This paper describes the process of modifying and transporting an evidence-based treatment, Interpersonal Psychotherapy for Depressed Adolescents (IPT-A), from a university setting to school-based health clinics. It addresses conceptual issues involved in the shift from efficacy to effectiveness research as well as operational issues specific to the transport of IPT-A into school-based health clinics. Consideration is given to the rationale for an IPT-A effectiveness study, methodological concerns, and the timing of the move from the "lab" to the community. The authors identify challenges and barriers to initiating effectiveness and transportability research and provide suggestions for overcoming these barriers. Recommendations for conducting research in school-based practice settings are provided.
"Even though multiprofessional approaches are widely supported in more developed systems (e.g., at the interface between health and education), training to practice in such a way is not yet part of higher educational programmes in Iraq. Developed social service systems for example are seeing an increase in movement of therapeutic interventions from the clinic to community bases including schools (Hoagwood and Erwin 1997; Mufson, et al. 2004). Suc practices subsequently involve multidisciplinary interventions (Gortmaker et al. 1999) and are desperately needed in areas where frontline services are poorly developed. "
[Show abstract][Hide abstract] ABSTRACT: There is an absence of education regarding psychosocial issues in Iraqi paediatric training programmes. The aim of this study is to examine current knowledge and perspectives around these topics and to explore potential development in these programmes. 56 paediatric trainers and students at the Child Central Teaching Hospital, a hospital affiliated to the Al-Mustansyria medical college in Baghdad, responded to a questionnaire to evaluate knowledge and perspectives regarding psychosocial approaches to child and adolescent health as delivered presently via academic training and used in professional practice. The majority of the respondents reported having no training in psychosocial interventions. Using a scale from 0 ('not relevant') to 10 ('very important'), psychosocial issues were rated 7.1 in their relevance to everyday paediatric practice. On a scale of 0 ('very poor') to 10 ('totally adequate'), respondents rated formal current psychosocial training at 2.5. It is concluded that incorporating psychosocial approaches in paediatric training will lead to a broader base of knowledge in children's health and contribute to the promotion of multidisciplinary practice in Iraq.
Medicine Conflict and Survival 03/2013; 29(1):45-56. DOI:10.1080/13623699.2013.765196
"onal research on practice carries an additional ethical challenge related to the potential impact of the observation itself . The ' ' Hawthorne effect ' ' ( Mayo 1933 ) has been well established in psychological and organizational research ; observation of a phenomenon is , in itself , an intervention and can impact the phenomenon being observed ( Mufson et al . 2004 ; Vinnars et al . 2005 ) . There are few established methodological guidelines for minimizing this effect , but common sense suggests that use of unobtrusive measurement procedures which become routinized may help , in addition to minimizing potential consequences of data collection ( e . g . , perfor - mance evaluation discussion above"
[Show abstract][Hide abstract] ABSTRACT: There is minimal existing research providing detailed, reliable data characterizing usual community-based psychotherapy practice, and, thus, limited established methods for such research. This article identifies methodological challenges of usual care descriptive research, including, (a) general design considerations, (b) measurement, (c) data analytic, and (d) ethical challenges. Case examples drawn from studies reported in this special issue are used to illustrate the implications, strengths, and weaknesses of different methodological decisions. Central themes include achieving an acceptable balance of scientific rigor, feasibility, and generalizable practice relevance, as well as working collaboratively with practice partners to select and implement study methods.
Administration and Policy in Mental Health and Mental Health Services Research 09/2009; 37(3):208-20. DOI:10.1007/s10488-009-0237-8 · 3.44 Impact Factor
"Given the fact that most adolescents receive care in community settings such as schools (Mufson et al, 2004) it is important to design a brief yet effective training protocol that is feasible within existing constraints (i.e. training less experienced therapists). "
[Show abstract][Hide abstract] ABSTRACT: Given the high prevalence of depression among adolescents, there is a dire need for efficacious, cost-effective, and accessible treatments for adolescent depression. One type of psychosocial treat- ment shown to be efficacious in the treatment of adolescents with depression is Interpersonal Psy- chotherapy (IPT-A). Originally developed and tested for depressed adults and modified for work with adolescents, IPT-A is a time limited, brief psychotherapy based on the premise that depression occurs in the context of interpersonal relationships (Weisman, Markowitz, & Klerman, 2000). Both the time-limited nature and focus on the present, especially social relationships, seem particu- larly relevant to adolescents and their specific developmental issues, including major life choices in education, work, and the establishment of intimate relationships. Efficacy and effectiveness trials of IPT-A have demonstrated its flexibility and applicability. Nevertheless, more efficacy data is war- ranted, with larger sample sizes and more diverse populations.
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