Assessment of the feasibility of a community-based mental health training programme for persons with disabilities by non-specialists from different stakeholders’ perspectives in Bangladesh

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Abstract

Introduction

Bangladesh is a developing country where 11% of the population has at least one disability, but no community-level mental health service is available. There is limited evidence of the burden of mental health issues and health-seeking behaviour among this population. This study assessed the feasibility of a training intervention for persons with disabilities, where peer support providers provided community-based disability-inclusive mental health services.

Methods

Four stakeholder groups participated in this qualitative study: peer responders (trained persons with disabilities), trainers, representatives of organisations of persons with disabilities and disability-specific organisations, and officials of international and national non-governmental organisations. Two types of qualitative interviews were used to collect data, and thematic analysis techniques were utilised.

Result

Stakeholders perceived the peer responder training programme as acceptable for persons with disabilities to develop themselves as peer support providers, with potential benefits including increased mental health literacy, ensuring accessible mental health services, and improving the well-being of persons with disabilities. Potential challenges included receiving training and delivering services. Increased training duration, more fieldwork, supervision opportunities, and refresher training were recommended to mitigate training challenges. Financial support and formal community recognition were deemed necessary for training delivery.

Conclusion

The peer responder training programme was feasible to ensure accessible mental health services for persons with disabilities, build a workforce to screen for mental health conditions, and provide appropriate referrals. A multi-sectoral collaboration of government and non-governmental institutions is recommended to policy advocates to expand the peer responder training programme in the mainstream mental healthcare system.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12913-024-10742-5.

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Most cited references 92

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Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

A Tong, P SAINSBURY, J. Craig (2007)

Qualitative research explores complex phenomena encountered by clinicians, health care providers, policy makers and consumers. Although partial checklists are available, no consolidated reporting framework exists for any type of qualitative design. To develop a checklist for explicit and comprehensive reporting of qualitative studies (in depth interviews and focus groups). We performed a comprehensive search in Cochrane and Campbell Protocols, Medline, CINAHL, systematic reviews of qualitative studies, author or reviewer guidelines of major medical journals and reference lists of relevant publications for existing checklists used to assess qualitative studies. Seventy-six items from 22 checklists were compiled into a comprehensive list. All items were grouped into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. Duplicate items and those that were ambiguous, too broadly defined and impractical to assess were removed. Items most frequently included in the checklists related to sampling method, setting for data collection, method of data collection, respondent validation of findings, method of recording data, description of the derivation of themes and inclusion of supporting quotations. We grouped all items into three domains: (i) research team and reflexivity, (ii) study design and (iii) data analysis and reporting. The criteria included in COREQ, a 32-item checklist, can help researchers to report important aspects of the research team, study methods, context of the study, findings, analysis and interpretations.

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How we design feasibility studies.

Deborah Bowen, Matthew K Kreuter, Bonnie Spring … (2009)

Public health is moving toward the goal of implementing evidence-based interventions. To accomplish this, there is a need to select, adapt, and evaluate intervention studies. Such selection relies, in part, on making judgments about the feasibility of possible interventions and determining whether comprehensive and multilevel evaluations are justified. There exist few published standards and guides to aid these judgments. This article describes the diverse types of feasibility studies conducted in the field of cancer prevention, using a group of recently funded grants from the National Cancer Institute. The grants were submitted in response to a request for applications proposing research to identify feasible interventions for increasing the utilization of the Cancer Information Service among underserved populations.

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Characteristics of Qualitative Descriptive Studies: A Systematic Review.

Hyejin Kim, Justine S Sefcik, Christine Bradway (2017)

Qualitative description (QD) is a term that is widely used to describe qualitative studies of health care and nursing-related phenomena. However, limited discussions regarding QD are found in the existing literature. In this systematic review, we identified characteristics of methods and findings reported in research articles published in 2014 whose authors identified the work as QD. After searching and screening, data were extracted from the sample of 55 QD articles and examined to characterize research objectives, design justification, theoretical/philosophical frameworks, sampling and sample size, data collection and sources, data analysis, and presentation of findings. In this review, three primary findings were identified. First, although there were some inconsistencies, most articles included characteristics consistent with the limited available QD definitions and descriptions. Next, flexibility or variability of methods was common and effective for obtaining rich data and achieving understanding of a phenomenon. Finally, justification for how a QD approach was chosen and why it would be an appropriate fit for a particular study was limited in the sample and, therefore, in need of increased attention. Based on these findings, recommendations include encouragement to researchers to provide as many details as possible regarding the methods of their QD studies so that readers can determine whether the methods used were reasonable and effective in producing useful findings. © 2016 Wiley Periodicals, Inc.

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Author and article information

Contributors

Kamrun Nahar Koly:

ORCID: https://orcid.org/0000-0003-2466-8139

koly@icddrb.org

Journal

Journal ID (nlm-ta): BMC Health Serv Res

Journal ID (iso-abbrev): BMC Health Serv Res

Title: BMC Health Services Research

Publisher: BioMed Central (London )

ISSN (Electronic): 1472-6963

Publication date (Electronic): 4 March 2024

Publication date PMC-release: 4 March 2024

Publication date Collection: 2024

Volume: 24

Electronic Location Identifier: 270

Affiliations

[1 ]Health System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), ( https://ror.org/04vsvr128) Mohakhali, Dhaka, 1212 Bangladesh

[2 ]Trauma and Community Resilience Center, Boston Children’s Hospital & Harvard Medical School, ( https://ror.org/00dvg7y05) Boston, Massachusetts United States of America

[3 ]Centre for Disability in Development, Dhaka, Bangladesh

[4 ]CBM Bangladesh Country Office (CBMBCO), Dhaka, Bangladesh

[5 ]GRID grid.517646.7, National Institute of Mental Health, ; Dhaka, Bangladesh

[6 ]Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, ( https://ror.org/00a0jsq62) London, United Kingdom

[7 ]CBM Global Disability and Inclusion, Laudenbach, Germany

Author information

Kamrun Nahar Koly https://orcid.org/0000-0003-2466-8139

Article

Publisher ID: 10742

DOI: 10.1186/s12913-024-10742-5

PMC ID: 10910748

PubMed ID: 38433239

SO-VID: b86a8786-2b8f-4e7e-988a-df1844049de5

License:

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

History

Date received : 16 June 2023

Date accepted : 18 February 2024

Custom metadata

ScienceOpen disciplines: Health & Social care

Keywords: mental health,person with disabilities,peer support,training programme,bangladesh

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ScienceOpen disciplines: Health & Social care

Keywords: mental health, person with disabilities, peer support, training programme, bangladesh

Assessment of the feasibility of a community-based mental health training programme for persons with disabilities by non-specialists from different stakeholders’ perspectives in Bangladesh

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Abstract

Introduction

Methods

Result

Conclusion

Supplementary Information

Related collections

Emerald: Healthier Lives

Most cited references 92

Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups.

How we design feasibility studies.

Characteristics of Qualitative Descriptive Studies: A Systematic Review.

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