Exploring the potential of delivering mental health care services using digital technologies in Bangladesh: A qualitative analysis

Koly, Kamrun Nahar; Saba, Jobaida; Muzaffar, Rasma; Modasser, Rifath Binta; Dip, Tasdik Hasan; Colon-Cabrera, David; Warren, Narelle

doi:10.1016/j.invent.2022.100544

Cited by 10 publications

(5 citation statements)

References 49 publications

(91 reference statements)

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“…The study reports that out-of-pocket costs for services due to travel and lack of trust in public services act as a significant challenge for Bangladeshi people. Digital media and technologies could increase access to mental health services by increasing awareness, offering treatment, and reducing the cost burden (Acharibasam and Wynn, 2018 ; Berry et al, 2019 ; Koly et al, 2022b ).…”

Section: Discussionmentioning

confidence: 99%

Stakeholder perspectives of mental healthcare services in Bangladesh, its challenges and opportunities: a qualitative study

Koly,

Saba,

Rao

et al. 2024

Camb. prisms Glob. ment. health

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This study explores Bangladesh’s mental health services from an individual- and system-level perspective and provides insights and recommendations for strengthening it’s mental health system. We conducted 13 in-depth interviews and 2 focus group discussions. Thirty-one participants were recruited using a combination of purposive and snowball sampling methods. All interviews and group discussions were audio-recorded and transcribed, and key findings were translated from Bengali to English. Data were coded manually and analysed using a thematic and narrative analysis approach. Stakeholders perceived scarcity of service availability at the peripheral level, shortage of professionals, weak referral systems, lack of policy implementation and regulatory mechanisms were significant challenges to the mental health system in Bangladesh. At the population level, low levels of mental health literacy, high societal stigma, and treatment costs were barriers to accessing mental healthcare. Key recommendations included increasing the number of mental health workers and capacity building, strengthening regulatory mechanisms to enhance the quality of care within the health systems, and raising awareness about mental health. Introducing measures that relate to tackling stigma, mental health literacy as well as building the capacity of the health workforce and governance systems will help ensure universal mental health coverage.

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Section: Discussionmentioning

confidence: 99%

Stakeholder perspectives of mental healthcare services in Bangladesh, its challenges and opportunities: a qualitative study

Koly,

Saba,

Rao

et al. 2024

Camb. prisms Glob. ment. health

Self Cite

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“…Additionally, increasing peer supporters in the community through internet-based training modalities and subsequent telehealth service provision can be adopted [ 30 ]. Integrating digital technology into training delivery and MH-care provision can increase the effective use of human resources and reduce costs [ 66 , 91 – 93 ].…”

Section: Discussionmentioning

confidence: 99%

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

Koly,

Saba,

Christopher

et al. 2024

BMC Health Serv Res

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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.

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“…However, digital platforms transcend these limitations, enabling patients to receive support and education from the comfort of their homes or wherever they may be. This accessibility is particularly beneficial for patients in rural or remote areas, who may have limited access to specialized diabetes care and resources [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of adult clients with diabetes

Shaban,

Sharaa,

Amer

et al. 2024

BMC Nurs

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Background In recent years, there has been growing interest in the use of Digital Based Nursing Intervention to support diabetes management. This study aimed to evaluate the effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of clients with diabetes. Methods Employing a quasi-experimental design, a sample of 120 adult participants diagnosed with type 2 diabetes, aged more than 18 years with focus on older adults was drawn from outpatient clinics at Cairo University Hospital. The intervention was approved and registered by the ethical committee of the faculty of nursing with IRB number: RHDIRB2019041701. The intervention group (n = 60) received a digital-based nursing intervention, while the control group (n = 60) received standard care. Data were collected using adopted standardized tools including the Diabetes Knowledge Test, the Diabetes Self-Efficacy Scale, and the Summary of Diabetes Self-Care Activities. Demographic characteristics were analyzed, and pre- and post-intervention scores were compared using paired t-tests were statistical methods. Results The digital-based nursing intervention resulted in significant enhancements in participants with diabetes knowledge and self-efficacy levels. Moreover, the intervention group demonstrated marked improvements in various self-care behaviors encompassing diet, exercise, medication adherence, blood glucose testing, and foot care. While the control group also exhibited some progress, the effects were less pronounced. Regression analyses highlighted age as a consistent factor associated with knowledge, self-efficacy, and specific self-care behaviors. Conclusion This study underscores the potential of tailored digital nursing interventions to complement traditional care approaches, empowering patients with type 2 diabetes to actively engage in self-management. The findings suggest that digital-based nursing interventions hold promise for enhancing patient knowledge, confidence, and proactive health behaviors. Nevertheless, limitations, including the relatively short intervention duration and a sample from a single clinic, warrant consideration. Future research should address these limitations to bolster the validity and applicability of the study’s conclusions.

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Exploring the potential of delivering mental health care services using digital technologies in Bangladesh: A qualitative analysis

Cited by 10 publications

References 49 publications

Stakeholder perspectives of mental healthcare services in Bangladesh, its challenges and opportunities: a qualitative study

Stakeholder perspectives of mental healthcare services in Bangladesh, its challenges and opportunities: a qualitative study

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

Effect of digital based nursing intervention on knowledge of self-care behaviors and self-efficacy of adult clients with diabetes

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