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Factors Related to Current Level of Knowledge and Skills of Psychological First Aid Among Health Care Providers for Africa and the Global South: A Systematic Review

Published online by Cambridge University Press:  07 April 2025

Oluwaseun Adebayo Adewunmi*
Affiliation:
Department of Public Health, Institute of Science, Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
Takeo Fujiwara
Affiliation:
Department of Public Health, Institute of Science, Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
Nobutoshi Nawa
Affiliation:
Department of Public Health, Institute of Science, Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
Yu Par Khin
Affiliation:
Department of Public Health, Institute of Science, Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan
Eyitayo Adedamola Lawal
Affiliation:
Department of Health Promotion and Education, University of Ibadan, Ibadan, Nigeria
*
Corresponding author: Oluwaseun Adebayo Adewunmi; Emails: [email protected]; [email protected]

Abstract

Introduction and Objective

Psychological First Aid (PFA) is a crucial intervention designed to mitigate the psychological impact of acute crises among individuals. PFA aims to equip health care providers with the necessary skills and knowledge to offer immediate psychosocial support, thereby reducing the potential for long-term mental health issues. This study assesses health care practitioners’ existing knowledge and skills in PFA.

Methods

We searched PubMed, Psych INFO, Web of Science, CINAHL, and Google Scholar databases from April 1, 2023 to August 7, 2023, for studies published within 10 years that reported knowledge and skills of health care workers on PFA. A qualitative synthesis was performed on the selected studies.

Results

Out of the 626 resulting studies, 12 were eligible. Self-efficacy was used to determine the effectiveness of psychological first-aid training. Passage of time had a significant impact on health care workers’ understanding of proper psychosocial responses. PFA training is effective in providing psychological assistance to health personnel. The longer-term effects of the PFA training program are unknown.

Conclusions

The findings highlight the effectiveness of PFA training in improving health care providers’ knowledge and skills, calling for ongoing efforts to address challenges, adapt training approaches, and ensure the continued improvement of psychosocial support in acute crises.

Type
Systematic Review
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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References

Shultz, JM, Forbes, D. Psychological first aid. Disaster Health. 2013;2(1):312. doi:10.4161/dish.26006CrossRefGoogle ScholarPubMed
Jacobs, GA, Gray, BL, Erickson, SE, et al. Disaster mental health and community-based psychological first aid: concepts and education/training. J Clin Psychol. 2016;72(12):13071317. doi:10.1002/jclp.22316CrossRefGoogle ScholarPubMed
Azzollini, SC, Depaula, PD, Cosentino, AC, et al. Applications of psychological first aid in disaster and emergency situations: its relationship with decision-making. CONICET Digital. Published April 1, 2018. Accessed June 28, 2023. https://ri.conicet.gov.ar/handle/11336/176309Google Scholar
Goodridge, D, Isinger, T, Rotter, T. Patient family advisors’ perspectives on engagement in healthcare quality improvement initiatives: power and partnership. Health Expect. 2017;21(1):379386. doi:10.1111/hex.12633CrossRefGoogle ScholarPubMed
World Health Organization. World mental health day 2016 - psychological first aid. World Health Organization. Published 2016. Accessed June 28, 2023. https://www.who.int/news-room/events/detail/2016/10/10/default-calendar/world-mental-health-day-2016---psychological-first-aidGoogle Scholar
Shah, K, Bedi, S, Onyeaka, H, et al. The role of psychological first aid to support public mental health in the COVID-19 pandemic. Cureus. 2020;12(6). doi:10.7759/cureus.8821Google ScholarPubMed
Mendenhall, E, De Silva, MJ, Hanlon, C, et al. Acceptability and feasibility of using non-specialist health workers to deliver mental health care: stakeholder perceptions from the PRIME district sites in Ethiopia, India, Nepal, South Africa, and Uganda. Soc Sci Med. 2014;118:3342. doi:10.1016/j.socscimed.2014.07.057CrossRefGoogle ScholarPubMed
O’Hanlon, KP, Budosan, B. Access to community-based mental healthcare and psychosocial support within a disaster context. BJPsych Int. 2015;12(2):4447. doi:10.1192/s2056474000000295CrossRefGoogle ScholarPubMed
Singla, DR, Kohrt, BA, Murray, LK, et al. Psychological treatments for the world: lessons from low- and middle-income countries. Annu Rev Clin Psychol. 2017;13(1):149181. doi:10.1146/annurev-clinpsy-032816-045217CrossRefGoogle ScholarPubMed
LeBan, K, Kok, M, Perry, HB. Community health workers at the dawn of a new era: 9. CHWs’ relationships with the health system and communities. Health Res Policy Syst. 2021;19(suppl 3). doi:10.1186/s12961-021-00756-4CrossRefGoogle ScholarPubMed
Said, NB, Molassiotis, A, Chiang, VCL. Psychological first aid training in disaster preparedness for nurses working with emergencies and traumas. Int Nurs Rev. 2022;69(4):548558. doi:10.1111/inr.12749CrossRefGoogle ScholarPubMed
Math, S, Nirmala, M, Moirangthem, S, et al. Disaster management: mental health perspective. Indian J Psychol Med. 2015;37(3):261. doi:10.4103/0253-7176.162915CrossRefGoogle ScholarPubMed
Wang, L, Norman, I, Xiao, T, et al. Psychological first aid training: a scoping review of its application, outcomes and implementation. Int J Environ Res Public Health. 2021;18(9):4594. doi:10.3390/ijerph18094594CrossRefGoogle ScholarPubMed
Albrecht, JR. International nongovernmental organization (INGO) emergency response plan: the inclusion of psychological first aid (PFA) services. ProQuest. Published 2017. Accessed June 28, 2023. https://search.proquest.com/openview/ef1643aba4b65145b57c98e2eebdbfae/1?pq-origsite=gscholar&cbl=18750Google Scholar
Corey, J, Vallières, F, Frawley, T, et al. A rapid realist review of group psychological first aid for humanitarian workers and volunteers. Int J Environ Res Public Health. 2021;18(4):1452. doi:10.3390/ijerph18041452CrossRefGoogle ScholarPubMed
Horn, R, O’May, F, Esliker, R, et al. The myth of the 1-day training: the effectiveness of psychosocial support capacity-building during the Ebola outbreak in West Africa. Glob Ment Health. 2019;6:e5. doi:10.1017/gmh.2019.2CrossRefGoogle ScholarPubMed
Page, MJ, McKenzie, JE, Bossuyt, PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. doi:10.1136/bmj.n71CrossRefGoogle ScholarPubMed
Snyder, H. Literature review as a research methodology: an overview and guidelines. J Bus Res. 2019;104(1):333339. doi:10.1016/j.jbusres.2019.07.039CrossRefGoogle Scholar
Munn, Z, Stern, C, Aromataris, E, et al. What kind of systematic review should I conduct? A proposed typology and guidance for systematic reviewers in the medical and health sciences. BMC Med Res Methodol. 2018;18(1):19. doi:10.1186/s12874-017-0468-4CrossRefGoogle ScholarPubMed
Moreton, E. Systematic reviews: step 6: assess quality of included studies. University of North Carolina at Chapel Hill Libraries. Published 2023. Accessed August 31, 2023. https://guides.lib.unc.edu/systematic-reviews/assess-qualityGoogle Scholar
Long, HA, French, DP, Brooks, JM. Optimising the value of the Critical Appraisal Skills Programme (CASP) tool for quality appraisal in qualitative evidence synthesis. Res Methods Med Health Sci. 2020;1(1):3142. doi:10.1177/2632084320947559Google Scholar
Sijbrandij, M, Horn, R, Esliker, R, et al. The effect of psychological first aid training on knowledge and understanding about psychosocial support principles: a cluster-randomized controlled trial. Int J Environ Res Public Health. 2020;17(2):484. doi:10.3390/ijerph17020484CrossRefGoogle ScholarPubMed
Mutunga, J, Odhiambo, ROS E, Iyaya, M. Psychological first aid practices applied by humanitarian responders during disasters in Kakamega County, Kenya. Int J Soc Sci Humanit Invent. 2022;9(9):72307238. doi:10.18535/ijsshi/v9i09.07CrossRefGoogle Scholar
Kılıç, N, Şimşek, N. The effects of psychological first aid training on disaster preparedness perception and self-efficacy. Nurse Educ Today. 2019;83:104203. doi:10.1016/j.nedt.2019.104203CrossRefGoogle ScholarPubMed
Akoury-Dirani, L, Sahakian, T, Hassan, F, et al. Psychological first aid training for Lebanese field workers in the emergency context of the Syrian refugees in Lebanon. Psychol Trauma. 2015;7(6):533.CrossRefGoogle ScholarPubMed
Peng, M, Xiao, T, Carter, B, et al. Evaluation of the effectiveness and cost-effectiveness of psychological first aid (PFA) system based training for frontline health workers in emergency health services in China a study protocol of a cluster randomised controlled trial. Front Psychiatry. 2022;13:1044594.CrossRefGoogle Scholar
Citraningtyas, T, Wiwie, M, Amir, N, et al. Capacity building for child and adolescent mental health in disaster areas: learning from the experiences of mental health care workers in Indonesia. Australas J Disaster Trauma Stud. 2017;21(2):5764.Google Scholar
Wang, L, Norman, I, Xiao, T, et al. Evaluating a psychological first aid training intervention (Preparing Me) to support the mental health and wellbeing of Chinese healthcare workers during healthcare emergencies: protocol for a randomized controlled feasibility trial. Front Psychiatry. 2022;12:809679.CrossRefGoogle ScholarPubMed
Park, JS, Choi, YJ. The effect of a simulated fire disaster psychological first aid training program on the self-efficacy, competence, and knowledge of mental health practitioners. Disaster Med Public Health Prep. 2020;16(1):17. doi:10.1017/dmp.2020.184Google ScholarPubMed
Asaoka, H, Koido, Y, Kawashima, Y, et al. Longitudinal change of psychological distress among healthcare professionals with and without psychological first aid training experience during the COVID-19 pandemic. Int J Environ Res Public Health. 2021;18(23):12474. doi:10.3390/ijerph182312474CrossRefGoogle ScholarPubMed
Chandra, A, Kim, J, Pieters, HC, et al. Implementing psychological first-aid training for medical reserve corps volunteers. Disaster Med Public Health Prep. 2014;8(1):95100. doi:10.1017/dmp.2013.112CrossRefGoogle ScholarPubMed
McCabe, OL, Everly, GS, Brown, LM, et al. Psychological first aid: a consensus-derived, empirically supported, competency-based training model. Am J Public Health. 2014;104(4):621628. doi:10.2105/AJPH.2013.301219CrossRefGoogle ScholarPubMed
Zakrajsek, RA, Martin, SB, Wrisberg, CA. National Collegiate Athletic Association Division I certified athletic trainers’ perceptions of the benefits of sport psychology services. J Athl Train. 2016;51(5):398405. doi:10.4085/1062-6050-51.5.13CrossRefGoogle Scholar
Wang, L, Norman, I, Xiao, T, et al. Psychological first aid training: a scoping review of its application, outcomes and implementation. Int J Environ Res Public Health. 2021;18(9):4594. doi:10.3390/ijerph18094594CrossRefGoogle ScholarPubMed
Everly, GS, McCabe, OL, Semon, NL, et al. The development of a model of psychological first aid for non–mental health trained public health personnel. J Public Health Manag Pract. 2014;20(suppl 5):S24S29. doi:10.1097/PHH.0000000000000065CrossRefGoogle Scholar
Lalani, N, Drolet, J. Effectiveness of psychological first aid training for social work students, practitioners and human service professionals in Alberta, Canada. J Pract Teach Learn. 2020;17(1):721. doi:10.1921/jpts.v17i1.1269CrossRefGoogle Scholar
Movahed, M, Khaleghi-Nekou, M, Alvani, E, et al. The impact of psychological first aid training on the providers: a systematic review. Disaster Med Public Health Prep. Published online March 25, 2022. doi:10.1017/dmp.2022.27CrossRefGoogle Scholar
Boling, B, Hardin-Pierce, M. The effect of high-fidelity simulation on knowledge and confidence in critical care training: an integrative review. Nurse Educ Pract. 2016;16(1):287293. doi:10.1016/j.nepr.2015.10.004CrossRefGoogle ScholarPubMed
Miller, J, Pescaroli, G. Psychosocial capacity building in response to cascading disasters: a culturally informed approach. Int J Disaster Risk Reduct. 2018;30:164171. Accessed July 20, 2023. https://core.ac.uk/download/pdf/231090636.pdfCrossRefGoogle Scholar
Birkhead, GS, Vermeulen, K. Sustainability of psychological first aid training for the disaster response workforce. Am J Public Health. 2018;108(suppl 5):S381S382. doi:10.2105/AJPH.2018.304643CrossRefGoogle ScholarPubMed
Johnson, T. Logistic and structural considerations for the use of psychological first aid in humanitarian emergencies. Independent Study Project (ISP) Collection. Published October 1, 2019. Accessed July 20, 2023. https://digitalcollections.sit.edu/isp_collection/3217/Google Scholar
Ndile, ML, Lukumay, GG, Bolenius, K, et al. Impact of a postcrash first aid educational program on knowledge, perceived skills confidence, and skills utilisation among traffic police officers: a single-arm before-after intervention study. BMC Emerg Med. 2020;20(1). doi:10.1186/s12873-020-00317-yCrossRefGoogle ScholarPubMed
Olumide, AO, Asuzu, MC, Kale, OO. Effect of first aid education on first aid knowledge and skills of commercial drivers in South West Nigeria. Prehosp Disaster Med. 2015;30(6):579585. doi:10.1017/S1049023X15005282CrossRefGoogle ScholarPubMed
Sim, T, Wang, A. Contextualization of psychological first aid: an integrative literature review. J Nurs Scholarsh. 2023;53(2):189197. doi:10.1111/jnu.12613CrossRefGoogle Scholar
North, CS, Pfefferbaum, B. Mental health response to community disasters. JAMA. 2013;310(5):507. doi:10.1001/jama.2013.107799CrossRefGoogle ScholarPubMed
Ndile, ML, Saveman, BI, Outwater, AH, et al. Implementing a layperson post-crash first aid training programme in Tanzania: a qualitative study of stakeholder perspectives. BMC Public Health. 2020;20(1). doi:10.1186/s12889-020-08692-8CrossRefGoogle ScholarPubMed
Leng, Y, Wu, Y, Wang, Z, et al. A qualitative study exploring barriers and facilitators to establishing nurse-led, multidisciplinary psychological care for trauma patients: experiences from doctors and nurses. BMC Nurs. 2022;21(1). doi:10.1186/s12912-022-00971-6CrossRefGoogle ScholarPubMed
Grant, L, Kinman, G. Emotional resilience in the helping professions and how it can be enhanced. Health Soc Care Educ. 2014;3(1):2334. doi:10.11120/hsce.2014.00040CrossRefGoogle Scholar
Dong, L, Bouey, J. Public mental health crisis during COVID-19 pandemic, China. Emerg Infect Dis. 2020;26(7). doi:10.3201/eid2607.200407CrossRefGoogle ScholarPubMed