Publications by authors named "Saphira M Mulemba"

Article Synopsis
  • The article focuses on training methods for evaluating the competency of lay counselors in delivering mental health therapies, emphasizing the importance of quality and evidence-based practices.
  • A training program was implemented which combined in-person and remote learning, where trainees assessed recorded therapy sessions using the ENACT test, leading to high competency scores among participants who had no prior rating scale experience.
  • Results showed that even inexperienced raters could achieve high consistency in evaluating counselor competency when trained properly, highlighting the need for structured training that includes direct observation and feedback.
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Rationale: Despite well-established associations between alcohol use, poor mental health, and intimate partner violence (IPV), limited attention has been given to how psychological and behavioral interventions might prevent or treat IPV in low- and middle-income countries.

Objective: In a recent randomized controlled trial in Lusaka, Zambia, transdiagnostic cognitive-behavioral psychotherapy (the Common Elements Treatment Approach; CETA) demonstrated significant treatment effects on men's alcohol use and women's IPV victimization in couples in which hazardous alcohol use by the male and intimate partner violence against the female was reported. In this study, we sought to gain a more in-depth understanding of mechanisms of behavior change among CETA participants.

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