A Pre and Post-Test Evaluation of a Substance Use Disorder Curriculum for Training Students of the Carter Center Mental Health Program in Liberia Público

Abstract

ABSTRACT

It is estimated that forty percent of Liberia's population suffer from post-traumatic stress disorder (PTSD). The Liberian Ministry of Health and Social Welfare invited The Carter Center to help them build a sustainable mental health system. A curriculum for substance use disorder (SUD) was developed as part of this training. The SUD curriculum was taught as a one week training for the current group of students in The Carter Center MHP, Cohort 5, and the training was modified as a one day in-service training for Graduates of The Carter Center MHP. A pre and post-test evaluation of this curriculum was conducted. In addition, both groups were also given qualitative evaluations which were examined for any trends. The average score on the pre-test for Cohort 5 was 45% and their post-test score average was 91%. A paired-sample t-test analysis was done to determine if this improvement in scores was significant. Results of the pre and post-test scores showed significant improvement, t = 23, (p-value < 0.001). The average score on the pre-test for the Graduates was 47% and their post-test score was 81%. A paired-sample t-test analysis was done to determine if this improvement in score was significant. Results of the pre and post-test scores showed significant improvement, t = 23, (p-value < 0.001). A final analysis was done to compare Cohort 5 and the Graduates improvement scores. This analysis was done using an independent sample t-test. Results of the t-test showed a greater improvement in scores of Cohort 5 as compared to the Graduates, statistically significant with t = 2.56, (p-value < 0.015).

Conclusions, Recommendations and Implications

This evaluation will contribute to the body of literature about the implementation of substance use disorder interventions particularly in LAMICs that have high incidences of mental illness as a result of trauma.

Table of Contents

TABLE OF CONTENTS Acknowledgements............................................................................................................. vii Abstract............................................................................................................................ viii Table of Contents................................................................................................................ ix List of Table....................................................................................................................... x

List of Figures ................................................................................................................... xi

Chapter 1 - Introduction...................................................................................................... 1

Problem Statement............................................................................................................. 1

Problem Description ........................................................................................................... 3

Objectives......................................................................................................................... 3

Content Outline.................................................................................................................. 4

End of Course Competencies................................................................................................ 5

Logic Model ...................................................................................................................... 6

Evaluation ....................................................................................................................... 10

Chapter 2 - Literature Review.............................................................................................. 11

Review of Literature Related to Outcomes of the Evaluation..................................................... 11

Review of Literature Related to the Evaluation Methods........................................................... 16

Chapter 3 - Methodology......................................................................................................21

Cohort 5 Evaluation Process................................................................................................. 22

Graduates Evaluation Process............................................................................................... 23

Data Analysis..................................................................................................................... 24

Limitations and Delimitations............................................................................................... 25

Chapter 4 - Results............................................................................................................ 27

Results of Pre and Post-Test Scores of Cohort 5...................................................................... 27

Pre-Test Results for Cohort 5............................................................................................... 27

Post-Test Results for Cohort 5.............................................................................................. 29

Comparison of Pre and Post-Test for Cohort 5........................................................................ 31

Results of Pre and Post-Test Scores of the Graduates.............................................................. 33

Pre-Test Results for the Graduates....................................................................................... 34

Post-Test Results for the Graduates...................................................................................... 36

Comparison of Pre and Post-Test for the Graduates................................................................ 38

Comparison of Improvement Scores for Cohort 5 and the Graduates........................................ 41

Results of qualitative Evaluations for Cohort 5 and the Graduates............................................ 43

Results of Cohort 5 evaluation............................................................................................ 44

Results of the Graduates evaluation.................................................................................... 47

Comparison drawn from both qualitative evaluations............................................................. 50

Chapter 5 - Conclusions, Recommendations, and Implications................................................ 52

Conclusions from Pre/Post-Test Analysis.............................................................................. 52

Conclusions from Qualitative Evaluations............................................................................. 53

Recommendations............................................................................................................ 54 Implications.................................................................................................................... 55 References..................................................................................................................... 57 Appendices..................................................................................................................... 59

About this Master's Thesis

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School	Rollins School of Public Health
Department	Career Masters of Public Health
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Psychology, General Health Sciences, Public Health Social Work
Palabra Clave	Training Curriculum Evaluation Substance Use Disorder
Committee Chair / Thesis Advisor	Smith, Iris E, Emory University
Committee Members	Harrison, Nzinga A, Emory University
Partnering Agencies	International Non-governmental organization (e.g., CARE, Inc.)

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