자료유형  

 학위논문

Control Number  

0017163066

International Standard Book Number  

9798384096689

Dewey Decimal Classification Number  

157

Main Entry-Personal Name  

Triplett, Noah Shay.

Publication, Distribution, etc. (Imprint  

[S.l.] : University of Washington., 2024

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2024

Physical Description  

156 p.

General Note  

Source: Dissertations Abstracts International, Volume: 86-03, Section: B.

General Note  

Advisor: Dorsey, Shannon.

Dissertation Note  

Thesis (Ph.D.)--University of Washington, 2024.

Summary, Etc.  

요약Opportunities exist to leverage mobile phones to replace or supplement in-person supervision of evidence-based practices (EBPs) for mental, neurological, and substance use disorders in lower-resource settings. However, contextual variables must be considered and addressed. Using an iterative and mixed methods approach, we co-designed implementation guidelines to support the use of mobile phone supervision with lay counselors and supervisors delivering a culturally adapted Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in Western Kenya. Guided by human-centered design methods, we first aimed to understand how mobile phones were used when supervising lay counselors, determine the acceptability and feasibility of mobile phone supervision, and generate solutions to improve mobile phone supervision in individual semi-structured interviews. These results informed the development of mobile phone supervision implementation guidelines. Making use of a stepped-wedge cluster-randomized trial design, counselors receiving tailored implementation guidelines were compared to counselors from a previous sequence that did not receive guidelines. All counselors responded to measures of acceptability, feasibility, and usability of mobile phone supervision. A subset of counselors that received guidelines and all supervisors also participated in semi-structured interviews to understand how the guidelines and support impacted their use of mobile phone supervision. Results from the design phase highlighted several distinct uses of mobile phones by lay counselors and supervisors as well as important considerations for the acceptability and feasibility of mobile phone supervision. Lay counselors and supervisors generated 27 distinct strategies to increase the acceptability and feasibility of mobile phone supervision. The resulting support significantly improved mobile phone supervision acceptability and usability. Qualitative interviews with lay counselors and supervisors contextualized how the guidelines impacted acceptability and feasibility-by setting expectations for mobile phone supervision, emphasizing importance, increasing comfort, and sharing strategies to improve mobile phone supervision. Researchers must consider limitations to implementing digital health tools and design solutions alongside end-users to increase acceptability and usability. Co-developed implementation guidelines may provide a flexible and scalable approach to address challenges with implementing EBPs and implementation strategies in lower-resource areas.

Subject Added Entry-Topical Term  

Clinical psychology.

Subject Added Entry-Topical Term  

Psychology.

Subject Added Entry-Topical Term  

Information technology.

Index Term-Uncontrolled  

Evidence-based practices

Index Term-Uncontrolled  

Human-centered design methods

Index Term-Uncontrolled  

Mobile phone supervision

Index Term-Uncontrolled  

Kenya

Index Term-Uncontrolled  

Mixed methods approach

Added Entry-Corporate Name  

University of Washington Psychology

Host Item Entry  

Dissertations Abstracts International. 86-03B.

Electronic Location and Access  

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Control Number  

joongbu:656990