Title
Recruitment, training and supervision of nurses and nurse assistants for a task-shifting depression intervention in two RCTs in Brazil and Peru
Date Issued
01 December 2021
Access level
open access
Resource Type
journal article
Author(s)
Rocha T.I.U.
Aschar S.C.d.A.L.
Hidalgo-Padilla L.
Daley K.
Claro H.G.
Martins Castro H.C.
dos Santos D.V.C.
Araya R.
Menezes P.R.
CRÓNICAS, Centro de Excelencia en Enfermedades Crónicas
Publisher(s)
BioMed Central Ltd
Abstract
Background: Task-shifting and technology in psychological interventions are two solutions to increasing access to mental health intervention and overcoming the treatment gap in low and middle-income countries. The CONEMO intervention combines a smartphone app with support from non-specialized professionals, aiming to treat depression in patients with diabetes and/or hypertension. The aim of this paper is to describe the process of recruitment, training and supervision of the non-specialized professionals who participated in the CONEMO task-shifting intervention in Brazil and Peru. Methods: We described and analyzed data related to the recruitment, training and supervision of 62 nurse assistants from the health system in Sao Paulo, Brazil, and three hired nurses in Lima, Peru. The data were collected from information provided by nurses and nurse assistants, supervisor records from supervision meetings and the CONEMO platform database. Results: We found that task-shifting was feasible using existing resources in Sao Paulo and additional human resources in Lima. Training and supervision were found to be crucial and well received by the staff; however, time was a limitation when using existing human resources. Ensuring technological competence prior to the start of the intervention was essential. Group supervision meetings allowed non-specialized professionals to learn from each other’s experiences. Conclusion: Carefully considering recruitment, training and supervision of non-specialized professionals is important for effective task-shifting when delivering an mHealth intervention for depression. Opportunities and challenges of working in different health systems are described, which should be considered in future implementation, either for research or real settings. Trial registration NCT028406662 (Sao Paulo), NCT03026426 (Peru).
Volume
19
Issue
1
Language
English
OCDE Knowledge area
Políticas de salud, Servicios de salud
Scopus EID
2-s2.0-85100570120
PubMed ID
Source
Human Resources for Health
ISSN of the container
14784491
Sponsor(s)
This study was funded by the NIMH—National Institute of Mental Health US (Grant Number: 1U19MH098780).
Sources of information: Directorio de Producción Científica Scopus