NAMAH-An Innovative Tele-ECHO Mentoring Program to Foster Well-being Among Physicians.

IF 1.9 Q3 PSYCHIATRY Indian Journal of Psychological Medicine Pub Date : 2024-10-22 DOI:10.1177/02537176241287839
Nidhi Parate, Manjunatha Br, Sanchitha R, Venkata Lakshmi Narasimha, Jayant Mahadevan, Prabhat Chand, Pratima Murthy, Sanjeev Arora
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Abstract

Background: The current study aimed to develop and implement the National Assistance in Mental Health for Health Care Providers (NAMAH) module, which focused on wellness and building resilience for a cohort of physicians.

Methods: The NAMAH module is a 12-week tele-mentoring program leveraging videoconference technology that uses the ECHO (Extension of Community Healthcare Outcome) HUB and SPOKE and consists of real-life case discussions and a brief didactic. The module's content was developed after iterative feedback from experts and incorporated suggestions from healthcare providers (HCPs) following a needs assessment. A pre and post-design was used to assess the impact of the module on psychological distress using the self-reported Kessler Psychological Distress Scale (K10) and burnout using the Maslach Burnout-Inventory-Human Services Survey (MBI-HSS) among the 32 physicians who participated.

Results: There was a significant decrease in the mean scores before (19.5 ± 6.27) and after (17.38 ± 6.23) the NAMAH module (p < .05) in the psychological distress as measured by K 10 with a Cohen's d of 0.41 (95% CI: 0.05-0.77). There was also a significant decrease in the mean scores after the intervention in the emotional exhaustion and depersonalization domain of the MBI-HSS with a medium effect size (Cohen's d of 0.65) and large effect size (Cohen's d of 0.94), respectively.

Conclusion: The findings from this pilot study lay a foundational framework, encouraging further exploration, research, and scaling-up of such interventions to enhance mental health among physicians and HCPs.

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NAMAH--一项旨在促进医生身心健康的创新型远程 ECO 指导计划。
研究背景本研究旨在开发和实施 "全国医疗保健提供者心理健康援助"(NAMAH)模块,该模块重点关注医生群体的健康和复原力建设:NAMAH 模块是一项为期 12 周的远程指导计划,利用视频会议技术,使用 ECHO(社区医疗保健成果扩展)HUB 和 SPOKE,包括真实案例讨论和简短的说教。该模块的内容是在专家反复反馈后开发的,并采纳了医疗保健提供者 (HCP) 在需求评估后提出的建议。在 32 名参与的医生中,使用自我报告的凯斯勒心理压力量表(K10)和马斯拉赫倦怠-发明-人类服务调查(MBI-HSS)评估了该模块对心理压力和倦怠的影响:在接受 NAMAH 模块治疗前(19.5 ± 6.27)和治疗后(17.38 ± 6.23),K10 量表测量的心理压力平均得分明显下降(p < .05),Cohen's d 为 0.41(95% CI:0.05-0.77)。干预后,MBI-HSS 的情绪衰竭和人格解体领域的平均得分也有明显下降,分别达到了中等效应(Cohen's d 为 0.65)和较大效应(Cohen's d 为 0.94):这项试点研究的结果奠定了一个基础框架,鼓励进一步探索、研究和推广此类干预措施,以提高医生和保健人员的心理健康水平。
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来源期刊
CiteScore
4.80
自引率
7.10%
发文量
116
审稿时长
12 weeks
期刊介绍: The Indian Journal of Psychological Medicine (ISSN 0253-7176) was started in 1978 as the official publication of the Indian Psychiatric Society South Zonal Branch. The journal allows free access (Open Access) and is published Bimonthly. The Journal includes but is not limited to review articles, original research, opinions, and letters. The Editor and publisher accept no legal responsibility for any opinions, omissions or errors by the authors, nor do they approve of any product advertised within the journal.
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