Can a brief training intervention on schizophrenia and depression improve knowledge, attitudes and practices of primary healthcare workers? The experience in Armenia.


Journal

Asian journal of psychiatry
ISSN: 1876-2026
Titre abrégé: Asian J Psychiatr
Pays: Netherlands
ID NLM: 101517820

Informations de publication

Date de publication:
Dec 2021
Historique:
received: 30 08 2021
revised: 06 09 2021
accepted: 08 09 2021
pubmed: 29 9 2021
medline: 20 11 2021
entrez: 28 9 2021
Statut: ppublish

Résumé

Although the World Health Organization has called for mental health services to be integrated into primary care, mental health remains in most countries, and especially in low- and middle-income countries, one of the most neglected topics in the training curriculum of frontline health workers. As a result, primary healthcare professionals leave medical and nursing schools with insufficient knowledge, and often with negative attitudes towards mental disorders. We investigated the effect of a brief training intervention on schizophrenia and depression conducted among general practitioners and nurses in Armenia. Training interventions were one-day, face-to-face, interactive workshops, including didactic presentations and discussions of case studies. We used a quasi-experimental design of the before/after type, to compare data on knowledge, attitudes and practices collected before and after the training sessions. Mean scores for knowledge, attitudes and practices increased significantly (p < 0.001) among both nurses and GPs for both schizophrenia (111 GPs and 167 nurses) and depression (459 GPs and 197 nurses). Our experience suggests that a brief training intervention can result in significant improvements in knowledge, attitudes and practices among primary healthcare workers and could help improve mental health services.

Sections du résumé

BACKGROUND BACKGROUND
Although the World Health Organization has called for mental health services to be integrated into primary care, mental health remains in most countries, and especially in low- and middle-income countries, one of the most neglected topics in the training curriculum of frontline health workers. As a result, primary healthcare professionals leave medical and nursing schools with insufficient knowledge, and often with negative attitudes towards mental disorders.
AIM OBJECTIVE
We investigated the effect of a brief training intervention on schizophrenia and depression conducted among general practitioners and nurses in Armenia.
METHODS METHODS
Training interventions were one-day, face-to-face, interactive workshops, including didactic presentations and discussions of case studies. We used a quasi-experimental design of the before/after type, to compare data on knowledge, attitudes and practices collected before and after the training sessions.
RESULTS RESULTS
Mean scores for knowledge, attitudes and practices increased significantly (p < 0.001) among both nurses and GPs for both schizophrenia (111 GPs and 167 nurses) and depression (459 GPs and 197 nurses).
CONCLUSIONS CONCLUSIONS
Our experience suggests that a brief training intervention can result in significant improvements in knowledge, attitudes and practices among primary healthcare workers and could help improve mental health services.

Identifiants

pubmed: 34583092
pii: S1876-2018(21)00318-X
doi: 10.1016/j.ajp.2021.102862
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

102862

Informations de copyright

Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.

Auteurs

Lara Mroueh (L)

INSERM, Univ. Limoges, CHU Limoges, IRD, U1094 Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France.

Dicranouhie Ekmekdjian (D)

Private medical practice, Yerevan, Armenia.

Elen Aghekyan (E)

National Institute of Health, Yerevan, Armenia.

Samvel Sukiasyan (S)

Stress Mental Rehabilitation Center, Yerevan, Armenia; Armenian Medical Institute, Yerevan, Armenia.

Margarit Tadevosyan (M)

Stress Mental Rehabilitation Center, Yerevan, Armenia; Yerevan State Medical University aft. M. Heraci, Yerevan, Armenia.

Vahan Simonyan (V)

Private medical practice, Yerevan, Armenia.

Armen Soghoyan (A)

Yerevan State Medical University aft. M. Heraci, Yerevan, Armenia; Psychosocial Recovery Center, Yerevan, Armenia.

Clotilde Vincent (C)

Global Health, Sanofi, Gentilly, France.

Pierre-Emile Bruand (PE)

Global Health, Sanofi, Gentilly, France.

Thomas Jamieson-Craig (T)

Institute of Psychiatry, Psychology and Neuroscience, London, England, UK.

Driss Moussaoui (D)

World Association of Social Psychiatry, Casablanca, Morocco.

Pierre-Marie Preux (PM)

INSERM, Univ. Limoges, CHU Limoges, IRD, U1094 Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France.

Farid Boumediene (F)

INSERM, Univ. Limoges, CHU Limoges, IRD, U1094 Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France. Electronic address: farid.boumediene@unilim.fr.

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