Scaling up the task-sharing of psychological therapies: A formative study of the PEERS smartphone application for supervision and quality assurance in rural India
Measurement-based peer supervision is one strategy to assure the quality of psychological treatments delivered by non-mental health specialist providers. In this formative study, we aimed to 1) describe the development and 2) examine the acceptability and feasibility of PEERS (Promoting Effective me...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2024-01-01
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| Series: | Cambridge Prisms: Global Mental Health |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2054425124000116/type/journal_article |
| _version_ | 1797289387113840640 |
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| author | Daisy R. Singla Luanna Fernandes Katarina Savel Ankita Shah Ravindra Agrawal Anant Bhan Abhijit Nadkarni Akshita Sharma Azaz Khan Anuja Lahiri Deepak Tugnawat Neal Lesh John Naslund Vikram Patel |
| author_facet | Daisy R. Singla Luanna Fernandes Katarina Savel Ankita Shah Ravindra Agrawal Anant Bhan Abhijit Nadkarni Akshita Sharma Azaz Khan Anuja Lahiri Deepak Tugnawat Neal Lesh John Naslund Vikram Patel |
| author_sort | Daisy R. Singla |
| collection | DOAJ |
| description | Measurement-based peer supervision is one strategy to assure the quality of psychological treatments delivered by non-mental health specialist providers. In this formative study, we aimed to 1) describe the development and 2) examine the acceptability and feasibility of PEERS (Promoting Effective mental healthcare through peER Supervision)—a novel smartphone app that aims to facilitate registering and scheduling patients, collecting patient outcomes, rating therapy quality and assessing supervision quality—among frontline treatment providers delivering behavioral activation treatment for depression. The PEERS prototype was developed and tested in 2021, and version 1 was launched in 2022. To date, 215 treatment providers (98% female; ages 30–35) in Madhya Pradesh and Goa, India, have been trained to use PEERS and 65.58% have completed the supplemental, virtual PEERS course. Focus group discussions with 98 providers were examined according to four themes—training and education, app effectiveness, user experience and adherence and data privacy and safety. This yielded commonly endorsed facilitators (e.g., collaborative learning through group supervision, the convenience of consolidated patient data), barriers (e.g., difficulties with new technologies) and suggested changes (e.g., esthetic improvements, suicide risk assessment prompt). The PEERS app has the potential to scale measurement-based peer supervision to facilitate quality assurance of psychological treatments across contexts. |
| first_indexed | 2024-03-07T19:04:13Z |
| format | Article |
| id | doaj.art-471f61bd5d2c447790cade39bca2db6d |
| institution | Directory Open Access Journal |
| issn | 2054-4251 |
| language | English |
| last_indexed | 2024-03-07T19:04:13Z |
| publishDate | 2024-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Cambridge Prisms: Global Mental Health |
| spelling | doaj.art-471f61bd5d2c447790cade39bca2db6d2024-03-01T09:49:47ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512024-01-011110.1017/gmh.2024.11Scaling up the task-sharing of psychological therapies: A formative study of the PEERS smartphone application for supervision and quality assurance in rural IndiaDaisy R. Singla0https://orcid.org/0000-0001-9865-7112Luanna Fernandes1Katarina Savel2Ankita Shah3Ravindra Agrawal4Anant Bhan5Abhijit Nadkarni6https://orcid.org/0000-0001-5832-5236Akshita Sharma7Azaz Khan8Anuja Lahiri9Deepak Tugnawat10Neal Lesh11John Naslund12https://orcid.org/0000-0001-6777-0104Vikram Patel13https://orcid.org/0000-0003-1066-8584Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada Lunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, CanadaAddictions and Related Research Group, Sangath, Goa, IndiaLunenfeld-Tanenbaum Research Institute, Sinai Health, Toronto, CanadaSangath Bhopal Hub, Bhopal, IndiaAddictions and Related Research Group, Sangath, Goa, India Sangath Bhopal Hub, Bhopal, India Antarman Centre for Psychosocial Wellbeing, Panjim, Goa, India Manipal Hospital, Panaji, Goa, IndiaSangath Bhopal Hub, Bhopal, IndiaAddictions and Related Research Group, Sangath, Goa, India Centre for Global Mental Health, Department of Population Health, London School of Hygiene & Tropical Medicine, London, UKDimagi, Inc., Cambridge, MA, USASangath Bhopal Hub, Bhopal, IndiaSangath Bhopal Hub, Bhopal, IndiaSangath Bhopal Hub, Bhopal, IndiaDimagi, Inc., Cambridge, MA, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA Department of Global Health and Population, Harvard Chan School of Public Health, Boston, MA, USAMeasurement-based peer supervision is one strategy to assure the quality of psychological treatments delivered by non-mental health specialist providers. In this formative study, we aimed to 1) describe the development and 2) examine the acceptability and feasibility of PEERS (Promoting Effective mental healthcare through peER Supervision)—a novel smartphone app that aims to facilitate registering and scheduling patients, collecting patient outcomes, rating therapy quality and assessing supervision quality—among frontline treatment providers delivering behavioral activation treatment for depression. The PEERS prototype was developed and tested in 2021, and version 1 was launched in 2022. To date, 215 treatment providers (98% female; ages 30–35) in Madhya Pradesh and Goa, India, have been trained to use PEERS and 65.58% have completed the supplemental, virtual PEERS course. Focus group discussions with 98 providers were examined according to four themes—training and education, app effectiveness, user experience and adherence and data privacy and safety. This yielded commonly endorsed facilitators (e.g., collaborative learning through group supervision, the convenience of consolidated patient data), barriers (e.g., difficulties with new technologies) and suggested changes (e.g., esthetic improvements, suicide risk assessment prompt). The PEERS app has the potential to scale measurement-based peer supervision to facilitate quality assurance of psychological treatments across contexts.https://www.cambridge.org/core/product/identifier/S2054425124000116/type/journal_articlePeer supervisiondigitalmeasurement-baseddepressionglobal mental health |
| spellingShingle | Daisy R. Singla Luanna Fernandes Katarina Savel Ankita Shah Ravindra Agrawal Anant Bhan Abhijit Nadkarni Akshita Sharma Azaz Khan Anuja Lahiri Deepak Tugnawat Neal Lesh John Naslund Vikram Patel Scaling up the task-sharing of psychological therapies: A formative study of the PEERS smartphone application for supervision and quality assurance in rural India Cambridge Prisms: Global Mental Health Peer supervision digital measurement-based depression global mental health |
| title | Scaling up the task-sharing of psychological therapies: A formative study of the PEERS smartphone application for supervision and quality assurance in rural India |
| title_full | Scaling up the task-sharing of psychological therapies: A formative study of the PEERS smartphone application for supervision and quality assurance in rural India |
| title_fullStr | Scaling up the task-sharing of psychological therapies: A formative study of the PEERS smartphone application for supervision and quality assurance in rural India |
| title_full_unstemmed | Scaling up the task-sharing of psychological therapies: A formative study of the PEERS smartphone application for supervision and quality assurance in rural India |
| title_short | Scaling up the task-sharing of psychological therapies: A formative study of the PEERS smartphone application for supervision and quality assurance in rural India |
| title_sort | scaling up the task sharing of psychological therapies a formative study of the peers smartphone application for supervision and quality assurance in rural india |
| topic | Peer supervision digital measurement-based depression global mental health |
| url | https://www.cambridge.org/core/product/identifier/S2054425124000116/type/journal_article |
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