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      Global Collaborative Team Performance for the Revision of the International Classification of Diseases: A Case Study of the World Health Organization Field Studies Coordination Group Translated title: Funcionamiento del Equipo Global de Colaboración para la revisión de la Clasificación Internacional de Enfermedades: un estudio de caso del Grupo de Coordinación de Estudios de Campo de la Organización Mundial de la Salud

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          Abstract

          Background/Objective: Collaborative teamwork in global mental health presents unique challenges, including the formation and management of international teams composed of multicultural and multilingual professionals with different backgrounds in terms of their training, scientific expertise, and life experience. The purpose of the study was to analyze the performance of the World Health Organization (WHO) Field Studies Coordination Group (FSCG) using an input-processes-output (IPO) team science model to better understand the team's challenges, limitations, and successes in developing the eleventh revision of the International Classification of Diseases (ICD). Method: We thematically analyzed a collection of written texts, including FSCG documents and open-ended qualitative questionnaires, according to the conceptualization of the input-processes-output model of team performance. Results: The FSCG leadership and its members experienced and overcame numerous barriers to become an effective international team and to successfully achieve the goals set forth by WHO. Conclusions: Research is necessary regarding global mental health collaboration to understand and facilitate international collaborations with the goal of contributing to a deeper understanding of mental health and to reduce the global burden of mental disorders around the world.

          Resumen

          Antecedentes/Objetivo: El trabajo de equipo colaborativo en salud mental global presenta retos particulares, incluyendo la formación y el control de grupos internacionales integrados por profesionales multilingües y multiculturales con diferentes antecedentes en términos de entrenamiento, competencias científicas y experiencias vitales. El propósito del estudio fue analizar el funcionamiento del Grupo de Coordinación de Estudios de Campo (GCEC) de la Organización Mundial de la Salud (OMS) utilizando un modelo científico de entrada-proceso-salida (EPS) para mejorar la comprensión de los retos, limitaciones y logros del equipo en el desarrollo de la onceava revisión de la Clasificación Internacional de Enfermedades (CIE). Método: Se llevó a cabo un análisis temático de una colección de textos, incluyendo documentos del GCEC y cuestionarios cualitativos de preguntas abiertas, acordes con la conceptualización del modelo de rendimiento de equipos de entrada-proceso-salida. Resultados: El liderazgo y los miembros del GCEC experimentaron y superaron numerosas barreras para convertirse en un grupo internacional efectivo y lograr exitosamente los objetivos establecidos por la OMS. Conclusiones: Se requiere de investigación sobre la colaboración en salud mental global a fin de entender y facilitar las colaboraciones internacionales dirigidas a comprender a profundidad la salud mental y reducir la carga de los trastornos mentales en el mundo.

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          PERSUASION WITH CASE STUDIES.

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            Teams in organizations: from input-process-output models to IMOI models.

            This review examines research and theory relevant to work groups and teams typically embedded in organizations and existing over time, although many studies reviewed were conducted in other settings, including the laboratory. Research was organized around a two-dimensional system based on time and the nature of explanatory mechanisms that mediated between team inputs and outcomes. These mechanisms were affective, behavioral, cognitive, or some combination of the three. Recent theoretical and methodological work is discussed that has advanced our understanding of teams as complex, multilevel systems that function over time, tasks, and contexts. The state of both the empirical and theoretical work is compared as to its impact on present knowledge and future directions.
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              Vignette methodologies for studying clinicians’ decision-making: Validity, utility, and application in ICD-11 field studies ☆

              Vignette-based methodologies are frequently used to examine judgments and decision-making processes, including clinical judgments made by health professionals. Concerns are sometimes raised that vignettes do not accurately reflect “real world” phenomena, and that this affects the validity of results and conclusions of these studies. This article provides an overview of the defining features, design variations, strengths, and weaknesses of vignette studies as a way of examining how health professionals form clinical judgments (e.g., assigning diagnoses, selecting treatments). As a “hybrid” of traditional survey and experimental methods, vignette studies can offer aspects of both the high internal validity of experiments and the high external validity of survey research in order to disentangle multiple predictors of clinician behavior. When vignette studies are well designed to test specific questions about judgments and decision-making, they can be highly generalizable to “real life” behavior, while overcoming the ethical, practical, and scientific limitations associated with alternative methods (e.g., observation, self-report, standardized patients, archival analysis). We conclude with methodological recommendations and a description of how vignette methodologies are being used to investigate clinicians’ diagnostic decisions in case-controlled field studies for the ICD-11 classification of mental and behavioural disorders, and how these studies illustrate the preceding concepts and recommendations
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                Author and article information

                Contributors
                Journal
                Int J Clin Health Psychol
                Int J Clin Health Psychol
                International Journal of Clinical and Health Psychology : IJCHP
                Asociacion Espanola de Psicologia Conductual
                1697-2600
                2174-0852
                22 August 2018
                Sep-Dec 2018
                22 August 2018
                : 18
                : 3
                : 189-200
                Affiliations
                [a ]University of Kansas, United States of America
                [b ]Instituto Nacional de Psiquiatría ‘Ramón de la Fuente’, Mexico
                [c ]University of Ibadan, Nigeria
                [d ]Virginia Commonwealth University, United States of America
                [e ]University of Ottawa, Canada
                [f ]All India Institute of Medical Sciences, India
                [g ]American University of Beirut Medical Center, Lebanon
                [h ]Columbia University, United States of America
                [i ]Moscow Research Institute of Psychiatry, Russia
                [j ]Japanese Society of Psychiatry and Neurology, Japan
                [k ]University of Cape Town, SA MRC Research Unit on Risk & Resilience for Mental Disorders, South Africa
                [l ]Shanghai Mental Health Center, China
                [m ]Seitoku University, Japan
                [n ]Columbia University Medical Center, United States of America
                [o ]World Health Organization, Switzerland
                Author notes
                [* ]Corresponding author: Graduate Studies, University of Kansas, 1450 Jayhawk Boulevard, Lawrence, KS 66045-7535 USA mroberts@ 123456ku.edu
                Article
                S1697-2600(18)30056-5
                10.1016/j.ijchp.2018.07.001
                6224857
                30487924
                705e5b18-3bfe-4425-9c30-b99edc6550cc
                © 2018 Asociación Española de Psicología Conductual. Published by Elsevier España, S.L.U.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 21 January 2018
                : 3 July 2018
                Categories
                Original article

                global mental health,multicultural teams,international collaboration,world health organization (who),qualitative study,salud mental global,equipos multiculturales,colaboración internacional,organización mundial de la salud (oms),estudio cualitativo

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