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Addressing Adolescent Depression in Tanzania: Positive Primary Care Workforce Outcomes Using a Training Cascade Model

机译:在坦桑尼亚寻址青少年抑郁症:使用培训级联模型的积极初级保健劳动力成果

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Background. This is a report on the outcomes of a training program for community clinic healthcare providers in identification, diagnosis, and treatment of adolescent Depression in Tanzania using a training cascade model. Methods. Lead trainers adapted a Canadian certified adolescent Depression program for use in Tanzania to train clinic healthcare providers in the identification, diagnosis, and treatment of Depression in young people. As part of this training program, the knowledge, attitudes, and a number of other outcomes pertaining to healthcare providers and healthcare practice were assessed. Results. The program significantly, substantially, and sustainably improved provider knowledge and confidence. Further, healthcare providers’ personal help-seeking efficacy also significantly increased as well as the clinicians’ reported number of adolescent patients identified, diagnosed, and treated for Depression. Conclusion. To our knowledge, this is the first study reporting positive outcomes of a training program addressing adolescent Depression in Tanzanian community clinics. These results suggest that the application of this training cascade approach may be a feasible model for developing the capacity of healthcare providers to address youth Depression in a low-income, low-resource setting.
机译:背景。这是关于使用培训级联模型的坦桑尼亚鉴定,诊断和治疗青少年抑郁症培训计划的培训计划结果的报告。方法。铅编训练器适用于加拿大认证的青少年抑郁症计划,用于坦桑尼亚,在年轻人身上培训诊所医疗保健提供者的抑郁症,诊断和治疗。作为本培训计划的一部分,评估了与医疗保健提供者和医疗保健实践有关的知识,态度和许多其他结果。结果。该计划显着,大幅度,可持续地改善提供者的知识和信心。此外,医疗保健提供者的个人帮助寻求疗效也显着增加以及临床医生报告的青少年患者数目,诊断和治疗抑郁症。结论。为了我们的知识,这是第一项研究报告坦桑尼亚社区诊所的培训计划的积极成果。这些结果表明,这种培训级联方法的应用可能是发展医疗保健提供者在低收入,低资源环境中应对青年抑郁症的能力的可行模式。

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