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Applying Human-Centered Design to Maximize Acceptability, Feasibility, and Usability of Mobile Phone Supervision in Kenya: A Mixed Methods Pilot Study
Applying Human-Centered Design to Maximize Acceptability, Feasibility, and Usability of Mobile Phone Supervision in Kenya: A Mixed Methods Pilot Study
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20250211152131
- ISBN
- 9798384096689
- DDC
- 157
- 서명/저자
- Applying Human-Centered Design to Maximize Acceptability, Feasibility, and Usability of Mobile Phone Supervision in Kenya: A Mixed Methods Pilot Study
- 발행사항
- [Sl] : University of Washington, 2024
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2024
- 형태사항
- 156 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 86-03, Section: B.
- 주기사항
- Advisor: Dorsey, Shannon.
- 학위논문주기
- Thesis (Ph.D.)--University of Washington, 2024.
- 초록/해제
- 요약Opportunities exist to leverage mobile phones to replace or supplement in-person supervision of evidence-based practices (EBPs) for mental, neurological, and substance use disorders in lower-resource settings. However, contextual variables must be considered and addressed. Using an iterative and mixed methods approach, we co-designed implementation guidelines to support the use of mobile phone supervision with lay counselors and supervisors delivering a culturally adapted Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in Western Kenya. Guided by human-centered design methods, we first aimed to understand how mobile phones were used when supervising lay counselors, determine the acceptability and feasibility of mobile phone supervision, and generate solutions to improve mobile phone supervision in individual semi-structured interviews. These results informed the development of mobile phone supervision implementation guidelines. Making use of a stepped-wedge cluster-randomized trial design, counselors receiving tailored implementation guidelines were compared to counselors from a previous sequence that did not receive guidelines. All counselors responded to measures of acceptability, feasibility, and usability of mobile phone supervision. A subset of counselors that received guidelines and all supervisors also participated in semi-structured interviews to understand how the guidelines and support impacted their use of mobile phone supervision. Results from the design phase highlighted several distinct uses of mobile phones by lay counselors and supervisors as well as important considerations for the acceptability and feasibility of mobile phone supervision. Lay counselors and supervisors generated 27 distinct strategies to increase the acceptability and feasibility of mobile phone supervision. The resulting support significantly improved mobile phone supervision acceptability and usability. Qualitative interviews with lay counselors and supervisors contextualized how the guidelines impacted acceptability and feasibility-by setting expectations for mobile phone supervision, emphasizing importance, increasing comfort, and sharing strategies to improve mobile phone supervision. Researchers must consider limitations to implementing digital health tools and design solutions alongside end-users to increase acceptability and usability. Co-developed implementation guidelines may provide a flexible and scalable approach to address challenges with implementing EBPs and implementation strategies in lower-resource areas.
- 일반주제명
- Clinical psychology
- 일반주제명
- Psychology
- 일반주제명
- Information technology
- 키워드
- Kenya
- 기타저자
- University of Washington Psychology
- 기본자료저록
- Dissertations Abstracts International. 86-03B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a157
■1001 ▼aTriplett, Noah Shay.
■24510▼aApplying Human-Centered Design to Maximize Acceptability, Feasibility, and Usability of Mobile Phone Supervision in Kenya: A Mixed Methods Pilot Study
■260 ▼a[Sl]▼bUniversity of Washington▼c2024
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2024
■300 ▼a156 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 86-03, Section: B.
■500 ▼aAdvisor: Dorsey, Shannon.
■5021 ▼aThesis (Ph.D.)--University of Washington, 2024.
■520 ▼aOpportunities exist to leverage mobile phones to replace or supplement in-person supervision of evidence-based practices (EBPs) for mental, neurological, and substance use disorders in lower-resource settings. However, contextual variables must be considered and addressed. Using an iterative and mixed methods approach, we co-designed implementation guidelines to support the use of mobile phone supervision with lay counselors and supervisors delivering a culturally adapted Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in Western Kenya. Guided by human-centered design methods, we first aimed to understand how mobile phones were used when supervising lay counselors, determine the acceptability and feasibility of mobile phone supervision, and generate solutions to improve mobile phone supervision in individual semi-structured interviews. These results informed the development of mobile phone supervision implementation guidelines. Making use of a stepped-wedge cluster-randomized trial design, counselors receiving tailored implementation guidelines were compared to counselors from a previous sequence that did not receive guidelines. All counselors responded to measures of acceptability, feasibility, and usability of mobile phone supervision. A subset of counselors that received guidelines and all supervisors also participated in semi-structured interviews to understand how the guidelines and support impacted their use of mobile phone supervision. Results from the design phase highlighted several distinct uses of mobile phones by lay counselors and supervisors as well as important considerations for the acceptability and feasibility of mobile phone supervision. Lay counselors and supervisors generated 27 distinct strategies to increase the acceptability and feasibility of mobile phone supervision. The resulting support significantly improved mobile phone supervision acceptability and usability. Qualitative interviews with lay counselors and supervisors contextualized how the guidelines impacted acceptability and feasibility-by setting expectations for mobile phone supervision, emphasizing importance, increasing comfort, and sharing strategies to improve mobile phone supervision. Researchers must consider limitations to implementing digital health tools and design solutions alongside end-users to increase acceptability and usability. Co-developed implementation guidelines may provide a flexible and scalable approach to address challenges with implementing EBPs and implementation strategies in lower-resource areas.
■590 ▼aSchool code: 0250.
■650 4▼aClinical psychology
■650 4▼aPsychology
■650 4▼aInformation technology
■653 ▼aEvidence-based practices
■653 ▼aHuman-centered design methods
■653 ▼aMobile phone supervision
■653 ▼aKenya
■653 ▼aMixed methods approach
■690 ▼a0622
■690 ▼a0489
■690 ▼a0621
■71020▼aUniversity of Washington▼bPsychology.
■7730 ▼tDissertations Abstracts International▼g86-03B.
■790 ▼a0250
■791 ▼aPh.D.
■792 ▼a2024
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17163066▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
