Evaluating the feasibility and potential impacts of a recovery-oriented psychosocial rehabilitation toolkit in a health care setting in Kenya: A mixed-methods study.

Journal: Psychiatric rehabilitation journal

Volume: 46

Issue: 1

Year of Publication: 2023

Affiliated Institutions:  Department of Psychology and Social Science, Faculty of Humanities and Social Sciences, Douglas College. Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University. School of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University. School of Leadership and Social Change, Brescia University College, Western University. Africa Mental Health Research and Training Foundation. Parkwood Institute Research, Lawson Health Research Institute and St. Joseph's Health Care. Division of Psychology, Centre for Addiction and Mental Health.

Abstract summary 

This pilot study evaluated the feasibility and potential impacts of delivering the Psychosocial Rehabilitation (PSR) Toolkit for people with serious mental illness within a health care setting in Kenya.This study used a convergent mixed-methods design. Participants were people with serious mental illness (n = 23), each with an accompanying family member, who were outpatients of a hospital or satellite clinic in semirural Kenya. The intervention consisted of 14 weekly group sessions of PSR cofacilitated by health care professionals and peers with mental illness. Quantitative data were collected from patients and family members using validated outcome measures before and after the intervention. Qualitative data were collected from focus groups with patients and family members, and individual interviews with facilitators, after the intervention.Quantitative findings indicated that patients experienced moderate improvement in illness management and, in contrast to qualitative findings, family members experienced moderate worsening in attitudes toward recovery. Qualitative findings revealed positive outcomes for both patients and family members, as reflected in greater feelings of hope and mobilization to reduce stigma. Factors that facilitated participation included: helpful and accessible learning materials; committed and involved stakeholders; and flexible solutions to promote continued involvement.This pilot study found that delivery of the Psychosocial Rehabilitation Toolkit was feasible within a health care setting in Kenya and associated with overall positive outcomes among patients with serious mental illness. Further research on its effectiveness on a larger scale and using culturally validated measures is needed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Authors & Co-authors:  Casey Wiener Krupa Lysaght Le Ber Ruhara Price Pervez Kidd Mutiso Ndetei MacDougall

Study Outcome 

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Statistics
Citations : 
Authors :  12
Identifiers
Doi : 10.1037/prj0000545
SSN : 1559-3126
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Study Design
Study Approach
Quantitative,Qualitative,Mixed-Methods
Country of Study
Kenya
Publication Country
United States