التفاصيل البيبلوغرافية
| العنوان: |
Study protocol for type II hybrid implementation-effectiveness trial of strategies for depression care task-sharing in community health stations in Vietnam: DEP Project |
| المؤلفون: |
Ngo, Victoria Khanh, Vu, Thinh Toan, Vu, Quan Anh, McBain, Ryan, Yu, Gary, Nguyen, Ngoc Bao, Mai Thi Nguyen, Hien, Ho, Hien Thi, Van Hoang, Minh |
| المساهمون: |
National Institute of Mental Health |
| المصدر: |
BMC Public Health ; volume 23, issue 1 ; ISSN 1471-2458 |
| بيانات النشر: |
Springer Science and Business Media LLC |
| سنة النشر: |
2023 |
| مصطلحات موضوعية: |
Public Health, Environmental and Occupational Health |
| الوصف: |
Background It is not clear what the most effective implementation strategies are for supporting the enactment and sustainment of depression care services in primary care settings. This type-II Hybrid Implementation-Effectiveness study will compare the effectiveness of three system-level strategies for implementing depression care programs at 36 community health stations (CHSs) across 2 provinces in Vietnam. Methods In this cluster-randomized controlled trial, CHSs will be randomly assigned to one of three implementation conditions: (1) Usual Implementation (UI), which consists of training workshops and toolkits; (2) Enhanced Supervision (ES), which includes UI combined with bi-weekly/monthly supervision; and (3) Community-Engaged Learning Collaborative (CELC), which includes all components of ES, combined with bi-monthly province-wide learning collaborative meetings, during which cross-site learning and continuous quality improvement (QI) strategies are implemented to achieve better implementation outcomes. The primary outcome will be measured based on the RE-AIM framework (Reach, Effectiveness, Adoption, Implementation quality, and Maintenance) using indicators on implementation, provider, and client factors. The secondary outcome examines factors associated with barriers and facilitators of quality implementation, while the tertiary outcome evaluates the incremental cost-effectiveness ratio of services provided in the ES and CELC conditions, relative to UI condition for depression care. A total of 1,296 clients receiving depression care at CHSs will be surveyed at baseline and 6-month follow-up to assess mental health and psychosocial outcomes (e.g., depression and anxiety severity, health function, quality of life). Additionally, 180 CHS staff and 180 non-CHS staff will complete pre- and post-training evaluation and surveys at baseline, 6, 12, and 24 months. Discussion We hypothesize that the additional implementation supports will make mental health service implementation superior in the ES and CELC ... |
| نوع الوثيقة: |
article in journal/newspaper |
| اللغة: |
English |
| DOI: |
10.1186/s12889-023-16312-4 |
| DOI: |
10.1186/s12889-023-16312-4.pdf |
| DOI: |
10.1186/s12889-023-16312-4/fulltext.html |
| الإتاحة: |
https://doi.org/10.1186/s12889-023-16312-4Test |
| حقوق: |
https://creativecommons.org/licenses/by/4.0Test ; https://creativecommons.org/licenses/by/4.0Test |
| رقم الانضمام: |
edsbas.FC858B22 |
| قاعدة البيانات: |
BASE |
