke-Sumner, Carrie; Sorsdahl, Katherine, Univ Cape Town, Dept Psychiat \& Mental
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Hlth, Alan J Flisher Ctr Publ Mental Hlth, Rondebosch, South Africa.
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Petersen-Williams, Petal; Myers, Bronwyn, Univ Cape Town, Groote Schuur Hosp, Dept
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Psychiat \& Mental Hlth, J Block, Cape Town, South Africa.
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Kruger, James; Mahomed, Hassan, Western Cape Govt Hlth, Metro Hlth Serv, Bellville
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Hlth Pk, Cape Town, South Africa.
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Mahomed, Hassan, Stellenbosch Univ, Fac Hlth Sci, Dept Global Hlth, Div Hlth Syst
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\& Publ Hlth, Cape Town, South Africa.
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Myers, Bronwyn, Curtin Univ, Curtin enAble Inst, Fac Hlth Sci, Bentley, WA, Australia.'
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article-number: '2123005'
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author: Brooke-Sumner, Carrie and Petersen-Williams, Petal and Sorsdahl, Katherine
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and Kruger, James and Mahomed, Hassan and Myers, Bronwyn
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author-email: carrie.brooke-sumner@mrc.ac.za
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author_list:
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- family: Brooke-Sumner
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given: Carrie
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- family: Petersen-Williams
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given: Petal
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- family: Sorsdahl
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given: Katherine
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- family: Kruger
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given: James
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- family: Mahomed
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given: Hassan
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- family: Myers
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given: Bronwyn
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da: '2023-09-28'
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doi: 10.1080/16549716.2022.2123005
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eissn: 1654-9880
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files: []
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journal: GLOBAL HEALTH ACTION
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keywords: 'Psychological interventions; global mental health; implementation
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strategy; low- and-middle-income countries'
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keywords-plus: 'MENTAL-HEALTH; SUBSTANCE USE; LEADERSHIP; CARE; INTEGRATION; DISORDERS;
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SETTINGS'
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language: English
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month: DEC 31
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number: '1'
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number-of-cited-references: '46'
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orcid-numbers: 'Myers, Bronwyn/0000-0003-0235-6716
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Petersen Williams, Petal/0000-0001-5535-2458
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Sorsdahl, Katherine/0000-0002-5517-1697
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Brooke-Sumner, Carrie/0000-0002-9489-8717'
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papis_id: 21c7acfca2fa967b230462a5fc5f3102
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ref: Brookesumner2022strategiessupporting
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times-cited: '0'
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title: 'Strategies for supporting the implementation of a task-shared psychological
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intervention in South Africa''s chronic disease services: qualitative insights from
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health managers'' experiences of project MIND'
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type: Article
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unique-id: WOS:000862598200001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '3'
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volume: '15'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2022'
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