Validation of an instrument to guide the implementation of strategies for mental health care in Colombia
Objectives. To validate the implementation drivers scale among first-level mental health care professionals in Colombia. The scale is designed as a tool to guide the implementation of strategies that effectively reduce gaps in mental health care. Methods. The Active Implementation Framework was adop...
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ftdoajarticles:oai:doaj.org/article:61ab0c0fe71d4573b2ec3f54acff1d18 2024-09-09T19:27:22+00:00 Validation of an instrument to guide the implementation of strategies for mental health care in Colombia Rodrigo Rojas-Andrade Felipe Agudelo-Hernández 2024-02-01T00:00:00Z https://doi.org/10.26633/RPSP.2024.10 https://doaj.org/article/61ab0c0fe71d4573b2ec3f54acff1d18 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/59304 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2024.10 https://doaj.org/article/61ab0c0fe71d4573b2ec3f54acff1d18 Revista Panamericana de Salud Pública, Vol 48, Iss 10, Pp 1-9 (2024) implementation science mental health primary health care validation study colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2024 ftdoajarticles https://doi.org/10.26633/RPSP.2024.10 2024-08-05T17:49:57Z Objectives. To validate the implementation drivers scale among first-level mental health care professionals in Colombia. The scale is designed as a tool to guide the implementation of strategies that effectively reduce gaps in mental health care. Methods. The Active Implementation Framework was adopted, which is a widely used model for measuring implementation. The participants included 380 individuals (55.56% men) – 349 health personnel trained in the Mental Health Gap Action Programme (mhGAP) and 31 territorial personnel in charge of planning mental health strategies at the territorial level in Colombia. To assess the critical dimensions of mhGAP implementation, we developed a scale of 18 items based on the active implementation framework. We conducted content validity assessments and exploratory factor analysis to evaluate the scale. We used the Organizational Readiness for Knowledge Translation scale as a comparative standard. Results. The implementation drivers scale identified four dimensions: system enablers for implementation, accessibility of the strategy, adaptability and acceptability, and strategy training and supervision. These dimensions had Cronbach alpha values of 0.914, 0.868, 0.927, and 0.725, respectively, indicating high internal consistency. In addition, all dimensions demonstrated adequate correlation with the Organizational Readiness for Knowledge Translation scale. Conclusion. The implementation drivers scale effectively determines the adaptability and implementation of various components of mental health programs, particularly those focusing on community-based approaches and primary care settings. As such, this scale can contribute to the more effective implementation of strategies outlined by global and local political frameworks, thus improving mental health care. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 48 1 |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
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English Spanish Portuguese |
topic |
implementation science mental health primary health care validation study colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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implementation science mental health primary health care validation study colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Rodrigo Rojas-Andrade Felipe Agudelo-Hernández Validation of an instrument to guide the implementation of strategies for mental health care in Colombia |
topic_facet |
implementation science mental health primary health care validation study colombia Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objectives. To validate the implementation drivers scale among first-level mental health care professionals in Colombia. The scale is designed as a tool to guide the implementation of strategies that effectively reduce gaps in mental health care. Methods. The Active Implementation Framework was adopted, which is a widely used model for measuring implementation. The participants included 380 individuals (55.56% men) – 349 health personnel trained in the Mental Health Gap Action Programme (mhGAP) and 31 territorial personnel in charge of planning mental health strategies at the territorial level in Colombia. To assess the critical dimensions of mhGAP implementation, we developed a scale of 18 items based on the active implementation framework. We conducted content validity assessments and exploratory factor analysis to evaluate the scale. We used the Organizational Readiness for Knowledge Translation scale as a comparative standard. Results. The implementation drivers scale identified four dimensions: system enablers for implementation, accessibility of the strategy, adaptability and acceptability, and strategy training and supervision. These dimensions had Cronbach alpha values of 0.914, 0.868, 0.927, and 0.725, respectively, indicating high internal consistency. In addition, all dimensions demonstrated adequate correlation with the Organizational Readiness for Knowledge Translation scale. Conclusion. The implementation drivers scale effectively determines the adaptability and implementation of various components of mental health programs, particularly those focusing on community-based approaches and primary care settings. As such, this scale can contribute to the more effective implementation of strategies outlined by global and local political frameworks, thus improving mental health care. |
format |
Article in Journal/Newspaper |
author |
Rodrigo Rojas-Andrade Felipe Agudelo-Hernández |
author_facet |
Rodrigo Rojas-Andrade Felipe Agudelo-Hernández |
author_sort |
Rodrigo Rojas-Andrade |
title |
Validation of an instrument to guide the implementation of strategies for mental health care in Colombia |
title_short |
Validation of an instrument to guide the implementation of strategies for mental health care in Colombia |
title_full |
Validation of an instrument to guide the implementation of strategies for mental health care in Colombia |
title_fullStr |
Validation of an instrument to guide the implementation of strategies for mental health care in Colombia |
title_full_unstemmed |
Validation of an instrument to guide the implementation of strategies for mental health care in Colombia |
title_sort |
validation of an instrument to guide the implementation of strategies for mental health care in colombia |
publisher |
Pan American Health Organization |
publishDate |
2024 |
url |
https://doi.org/10.26633/RPSP.2024.10 https://doaj.org/article/61ab0c0fe71d4573b2ec3f54acff1d18 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 48, Iss 10, Pp 1-9 (2024) |
op_relation |
https://iris.paho.org/handle/10665.2/59304 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2024.10 https://doaj.org/article/61ab0c0fe71d4573b2ec3f54acff1d18 |
op_doi |
https://doi.org/10.26633/RPSP.2024.10 |
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Revista Panamericana de Salud Pública |
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48 |
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1 |
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