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Tailoring an evidence-based clinical intervention and training package for the treatment and prevention of comorbid heavy drinking and depression in middle-income country settings: the development of the SCALA toolkit in Latin America

dc.creatorO'Donnell, Amyes_ES
dc.creatorAnderson, Peteres_ES
dc.creatorSchmidt, Christianees_ES
dc.creatorBraddick, Fleures_ES
dc.creatorLopez-Pelayo, Hugoes_ES
dc.creatorMejía-Trujillo, Julianaes_ES
dc.creatorNatera, Guillerminaes_ES
dc.creatorArroyo, Miriames_ES
dc.creatorBautista, Nataliaes_ES
dc.creatorPiazza, Marinaes_ES
dc.creatorBustamante, Ines V.es_ES
dc.creatorKokole, Dašaes_ES
dc.creatorJackson, Katherinees_ES
dc.creatorJane-Llopis, Evaes_ES
dc.creatorGual, Antonies_ES
dc.creatorSchulte, Berndes_ES
dc.date2022
dc.date.accessioned2024-10-28T18:47:22Z
dc.date.available2024-10-28T18:47:22Z
dc.date.issued2022
dc.identifierJC38DIEP22es_ES
dc.identifier.issn1654-9716
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8086
dc.identifier.urihttps://doi.org/10.1080/16549716.2022.2080344
dc.descriptionBackground Effective interventions exist for heavy drinking and depression but to date there has been limited translation into routine practice in global health systems. This evidence-to-practice gap is particularly evident in low- and middle-income countries. The international SCALA project (Scale-up of Prevention and Management of Alcohol Use Disorders and Comorbid Depression in Latin America) sought to test the impact of multilevel implementation strategies on rates of primary health care-based measurement of alcohol consumption and identification of depression in Colombia, Mexico, and Peru. Objective To describe the process of development and cultural adaptation of the clinical intervention and training package. Methods We drew on Barrero and Castro’s four-stage cultural adaption model: 1) information gathering, 2) preliminary adaption, 3) preliminary adaption tests, and 4) adaption refinement. The Tailored Implementation in Chronic Diseases checklist helped us identify potential factors that could affect implementation, with local stakeholder groups established to support the tailoring process, as per the Institute for Healthcare Improvement’s Going to Scale Framework. Results In Stage 1, international best practice guidelines for preventing heavy drinking and depression, and intelligence on the local implementation context, were synthesised to provide an outline clinical intervention and training package. In Stage 2, feedback was gathered from local stakeholders and materials refined accordingly. These materials were piloted with local trainers in Stage 3, leading to further refinements including developing additional tools to support delivery in busy primary care settings. Stage 4 comprised further adaptions in response to real-world implementation, a period that coincided with the onset of the COVID-19 pandemic, including translating the intervention and training package for online delivery, and higher priority for depression screening in the clinical pathway. Conclusion Our experience highlights the importance of meaningful engagement with local communities, alongside the need for continuous tailoring and adaptation, and collaborative decision-making.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherTaylor & Francises_ES
dc.relation15(1):2080344
dc.rightsAcceso Cerradoes_ES
dc.titleTailoring an evidence-based clinical intervention and training package for the treatment and prevention of comorbid heavy drinking and depression in middle-income country settings: the development of the SCALA toolkit in Latin Americaes_ES
dc.typeArtículoes_ES
dc.contributor.affiliationPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
dc.contributor.emailamy.odonnell@newcastle.ac.uk (Amy O’Donnell)
dc.relation.jnabreviadoGLOB HEALTH ACTION
dc.relation.journalGlobal Health Action
dc.identifier.placeEstados Unidos
dc.date.published2022
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1654-9880
dc.identifier.doi10.1080/16549716.2022.2080344
dc.subject.kwAlcohol use
dc.subject.kwDepression
dc.subject.kwCultural adaption
dc.subject.kwLatin America
dc.subject.kwPrimary care


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