Abstract：
Efforts to reduce the global burden of common mental disorders have focused on scaling up evidence-based training programs for non-specialist providers to deliver brief psychological interventions. To evaluate these provider training programs, appropriate and scalable assessments of competency need to be developed alongside them. We followed a systematic approach for the cultural adaptation and translation into Hindi of a valid, English, multiple-choice applied knowledge measure to assess non-specialists\' competence to deliver a brief psychological intervention for depression in rural India. We then explored the relationship between the performance of 30 non-specialist providers on the same written measure compared with a structured performance-based measure consisting of two role-plays. The results of the multiple-choice assessment had an overall mean score of 37.40 (SD = 11.31) compared to the mean scores of role-play A (the easier role-play) of 43.25 (SD = 14.50) and role-play B (the more difficult role-play) of 43.25 (SD = 13.00). Role-play performance-based measures and written applied knowledge measures represent different approaches with unique strengths and challenges to measuring competence. Scaling up training programs requires the development of scalable methods for competency assessment. Exploring the relationship between these two measures, our team found no apparent differences between the two modes of assessment. Continued comparison of these approaches is needed to determine the consistency of outcomes across the two formats and to link the scores on these measures with clinical performance as reflected by the quality of care and patient outcomes.Trial Registration: ClinicalTrials.gov Identifier: NCT04157816; 8th November 2019.
摘要：
减少常见精神障碍的全球负担的努力集中在扩大非专业提供者的循证培训计划，以提供简短的心理干预。要评估这些提供者培训计划，需要与他们一起开发适当和可扩展的能力评估。我们遵循了一种系统的方法来进行文化适应，并将其翻译成有效的印地语，英语,多项选择应用知识测量来评估非专业人士对印度农村抑郁症进行简短心理干预的能力。然后，我们探索了30个非专业提供商在相同书面度量上的绩效与由两个角色扮演组成的基于绩效的结构化度量之间的关系。多项选择评估的结果的总体平均得分为37.40（SD=11.31），而角色扮演A（更容易的角色扮演）的平均得分为43.25（SD=14.50）和角色扮演B（更困难的角色扮演）的平均得分为43.25（SD=13.00）。角色扮演基于绩效的度量和书面应用知识度量代表了不同的方法，具有独特的优势和挑战来衡量能力。扩大培训计划需要开发可扩展的能力评估方法。探索这两种措施之间的关系，我们的团队发现两种评估模式之间没有明显差异.需要对这些方法进行持续比较，以确定两种格式的结果一致性，并将这些措施的得分与护理质量和患者结果所反映的临床表现联系起来。试用注册：ClinicalTrials.gov标识符：NCT04157816；2019年11月8日。
