Applying human-centered design to maximize acceptability, feasibility, and usability of mobile technology supervision in Kenya: a mixed methods pilot study protocol
Abstract Background Although research continues to support task-shifting as an effective model of delivering evidence-based practices (EBPs), little scholarship has focused how to scale up and sustain task-shifting in low- and middle-income countries, including how to sustainably supervise lay couns...
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | Implementation Science Communications |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43058-020-00102-9 |
| _version_ | 1818953259381948416 |
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| author | Noah S. Triplett Sean Munson Anne Mbwayo Teresia Mutavi Bryan J. Weiner Pamela Collins Cyrilla Amanya Shannon Dorsey |
| author_facet | Noah S. Triplett Sean Munson Anne Mbwayo Teresia Mutavi Bryan J. Weiner Pamela Collins Cyrilla Amanya Shannon Dorsey |
| author_sort | Noah S. Triplett |
| collection | DOAJ |
| description | Abstract Background Although research continues to support task-shifting as an effective model of delivering evidence-based practices (EBPs), little scholarship has focused how to scale up and sustain task-shifting in low- and middle-income countries, including how to sustainably supervise lay counselors. Ongoing supervision is critical to ensure EBPs are delivered with fidelity; however, the resources and expertise required to provide ongoing supervision may limit the potential to scale up and sustain task shifting. Opportunities may exist to leverage mobile technology to replace or supplement in-person supervision in low-resource contexts, but contextual variables, such as network connectivity and lay counselor preferences surrounding mobile technology, must be examined and considered when designing and implementing mobile technology supervision. Methods This study builds from an existing randomized trial in Kenya, wherein teachers and community health volunteers have been trained to provide trauma-focused cognitive behavioral therapy as lay counselors. The study will use an iterative and mixed methods approach, with qualitative interviews and a Human-Centered Design (HCD) workshop informing a non-randomized pilot trial. Semi-structured interviews will be conducted with lay counselors and supervisors to understand how mobile technology is currently being used for supervision and determine the barriers and facilitators to mobile technology supervision. Data from these interviews will inform an HCD workshop, where lay counselors and supervisors “re-design” supervision to most effectively leverage mobile technology. Workshop participants will also participate in focus groups to gather perceptions on the use of HCD techniques. The final outcome of the workshop will be a set of refined workflows, which will be tested in a mixed method, nonrandomized pilot with newly trained lay counselors and existing supervisors. The pilot trial will evaluate the acceptability, feasibility, and usability of mobile technology supervision through self-report questionnaires as well as perceptions of effectiveness through qualitative interviews with a subset of lay counselors and all supervisors. Discussion This study will provide a launching point for future research on supervision and methods to engage stakeholders to design and tailor interventions and implementation supports to fit low-resourced contexts. Trial registration The parent trial from which this study builds was registered on ClinicalTrials.gov on August 9, 2017 ( NCT03243396 ). |
| first_indexed | 2024-12-20T10:03:26Z |
| format | Article |
| id | doaj.art-f485e2ddb1434df285f7444ecc906f60 |
| institution | Directory Open Access Journal |
| issn | 2662-2211 |
| language | English |
| last_indexed | 2024-12-20T10:03:26Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science Communications |
| spelling | doaj.art-f485e2ddb1434df285f7444ecc906f602022-12-21T19:44:18ZengBMCImplementation Science Communications2662-22112021-01-012111110.1186/s43058-020-00102-9Applying human-centered design to maximize acceptability, feasibility, and usability of mobile technology supervision in Kenya: a mixed methods pilot study protocolNoah S. Triplett0Sean Munson1Anne Mbwayo2Teresia Mutavi3Bryan J. Weiner4Pamela Collins5Cyrilla Amanya6Shannon Dorsey7Department of Psychology, University of WashingtonDepartment of Human Centered Design & Engineering, University of WashingtonDepartment of Psychiatry, University of NairobiDepartment of Psychiatry, University of NairobiDepartment of Global Health, University of Washington, Harris Hydraulics LaboratoryDepartment of Global Health, University of Washington, Harris Hydraulics LaboratoryResearch Department, Ace Africa KenyaDepartment of Psychology, University of WashingtonAbstract Background Although research continues to support task-shifting as an effective model of delivering evidence-based practices (EBPs), little scholarship has focused how to scale up and sustain task-shifting in low- and middle-income countries, including how to sustainably supervise lay counselors. Ongoing supervision is critical to ensure EBPs are delivered with fidelity; however, the resources and expertise required to provide ongoing supervision may limit the potential to scale up and sustain task shifting. Opportunities may exist to leverage mobile technology to replace or supplement in-person supervision in low-resource contexts, but contextual variables, such as network connectivity and lay counselor preferences surrounding mobile technology, must be examined and considered when designing and implementing mobile technology supervision. Methods This study builds from an existing randomized trial in Kenya, wherein teachers and community health volunteers have been trained to provide trauma-focused cognitive behavioral therapy as lay counselors. The study will use an iterative and mixed methods approach, with qualitative interviews and a Human-Centered Design (HCD) workshop informing a non-randomized pilot trial. Semi-structured interviews will be conducted with lay counselors and supervisors to understand how mobile technology is currently being used for supervision and determine the barriers and facilitators to mobile technology supervision. Data from these interviews will inform an HCD workshop, where lay counselors and supervisors “re-design” supervision to most effectively leverage mobile technology. Workshop participants will also participate in focus groups to gather perceptions on the use of HCD techniques. The final outcome of the workshop will be a set of refined workflows, which will be tested in a mixed method, nonrandomized pilot with newly trained lay counselors and existing supervisors. The pilot trial will evaluate the acceptability, feasibility, and usability of mobile technology supervision through self-report questionnaires as well as perceptions of effectiveness through qualitative interviews with a subset of lay counselors and all supervisors. Discussion This study will provide a launching point for future research on supervision and methods to engage stakeholders to design and tailor interventions and implementation supports to fit low-resourced contexts. Trial registration The parent trial from which this study builds was registered on ClinicalTrials.gov on August 9, 2017 ( NCT03243396 ).https://doi.org/10.1186/s43058-020-00102-9Human-centered designTask-shiftingSupervisionMobile technology |
| spellingShingle | Noah S. Triplett Sean Munson Anne Mbwayo Teresia Mutavi Bryan J. Weiner Pamela Collins Cyrilla Amanya Shannon Dorsey Applying human-centered design to maximize acceptability, feasibility, and usability of mobile technology supervision in Kenya: a mixed methods pilot study protocol Implementation Science Communications Human-centered design Task-shifting Supervision Mobile technology |
| title | Applying human-centered design to maximize acceptability, feasibility, and usability of mobile technology supervision in Kenya: a mixed methods pilot study protocol |
| title_full | Applying human-centered design to maximize acceptability, feasibility, and usability of mobile technology supervision in Kenya: a mixed methods pilot study protocol |
| title_fullStr | Applying human-centered design to maximize acceptability, feasibility, and usability of mobile technology supervision in Kenya: a mixed methods pilot study protocol |
| title_full_unstemmed | Applying human-centered design to maximize acceptability, feasibility, and usability of mobile technology supervision in Kenya: a mixed methods pilot study protocol |
| title_short | Applying human-centered design to maximize acceptability, feasibility, and usability of mobile technology supervision in Kenya: a mixed methods pilot study protocol |
| title_sort | applying human centered design to maximize acceptability feasibility and usability of mobile technology supervision in kenya a mixed methods pilot study protocol |
| topic | Human-centered design Task-shifting Supervision Mobile technology |
| url | https://doi.org/10.1186/s43058-020-00102-9 |
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