Takalani Grace Tshitangano
Case Study Protocol to Evaluate the Impact of Training Intervention on Cleaners' Knowledge Level, Perceptions and Practices regarding Correct Cleaning Techniques at Selected Care Facilities in Limpopo Province, South Africa
Nursing reports (Pavia, Italy)
adapt treatment algorithms complex clinically untested difficulttoengage patient groups without losing evidence base everyday practice clinical challenge describe process reasoning fast pragmatic contextrelevant servicebased adaptations group intervention unaccompanied minor asylum seekers uasc arriving europe employed distillationmatching model deploymentfocused process mixedmethod topdown theorydriven bottomup participantinformed approach prevalence mental disorders amongst uasc extremely high also represent marginalised hardtoengage group limited evidence effective treatments content process adaptations followed four steps 1 descriptive local group characterisation theoretical formulation problems 2 initial adaptation evidenced treatment based problemtocomponent grid 3 iterative adaptation using triangulated feedback 4 smallscale pilot evaluation based evidence participant feedback adaptations included minimising verbal demands facilitating insession inductive learning fostering social connectedness via games enhancing problemsolving skills accounting multitraumatisation uncertainty deportation quantitative evaluation suggested improved feasibility increased attendance low dropout symptom improvement depression trauma scores describing principles underpinning development group intervention severely traumatised uasc contribute literature supporting dynamic adaptations psychological interventions without losing reference evidence base complex difficulttoreach clinical groups often need care yet least researched affected inequality care pragmatic adaptations proven programs often necessary increase feasibility