Measurement-Based Peer Supervision App for Non-Specialist Providers
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: MBPS App.
- Who it may be relevant to
- Registry conditions: Training of Mental Health Professionals, Training of Frontline Health Workers. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
A Novel Digital Platform for Measurement-based Peer Supervision of Non-specialist Providers Conducting Brief Psychological Interventions
Overview
The goal of this project is to enhance and evaluate the efficacy of a scalable digital solution designed to help train and support the work of non-specialist providers (NSPs), such as community health workers, to deliver therapy to individuals with anxiety and/or depression. The main questions this project aims to answer are: * Can a digital tool help NSPs feel more confident in counseling patients? * How can a digital tool be designed to optimally support the work of NSPs?
Detailed description
There is a critical shortage of mental health specialists (i.e., psychiatrists, psychologists, licensed mental health counselors) and a growing mental health crisis in the US. Task sharing, whereby highly qualified health workers share specific tasks non-specialist providers (NSPs) with less training and fewer qualifications in order to make more efficient use of the available human resources, is an approach that can scale and address unmet mental health needs, particularly in hard-to-reach communities with limited to no access to specialist care. The investigators propose a comprehensive solution to support a task sharing approach for delivering high quality brief psychosocial interventions. Our proposed digital platform is designed to support measurement-based peer supervision (MBPS), which includes the ability for NSPs to record therapy sessions, rate them using a validated quality scale, and review ratings safely and securely with peers in moderated group discussions. The investigators developed and successfully demonstrated acceptability, usability, and potential feasibility of digitally-enabled MBPS to support NSP performance and quality of care in Phase I. The goal of this Phase II project is to enhance and evaluate the efficacy of this digitally-enabled MBPS tool with NSPs working directly in communities. The investigators will address this goal with three specific aims.
In Aim 1, the investigators will build an enhanced version of the digital platform based on Phase I feedback and direct input from NSPs.
In Aim 2, the investigators will conduct a mixed methods evaluation of digitally-enabled MBPS with 50 target end users, i.e., NSPs recruited from a large health system in Texas and recently trained in behavioral activation. During this period, NSPs will engage in mock sessions with standardized patients. Primary outcomes of interest will be NSP session quality in delivering behavioral activation therapy and counselor self-efficacy.
Results of this Phase II work can provide important insights to guide the implementation and scaling of effective delivery of psychosocial interventions and program quality improvement, with the long-term goal of improving mental health outcomes in hard-to-reach communities that can benefit the most from NSP-led support.
Interventions
- Device MBPS App
A MBPS web application designed and built on a customizable case management platform (CommCare) to support non-specialist providers will be used by study participants for approximately 3 months.
Primary outcome measures
- Change in Behavioral Activation (BA) Quality over Sessions [Time frame: 12 weeks, from enrollment to study completion (assessed every 4 weeks)]
- Change in Self-Efficacy [Time frame: 12 weeks, from enrollment to study completion (assessed at Baseline and Endline)]
Secondary outcome measures (2)
- System Usability [Time frame: End of 12 weeks, at study completion]
- System User Satisfaction [Time frame: End of 12 weeks, at study completion]
Eligibility criteria
Inclusion criteria
- 18 years of age or older;
- English-speaking; and
- Completed EMPOWER Behavioral Activation training
Exclusion criteria
\- Unable to participate in virtual meetings
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
United States · 1 center
- Baylor Scott & White Health — Dallas
Publications
- Poudyal A, Lewis DM, Taha S, Martinez AJ, Magoun L, Ho YX, Carmio N, Naslund JA, Sanchez K, Lesh N, Patel V. Designing an App to Support Measurement-Based Peer Supervision of Frontline Health Workers Delivering Brief Psychosocial Interventions in Texas: Multimethod Study. JMIR Form Res. 2024 Mar 11;8:e55205. doi: 10.2196/55205. PMID 38466971
Identifiers
NCT: NCT07082010 · R44MH130305 · 2R44MH130305-02