Weeks Of Supervision Research Articles

Training, Supervision, and Competence Assessment of Cameroonian Health Care Providers Using HPV Self-Sampling, Triage by Visual Inspection, and Treatment by Thermal Ablation in a Single Visit

BackgroundDeveloping human resource capacity and efficient deployment of skilled personnel are essential for cervical cancer screening program implementation in resource-limited countries. Our aim was to provide a context-specific training framework, supervision, and effectiveness evaluation of health care providers in a cervical cancer screening program.MethodsA 5-year cervical cancer screening program was implemented in Dschang, West Cameroon. Women were invited to perform human papillomavirus self-sampling (Self-HPV), followed by triage using visual inspection with acetic acid (VIA) and thermal ablation if needed. Health care providers were trained in four key learning phases to perform counseling, screening, and treatment process in a single visit. Training included (i) a 3-day basic course, (ii) 3-day advanced practical training, (iii) 2 weeks of supervision, and (iv) bi-monthly supervision by a mentor. The diagnostic performance of health care providers was compared between two time periods, period I (September 2018 to April 2019) and period II (May 2019 to January 2020), for an overall 17-month study period.ResultsFourteen health care providers were recruited for the training course and 12 of them completed the training objectives. Follow-up and evaluations were conducted for three health care providers working in the screening unit at Dschang District Hospital. During the study period, 1,609 women performed Self-HPV, among which 759 were screened during period I and 850 during period II. HPV positivity was 18.2 and 17.1%, and VIA positivity was 45.7 and 71.0% in period I and II, respectively. VIA sensitivity was 60.0% (95% confidence interval [CI] 26.2–87.8) and 80.8% (95% CI 60.6–93.4) in period I and II, respectively (p = 0.390). VIA specificity decreased between period I (57.4, 95% CI 48.1–66.3) and II (30.8, 95% CI 22.6–40.0) (p < 0.001). Health care providers demonstrated substantial agreement with their mentor in their diagnoses during both periods (period I: Cohen's kappa coefficient [k] = 0.73, 95% CI 0.62–0.85, and period II: k = 0.62 0.47–0.76; p = 0.0549).DiscussionTraining, supervision, and a focus on effectiveness in cervical cancer screening are interventions that contribute to improving frontline provider competencies and maintaining a high quality of health care service delivery.

Alternate delivery platforms and implementation models for bringing evidence-based behavioral interventions to scale for youth facing adversity: a case study in West Africa

BackgroundYouth Functioning and Organizational Success for West African Regional Development (Youth FORWARD) was launched as an implementation science collaboration focused on scaling out evidence-based mental health interventions for youth exposed to war and other adversities through novel delivery platforms. This implementation science case study examines the use of a collaborative team approach (CTA) as a scale-out strategy to foster the integration of an evidence-based group mental health intervention, the Youth Readiness Intervention, into youth employment programs tied to regional economic development in Sierra Leone.MethodsA case study methodology is used to explore the feasibility and acceptability of integrating an evidence-based intervention, the Youth Readiness Intervention (YRI), into youth entrepreneurship programs (ENTR) in Sierra Leone, facilitated by the CTA. The authors analyzed field notes logged during program implementation, 8 weeks of supervision notes, 20 interviews with agency leaders and front-line staff delivering the YRI within this alternate delivery platform. Quantitative dissemination and implementation interviews administered to youth, facilitators, and agency leaders were analyzed using descriptive statistics and mixed linear models. A linked Hybrid Type II effectiveness-implementation cluster randomized trial is evaluating the clinical effectiveness of the YRI within this delivery platform.ResultsExtant data indicate the strong feasibility and acceptability of integrating the YRI into the ENTR program. Facilitators of integration of the YRI into the ENTR include mission alignment of the organizations with the delivery of psychosocial interventions, shared commitment to serving vulnerable youth, support from local District Youth Councils, and high interest from the youth served. Barriers include perceived competition between frontline organizations seeking funding for psychosocial interventions, and challenges in flexibility between donors and implementation partners operating in a fragile/post-conflict setting. The CTA was a feasible and acceptable strategy to support fidelity and quality improvement while scaling out the YRI.ConclusionsYouth entrepreneurship and livelihood programs offer a promising mechanism for expanding the reach of evidence-based interventions to youth in fragile and post-conflict settings. Quality improvement and sustainment of evidence-based interventions are novel concepts in such settings. The CTA strategy institutionalizes the integration of an evidence-based intervention into youth entrepreneurship programs.Trial registrationNCT03603613 (phase 1 pilot, registered May 18, 2018) and NCT03542500 (phase 2 scale-out study, registered May 18, 2018).

What do trainee cognitive behavioural therapists need from clinical supervision to develop their skills in working with people with psychosis? A qualitative analysis

ABSTRACT Background Clinical supervision is assumed to be essential to the development of competent psychological therapists. While the evidence for effective psychological therapy training remains sparse, there is some support for the role of supervision and the experiential learning cycle in trainees’ progression. Despite a growing demand for cognitive behavioural therapy for psychosis (CBTp), no research has investigated the components of CBTp supervision necessary for skilful therapeutic practice. Methods We completed a qualitative thematic analysis of 385 supervision questions from 11 trainee CBTp therapists. Results The analysis yielded three main themes – knowledge/content (What?) questions; procedure/process (How?) questions; and course requirements/assessment methods (Training) questions. What? questions decreased over the 20 weeks of supervision, How? questions were raised throughout, and Training questions increased prior to academic deadlines. The thematic analysis also showed that active experimentation (the final stage of the experiential learning cycle) may be omitted from supervisory practice. Discussion These results indicate that CBTp supervision should prioritise knowledge, procedural learning and active experimentation, in training therapists to deliver high quality CBT for people with psychosis.

КЛИНИЧЕСКАЯ ОЦЕНКА ЭФФЕКТИВНОСТИ КОМПЛЕКСНОГО ЛЕЧЕНИЯ ПАЦИЕНТОВ С ХРОНИЧЕСКИМ КАТАРАЛЬНЫМ ГИНГИВИТОМ С ПРИМЕНЕНИЕМ ИНЪЕКЦИОННОГО ГЕЛЯ ГИАЛУРОНОВОЙ КИСЛОТЫ

Methodology. 48 somatically healthy patients of both gender in age from 25 up to 45 was examined, that included questioning, examination, index estimation of the state of fabrics of paradontium, doppler ultrasound of vessels of paradontium with the use of device of "Minimax-Doppler-K" NB model with the sensor 20 Mhz. Linear speed of blood stream, volume speed of blood stream were defined. Patients were divided into 3 groups: 1 - basic group (n=22) are patients with chronic catarrhal gingivitis where the standard treatment was complemented by application of injections of gel, containing 1 % of hyaluronic acid and 0,015 % of hydrophilic polysaccharide of AGEG, under a mucous membrane on a mucogingival fold; 2 is a control group (n=16) patients with chronic catarrhal gingivitis and the standard treatment (in accordance with clinical recommendations) was complemented; 3 group are people with a clinically healthy paradontium (n=10). Dynamic estimation of efficiency of treatment was conducted on the 2 day and 7th day, 14th day, in 1 month, 3 months.Results. There was a stable reduction of PMA index in a basic group, that shows the efficiency of treatment and remission in the period of 3 months observation. More low level of PBI and PI (p&lt;0,05) indexes was determined statistically meaningfully in a basic group, according to the results of 12 weeks of supervision.. &#x0D; Results. The indexes of hemodynamics had more obvious tendency to approach descriptions of intact paradontium.

Using the Enneagram to Facilitate the Supervision Relationship: A Qualitative Study

A phenomenological study was conducted to gain knowledge of the lived experience of three master’s level counseling supervisees, with a doctoral student supervisor, utilizing the Enneagram, an ancient personality classification system of nine core personality types, throughout 15 weeks of supervision. This study explored the use of the Enneagram and its impact on the supervisory relationship. Emergent themes included: (a) self-awareness; (b) other awareness; (c) relationship and rapport; and (d) professional identity and role induction. The use of the Enneagram within supervision during early stages of counselor development appeared to be helpful to these students in fostering growth and learning.

Using the Enneagram to Facilitate the Supervision Relationship: A Qualitative Study

A phenomenological study was conducted to gain knowledge of the lived experience of three master’s level counseling supervisees, with a doctoral student supervisor, utilizing the Enneagram, an ancient personality classification system of nine core personality types, throughout 15 weeks of supervision. This study explored the use of the Enneagram and its impact on the supervisory relationship. Emergent themes included: (a) self-awareness; (b) other awareness; (c) relationship and rapport; and (d) professional identity and role induction. The use of the Enneagram within supervision during early stages of counselor development appeared to be helpful to these students in fostering growth and learning.

Changing the Focus of Social Work Supervision: Effects on Client Satisfaction and Generalized Contentment

An experiment and three replications were conducted in which the focus of social work supervision was varied to compare client outcomes under two conditions. A social work supervisor gave two male and two female mental health center staff eight weeks of supervision with a mixed focus on administration, training, and clinical consultation. This was followed by eight weeks of client-focused supervision in which questions were asked about client problems and staff interventions in the context of client outcomes. The dependent variables were mean weekly caseload reports of generalized contentment and three dimensions of client satisfaction. Outcome data were plotted and examined with visual analysis for trend and aggregated for effect-size calculations. Adult outpatients reported significantly greater satisfaction under client-focused supervision. The findings suggest that social work supervision affects clients, and that client satisfaction improves if supervisors ask questions about client problems and staff interventions in the context of client outcomes.