UNIVERSAL MENTAL HEALTH TRAINING FOR FRONTLINE PROFESSIONALS (UMHT)'s FEASIBILITY ANALYSIS

General information The Universal Mental Health Training for Frontline Professionals (UMHT) is an educational program developed and piloted in Ukraine in 2021-2023 to bridge the mental health gap between Ukrainians’ support needs and the health system's answers. Frontline professionals were trained to interact, support and refer for the professional help people with mental health conditions. The UMHT was developed in 2021 and piloted in 2021-2023 within the context of the Mental Health for Ukraine Project (MH4U), implemented in Ukraine by GFA Consulting Group GmbH (donor - Swiss Confederation). The University of Luxembourg, with the support of the European Commission through the MSCA4Ukraine fellowship scheme by the Alexander von Humboldt Foundation (AvH) for premier investigator Viktoriia Gorbunova, is leading a full-scale efficacy study of the UMHT in 2023-2025. Pilot trial data available: https://zenodo.org/records/10410525 Data and file overview To assess the demand, acceptability, adaptability and extendability of the UMHT as the focus areas of the programme’s feasibility were used statistics on the actual use of the program, as well as data from satisfaction and usability surveying of 144 program deliverers and 714 trained frontline professionals. To assess programme demand, we measured the actual use of the program with statistics on the number of trainings conducted with donor support in terms of organisation and financing and independently on request of different organisations. As program acceptability measurement was chosen, training content and delivery satisfaction by its trainers as deliverers and FLP as its recipients through satisfaction surveying. All audiences were asked to assess on a 5-grade scale whether training materials were structured and clear, whether the balance between theory and practice was kept, whether there were enough examples and explanations, whether answers to participants’ questions were full and clear, whether trainers where careful of sensitive topics and mindful of stigma and whether presentations and following material were high quality and perceptibility. The same scale was applied for self-assessing the ToTs participants’ post-training boost of preparedness to lead UMHT in terms of knowledge, skills and general readiness: “My understanding of the topic of interactions with people with MH issues has increased”; “My skills to lead UMH trainings and supervisions was mastered; “My readiness to lead UMH trainings and supervisions has increased”. FLP assessed their with the questions: “My understanding of the topic of interactions with people with MH issues has increased”; “My skills to interact with people with MH issues was mastered; “My readiness to work with people with MH issues has increased. Also, future trainers and FLP were asked to name knowledge and skills they would like to strengthen and give suggestions on changes in the training materials and process to improve it. Additionally, data were taken from the accreditation assessment of UMHT trainers' knowledge and skills observed in the training delivery process. In particular were assessed subject knowledge, organisational skills, instrumental skills, motivational skills, and ethical skills. The adaptability of the program was measured through its comparative usability by different groups of FLP, specifically with questions: “Did you work with people with mental conditions after the UMHT?”; “Did you use the knowledge and skills gained during the UMHT?”; “If yes, what knowledge and skills gained during the UMHT you were able to use?” The list of knowledge and skills consists of those needed on each step of the UMHT model and purposely targeted during the training: recognise MH condition, validate MH condition with a person / their caregivers, support a person, refer for professional help, and ensure the reference was successful. Additional information, such as the content of supervision requests from the UMHT trainers, was driven from supervision reports. In general, there were six possible types of supervision: organisational supervision (issues related to the organisation of the training process and supervision of training participants), content-related supervision (issues related to the need to expand/deepen knowledge about a specific disorder or other training topic), instrumental supervision (issues related to the need to practice specific skills to lead training), navigational supervision (issues related to the need for additional motivation of participants, management of difficult situations, conflict-solving), technical supervision (issues related to the use of digital applications during training and other technical aspects), motivational supervision (questions related to psychological readiness to lead training, burnout and general need for support). The comparative usability for modules centred on MH disorders and newly developed modules centred on mental health crises (aggressive behaviour, self-harm behaviour, suicide & life-threatening behaviour, unusual & disorganised behaviour) was used for extendability measurement of the UMHT. Sharing and accessing information Information (raw anonymised data) is openly available through Zenodo. It is possible to use the information with research aims to evaluate UMHT or compare data with other similar programs. Our research team kindly asks to notify the contact person (Viktoriia Gorbunova) about any dataset usage. Methodological information The aim of the present study was to assess the feasibility of the UMHT as a public mental health promotion&prevention intervention on the base of its demand as well as users’ satisfaction and programme potential to be adjustable for different groups of frontline professionals and to be open to modifications due to design and content features. Therefore, the study focuses on the relevance of the UMHT to social demand, its acceptability, adaptability and capacity for further development and modification. The UMHT was disseminated by the Training of Trainers (ToT) approach, highlighted in the mhGAP Operation Guide (WHO, 2018). To assess the feasibility of the UMHT, we surveyed the satisfaction and usability of the programme, its trainers (mental health professionals trained to deliver the UMHT to different groups of frontline professionals), and frontline professionals (FLP) as programme recipients. Generally, the analysis used answers from 144 UMHT mental health professionals who intended to become UMHT trainers and 714 frontline professionals (social workers (203 persons), educators (152), police officers (122), workers of occupation centres (58), emergency responders (52), military volunteers (34), pharmacists (37), librarians and museum workers (29), priests and clerics (27)). Data-specific information Underlying data are available in the Excel file (UMHT_data_full set_ZENODO_v.2.xlsx), containing five pages. 1. Page " Satisfaction". Contains the answers to questionaries completed by UMHT training participants after the training. 2. Page "Feedback and suggestions UA". Contains the qualitative data, provided by UMHT training participants immediately after the training in Ukrainian language (original). 3. Page "Feedback and suggestions EN". Contains the qualitative data, provided by UMHT training participants immediately after the training in English language (translation). 4. Page " Usability". Contains the answers to questionaries completed by UMHT training participants the month before the training. 5. Page " Supervision reports". Contains the data of assessment of the UMHT participants by UMHT trainers/supervisors. Extended data are available in the PDF file (UMHT Feasibility Extended Data.pdf), containing 38 Tables with detailed statistics, calculated based on the Underlying Data.

通用信息
一线专业人员通用心理健康培训（Universal Mental Health Training for Frontline Professionals，简称UMHT）是2021-2023年在乌克兰开发并试点的教育项目，旨在弥补乌克兰民众心理健康支持需求与医疗体系供给之间的缺口。项目面向一线专业人员开展培训，使其掌握与心理健康问题人群互动、提供支持并转介专业帮助的技能。

UMHT于2021年开发，2021-2023年在由GFA Consulting Group GmbH（捐赠方：瑞士联邦）实施的乌克兰心理健康项目（Mental Health for Ukraine Project，简称MH4U）框架内开展试点。卢森堡大学在欧盟委员会通过亚历山大·冯·洪堡基金会（Alexander von Humboldt Foundation，简称AvH）为首席研究员维多利亚·戈尔布诺娃（Viktoriia Gorbunova）提供的MSCA4Ukraine奖学金计划支持下，于2023-2025年主导开展UMHT的全面效能研究。试点试验数据可通过以下链接获取：https://zenodo.org/records/10410525。

数据与文件概览
为评估UMHT的需求、可接受性、适配性与可扩展性，研究以项目实际使用统计数据，以及144名项目实施者和714名受训一线专业人员的满意度与可用性调查数据，作为项目可行性评估的核心依据。

为评估项目需求，研究通过统计由捐赠方支持开展的培训组织与融资情况，以及不同机构自主申请开展的培训数量，来衡量项目实际使用情况。对于项目可接受性的评估，采用培训内容与交付满意度指标，由作为实施者的培训师和作为接收者的一线专业人员（FLP）通过满意度调查完成。所有调查对象均需通过5级量表对以下内容进行评分：培训材料是否结构清晰、理论与实践的平衡是否得当、是否提供了充足的案例与解释、对参与者问题的答复是否全面清晰、培训师是否关注敏感话题并顾及污名化问题、演示文稿及后续材料是否质量上乘且易于理解。

针对培训师培训（Training of Trainers，简称ToT）参与者，还采用同一量表对其培训后在领导UMHT所需的知识、技能与整体准备度的提升情况进行自我评估，具体问题包括：“我对与心理健康问题人群互动相关主题的理解有所提升”“我已掌握开展UMHT培训与督导的技能”“我开展UMHT培训与督导的准备度有所提升”。一线专业人员则通过以下问题进行自我评估：“我对与心理健康问题人群互动相关主题的理解有所提升”“我已掌握与心理健康问题人群互动的技能”“我开展心理健康相关工作的准备度有所提升”。

此外，未来的培训师与一线专业人员还需填写他们希望强化的知识与技能，并就培训材料与流程的改进提出建议。另外，研究还收集了在培训交付过程中对UMHT培训师知识与技能的认证评估数据，具体评估维度包括：学科知识、组织能力、实操技能、激励技能与伦理技能。

项目适配性通过不同群体一线专业人员的对比可用性测试进行评估，具体问题包括：“你在完成UMHT培训后是否曾与心理健康问题人群开展工作？”“你是否运用了UMHT培训中所学的知识与技能？”“若是，你运用了哪些UMHT培训中所学的知识与技能？”所列的知识与技能均为UMHT模型各环节所需，且在培训中针对性覆盖：识别心理健康问题、与当事人及其照顾者确认心理健康问题、为当事人提供支持、转介专业帮助，并确保转介成功。

此外，督导报告中还包含了UMHT培训师提交的督导请求相关内容。总体而言，督导共分为六大类：组织督导（涉及培训流程组织与培训参与者督导相关问题）、内容相关督导（涉及需要拓展/深化特定障碍或其他培训主题相关知识的问题）、实操督导（涉及需要练习开展培训所需特定技能的问题）、导航督导（涉及需要为参与者提供额外激励、处理棘手情境与解决冲突的问题）、技术督导（涉及培训中数字应用及其他技术层面相关问题）、激励督导（涉及开展培训的心理准备度、职业倦怠与总体支持需求相关问题）。

UMHT的可扩展性评估则采用针对精神障碍模块与新开发的心理健康危机模块（包括攻击行为、自伤行为、自杀及危及生命的行为、异常与紊乱行为）的对比可用性测试。

信息共享与获取
原始匿名数据可通过Zenodo平台公开获取，可用于评估UMHT或与其他类似项目进行数据对比的研究目的。本研究团队恳请所有使用该数据集的人员告知联系人维多利亚·戈尔布诺娃（Viktoriia Gorbunova）。

方法学信息
本研究旨在从需求、用户满意度以及项目针对不同一线专业人员群体的适配潜力与基于设计与内容特征的可修改性等维度，评估UMHT作为公共心理健康促进与预防干预措施的可行性。因此，本研究聚焦于UMHT与社会需求的契合度、可接受性、适配性以及进一步开发与修改的能力。

UMHT采用培训师培训（Training of Trainers，简称ToT）模式开展推广，该模式在《mhGAP操作指南》（世界卫生组织，2018）中有所阐述。为评估UMHT的可行性，研究对项目的满意度与可用性、作为UMHT培训师的心理健康专业人员（负责为不同群体一线专业人员开展UMHT培训）以及作为项目接收者的一线专业人员（FLP）进行了调查。本分析共纳入144名拟成为UMHT培训师的心理健康专业人员，以及714名一线专业人员，具体包括：社会工作者（203人）、教育工作者（152人）、警务人员（122人）、就业中心工作人员（58人）、应急救援人员（52人）、军事志愿者（34人）、药剂师（37人）、图书馆员与博物馆工作人员（29人）、神职人员（27人）。

特定数据信息
基础数据存储于Excel文件（UMHT_data_full set_ZENODO_v.2.xlsx）中，包含5个工作表：
1. “满意度”工作表：收录UMHT培训参与者在培训结束后填写的问卷答案。
2. “反馈与建议（乌克兰语）”工作表：收录UMHT培训参与者在培训结束后即时提交的乌克兰语原始定性数据。
3. “反馈与建议（英语）”工作表：收录UMHT培训参与者在培训结束后即时提交的英语翻译定性数据。
4. “可用性”工作表：收录UMHT培训参与者在培训前一个月填写的问卷答案。
5. “督导报告”工作表：收录UMHT培训师/督导对UMHT培训参与者的评估数据。
扩展数据存储于PDF文件（UMHT Feasibility Extended Data.pdf）中，包含38张基于基础数据计算得出的详细统计表格。