A character-strengths based coaching intervention to improve wellbeing of rural community health workers in Madhya Pradesh, India: Protocol for a single-blind randomized controlled trial

IF 1.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Contemporary Clinical Trials Communications Pub Date : 2024-09-27 DOI:10.1016/j.conctc.2024.101377

Ameya P. Bondre , Azaz Khan , Abhishek Singh , Spriha Singh , Ritu Shrivastava , Narendra Verma , Aashish Ranjan , Jyotsna Agrawal , Seema Mehrotra , Rahul Shidhaye , Anant Bhan , John A. Naslund , Steve D. Hollon , Deepak Tugnawat

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Abstract

Background

There is scarce knowledge on the use of structured positive psychology interventions for reducing work-stress and improving wellbeing of rural community health workers in India, particularly the Accredited Social Health Activists (ASHAs) who are village-level (resident women, incentivised) lay health workers. This trial will test the effectiveness of a ‘character-strengths’ based coaching intervention compared to routine supervision on wellbeing (‘authentic happiness’) of ASHAs.

Methods

This protocol is for a single-blind, parallel group randomized controlled trial comparing the effectiveness of a five-day residential workshop focusing on the use of character-strengths and subsequent 8- to 10-week remote telephonic coaching (weekly) to individually support ASHAs to improve their wellbeing, against routine health system support. The arms are intervention added to routine ASHA supervision (weekly, by the ASHA supervisor), and routine supervision alone (control arm). The target sample comprises 330 rural ASHAs in Madhya Pradesh, India. The primary outcome of mean Authentic Happiness Inventory (AHI) scores will be compared between arms at 3-month follow-up. Secondary outcomes will include an assessment of ASHA's self-reported affect, self-efficacy, flourishing, burnout, motivation, physical health symptoms, quality of life, and routine work performance indicators, and the consequent patient-level outcomes [e.g., service satisfaction and depression remission rates after receiving brief psychological treatment by trained ASHAs]. We will also evaluate the costs of developing and delivering the intervention.

Discussion

This trial will determine whether a character-strengths based coaching intervention is an effective and scalable approach for reducing work-stress and improving wellbeing of rural ASHAs in low-resource settings.

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基于性格力量的辅导干预，改善印度中央邦农村社区卫生工作人员的福祉：单盲随机对照试验方案

背景关于使用结构化积极心理学干预措施来减轻印度农村社区卫生工作者的工作压力并提高其幸福感的知识很少，尤其是作为村级（常驻妇女、受激励）非专业卫生工作者的认可社会卫生活动家（ASHAs）。本试验将测试基于 "性格优势 "的辅导干预与常规监督相比，对 ASHAs 的幸福感（"真实的幸福感"）的有效性。方法本方案是一项单盲、平行分组随机对照试验，将为期五天的住宿研讨会（侧重于性格优势的使用）和随后 8 到 10 周的远程电话辅导（每周一次）与常规卫生系统支持进行比较，以单独支持 ASHAs 改善其幸福感。两组分别是在日常 ASHA 督导（每周一次，由 ASHA 督导员进行）的基础上进行干预，以及单独进行日常督导（对照组）。目标样本包括印度中央邦的 330 名农村 ASHA。两组的主要结果是在 3 个月的随访中比较真实幸福感量表 (AHI) 的平均得分。次要结果将包括对 ASHA 自我报告的情感、自我效能、蓬勃发展、职业倦怠、动力、身体健康症状、生活质量和日常工作绩效指标的评估，以及随之而来的患者层面的结果[例如，接受训练有素的 ASHA 简短心理治疗后的服务满意度和抑郁症缓解率]。我们还将评估制定和实施干预措施的成本。讨论这项试验将确定基于性格力量的辅导干预措施是否是一种有效且可扩展的方法，可用于减轻低资源环境下农村助理健康与护理人员的工作压力并改善其健康状况。

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来源期刊

Contemporary Clinical Trials Communications Pharmacology, Toxicology and Pharmaceutics-Pharmacology

CiteScore

2.70

自引率

6.70%

发文量

146

审稿时长

20 weeks

期刊介绍： Contemporary Clinical Trials Communications is an international peer reviewed open access journal that publishes articles pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from a wide range of disciplines including medicine, life science, pharmaceutical science, biostatistics, epidemiology, computer science, management science, behavioral science, and bioethics. Contemporary Clinical Trials Communications is unique in that it is outside the confines of disease specifications, and it strives to increase the transparency of medical research and reduce publication bias by publishing scientifically valid original research findings irrespective of their perceived importance, significance or impact. Both randomized and non-randomized trials are within the scope of the Journal. Some common topics include trial design rationale and methods, operational methodologies and challenges, and positive and negative trial results. In addition to original research, the Journal also welcomes other types of communications including, but are not limited to, methodology reviews, perspectives and discussions. Through timely dissemination of advances in clinical trials, the goal of Contemporary Clinical Trials Communications is to serve as a platform to enhance the communication and collaboration within the global clinical trials community that ultimately advances this field of research for the benefit of patients.