scholarly journals Translating a health service intervention into a rural setting: lessons learned

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Elsa Dent ◽  
Elizabeth Hoon ◽  
Alison Kitson ◽  
Jonathan Karnon ◽  
Jonathan Newbury ◽  
...  
Keyword(s):  
Health Service ◽  
Lessons Learned ◽  
Rural Setting ◽  
Service Intervention ◽  
Health Service Intervention

scholarly journals Efektivitas Penggunaan Intervensi Berbasis Internet Terhadap Gangguan Mental Pada Mahasiswa: Literatur Review

JKEP ◽  
2019 ◽  
Vol 4 (2) ◽  
pp. 71-82
Author(s):  
Atik Mardiani Kholilah ◽  
Tuti Nuraeni
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Community Mental Health ◽  
Health Service ◽  
Health Problem ◽  
Intervention Service ◽  
High Prevalence ◽  
Service Intervention ◽  
Improvement Intervention ◽  
Health Service Intervention

Depression is mental health problem which have high prevalence rate. Students be a spescial group which can be depression because many of stressor faced by them, but seldom students access mental health service. It’s because stigmatisasion, argue experience service and no available mental health service. Intervention based internet in mental disturbed can be need. This study purpose to describe implementation for health disturbed based web especially depression disturbed for students to increase community mental health. This study use litterature review methode. Database used Ebsco, PROQUEST, and Science Direct with keywords. Implementation and intervention for mental disturbed for students based web evidenced effective and effisient. Improvement intervention service based web can research for the effort to look for solution another chronic illness.

scholarly journals Lessons learned from service design of a trial of a digital mental health service: Informing implementation in primary care clinics

2020 ◽  
Vol 10 (3) ◽  
pp. 598-605
Author(s):  
Andrea K Graham ◽  
Carolyn J Greene ◽  
Thomas Powell ◽  
Pauli Lieponis ◽  
Amanda Lunsford ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Service ◽  
Health Service ◽  
Service Design ◽  
Lessons Learned ◽  
Primary Care Clinics ◽  
Digital Service ◽  
Direct To Consumer ◽  
Bridge Building

Abstract Implementing a digital mental health service in primary care requires integration into clinic workflow. However, without adequate attention to service design, including designing referral pathways to identify and engage patients, implementation will fail. This article reports results from our efforts designing referral pathways for a randomized clinical trial evaluating a digital service for depression and anxiety delivered through primary care clinics. We utilized three referral pathways: direct to consumer (e.g., digital and print media, registry emails), provider referral (i.e., electronic health record [EHR] order and provider recommendation), and other approaches (e.g., presentations, word of mouth). Over the 5-month enrollment, 313 individuals completed the screen and reported how they learned about the study. Penetration was 13%, and direct to consumer techniques, most commonly email, had the highest yield. Providers only referred 16 patients through the EHR, half of whom initiated the screen. There were no differences in referral pathway based on participants’ age, depression severity, or anxiety severity at screening. Ongoing discussions with providers revealed that the technologic implementation and workflow design may not have been optimal to fully affect the EHR-based referral process, which potentially limited patient access. Results highlight the importance of designing and evaluating referral pathways within service implementation, which is important for guiding the implementation of digital services into practice. Doing so can ensure that sustained implementation is not left to post-evaluation bridge-building. Future efforts should assess these and other referral pathways implemented in clinical practice outside of a research trial.

scholarly journals 102. Improving Implementation of HIV Pre-exposure Prophylaxis: Lessons Learned from Young Women in Rural South Africa

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S180-S181
Author(s):  
Alisse Hannaford ◽  
Noxolo Khumalo ◽  
Sarah Norton ◽  
Anthony Moll ◽  
Sheela Shenoi
Keyword(s):  
South Africa ◽  
Young Women ◽  
Health Workers ◽  
Lessons Learned ◽  
Rural Setting ◽  
Patient Centered ◽  
Inconsistent Condom ◽  
Healthcare Facilities ◽  
Exposure Prophylaxis ◽  
Delivery Models

Abstract Background Young women in South Africa are at particularly high risk for acquiring HIV, yet implementation of HIV prevention programmes in rural settings lags. We examined the experiences and perceptions of young women initiating pre-exposure prophylaxis (PrEP) in a rural setting under real-world programmatic conditions, in order to strengthen future PrEP delivery to this population. Methods Young women initiating PrEP in Msinga, a municipality in KwaZulu-Natal province, were interviewed about their motivation to start PrEP and their experiences in taking PrEP. Interviews were conducted at PrEP initiation and longitudinally as they returned to clinic monthly for medication refills. Results Among seventeen sexually active at-risk young women (IQR 18–22.5 years old) who initiated PrEP, 71% lived in a household receiving a government grant, 24% had history of an STI and 71% reported inconsistent condom use. All participants disclosed PrEP use to a family member, but only 20% informed their male sexual partner. All expressed uncertainty regarding their partners’ sexual activities as a primary motivation for PrEP initiation. Social support from family and friends as well as interacting with other young women taking PrEP were identified as important facilitators. Barriers to PrEP included lack of community awareness about PrEP, limited clinics offering PrEP, HIV stigma, and logistics of accessing healthcare facilities. Young women valued a peer PrEP champion to facilitate and maintain successful engagement in care, as well as patient-centered PrEP delivery models that allow for care outside traditional clinic facilities. Conclusion Input from young women has the potential to significantly enhance and expand PrEP implementation. Tailored implementation efforts should include strengthening the role of community health workers, improving community-wide PrEP education, empowering women within their relationships, facilitating skill building for PrEP disclosure to partners, incorporating community PrEP champions, and developing alternative PrEP delivery models including community-based delivery. Disclosures All Authors: No reported disclosures

scholarly journals Adaptation of a Digital Health Innovation to Prevent Relapse and Support Recovery in Youth Receiving Services for First-Episode Psychosis: Results From the Horyzons-Canada Phase 1 Study (Preprint)

2020 ◽  
Author(s):  
Shalini Lal ◽  
John Gleeson ◽  
Lysanne Rivard ◽  
Simon D'Alfonso ◽  
Ridha Joober ◽  
...  
Keyword(s):  
Digital Health ◽  
First Episode Psychosis ◽  
Lessons Learned ◽  
Mobile Technologies ◽  
Rural Setting ◽  
First Episode ◽  
Health Innovation ◽  
Episode Psychosis ◽  
Support Recovery ◽  
Age Range

BACKGROUND Developing a digital health innovation can require a substantial amount of financial and human resource investment before it can be scaled for implementation across geographical, cultural, and health care contexts. As such, there is an increased interest in leveraging eHealth innovations developed and tested in one country or jurisdiction and using these innovations in local settings. However, limited knowledge exists on the processes needed to appropriately adapt digital health innovations to optimize their transferability across geographical, cultural, and contextual settings. OBJECTIVE We report on the results of an adaptation study of Horyzons, a digital health innovation originally developed and tested in Australia. Horyzons is designed to prevent relapses and support recovery in young people receiving services for first-episode psychosis (FEP). The aim of this study is to assess the initial acceptability of Horyzons and adapt it in preparation for pilot testing in Canada. METHODS This research took place in 2 specialized early intervention clinics for FEP, located in 1 urban and 1 urban-rural setting, in 2 Canadian provinces. A total of 26 participants were recruited: 15 clinicians (age range 26-56 years) and 11 patients (age range 19-37 years). Following the digital health adaptation framework developed by our team, we used a mixed methods approach, combining descriptive quantitative and qualitative methods across 3 stages of data collection (focus groups, interviews, and consultations), analysis, and adaptations. RESULTS Overall, patients and clinicians appreciated the strengths-based approach and social media features of Horyzons. However, participants expressed concerns related to implementation, especially in relation to capacity (eg, site moderation, crisis management, internet speed in rural locations). They also provided suggestions for adapting content and features, for example, in relation to community resources, volume of text, universal accessibility (eg, for individuals with limitations in vision), and optimization of platform accessibility through mobile devices. Additional aspects of the innovation were flagged for adaptation during the final stages of preparing it for live implementation. These included terms of use, time zone configuration to reflect local time and date, safety and moderation protocols, the <i>need help now</i> feature, and the list of trigger words to flag posts indicative of potential risk. CONCLUSIONS In the context of the COVID-19 pandemic and public health guidelines for social distancing, there is an increasing interest and need to leverage the internet and mobile technologies for delivering youth mental health services. As countries look to one another for guidance on how to navigate changing social dynamics, knowledge on how to utilize and adapt existing innovations across contexts is now more important than ever. Using a systematic approach, this study illustrates the methods, processes, results, and lessons learned on adapting a digital health innovation to enhance its local acceptability. INTERNATIONAL REGISTERED REPORT RR2-10.2196/resprot.8810

scholarly journals BUILDING CAPACITY FOR DEVELOPING STATISTICAL LITERACY IN A DEVELOPING COUNTRY: LESSONS LEARNED FROM AN INTERVENTION

2014 ◽  
Vol 13 (2) ◽  
pp. 15-27
Author(s):  
DELIA NORTH ◽  
IDDO GAL ◽  
TEMESGEN ZEWOTIR
Keyword(s):  
Capacity Building ◽  
Developing Country ◽  
Statistics Education ◽  
Lessons Learned ◽  
Statistical Literacy ◽  
Future Design ◽  
Grass Roots ◽  
Research Journal ◽  
Service Intervention ◽  
Teachers Attitudes

This paper aims to contribute to the emerging literature on capacity-building in statistics education by examining issues pertaining to the readiness of teachers in a developing country to teach basic statistical topics. The paper reflects on challenges and barriers to building statistics capacity at grass-roots level in a developing country, based in part on lessons learnt from the design of an in-service intervention for teachers in South Africa, and on illustrative data about teachers’ attitudes, collected as part of this intervention. The paper reflects on implications for future design of interventions, as well as on research needs that can inform future capacity-building in statistics education in developing countries. First published November 2014 at Statistics Education Research Journal Archives

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