Universidad Peruana Cayetano Heredia

Recruitment, training and supervision of nurses and nurse assistants for a task-shifting depression intervention in two RCTs in Brazil and Peru

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dc.contributor.author Ugeda Rocha, Thais Izabel
dc.contributor.author Lopes Aschar, Suzana Crismanis de Almeida
dc.contributor.author Hidalgo Padilla, Liliana Milagros
dc.contributor.author Daley, Kate
dc.contributor.author García Claro, Heloísa
dc.contributor.author Martins Castro, Hellen Carolina
dc.contributor.author Cruz Dos Santos, Daniela Vera
dc.contributor.author Miranda, J. Jaime
dc.contributor.author Araya, Ricardo
dc.contributor.author Menezes, Paulo Rossi
dc.date.accessioned 2021-04-13T20:51:02Z
dc.date.available 2021-04-13T20:51:02Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/9193
dc.description.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. en_US
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartofseries Human Resources for Health
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Hypertension en_US
dc.subject Depression en_US
dc.subject Diabetes en_US
dc.subject Mental health en_US
dc.subject mhealth en_US
dc.subject Recruitment en_US
dc.subject Supervision en_US
dc.subject Task-shifting en_US
dc.subject Training en_US
dc.title Recruitment, training and supervision of nurses and nurse assistants for a task-shifting depression intervention in two RCTs in Brazil and Peru en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1186/s12960-021-00556-5
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.05
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#5.06.02
dc.relation.issn 1478-4491


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