ArticleConflict and health2020
Pathways towards scaling up Problem Management Plus in Turkey: a theory of change workshop.
Article in Conflict and health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 27 citations in OpenAlex.
- Implementation of peer support for people with severe mental health conditions in high-, middle- and low-income-countries: a theory of change approach.BMC health services research · 2024Trial
- Group problem management plus (PM+) to decrease psychological distress among Syrian refugees in Turkey: a pilot randomised controlled trial.BMC psychiatry · 2022Trial
- Optimising knowledge mobilisation for mental health research in low- and middle-income countries: A systematic review of the state of knowledge and directions for future research.Global mental health (Cambridge, England) · 2025Review
- A scoping review of the literature on the application and usefulness of the Problem Management Plus (PM+) intervention around the world.BJPsych open · 2024Article
- Comparing implementation strategies for training and supervising nonspecialists in Group Problem Management Plus: A hybrid effectiveness-implementation trial in Colombia.Global mental health (Cambridge, England) · 2024Article
- World Health Organization's low-intensity psychosocial interventions: a systematic review and meta-analysis of the effects of Problem Management Plus and Step-by-Step.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2023Article
- How is the implementation of empirical research results documented in conflict-affected settings? Findings from a scoping review of peer-reviewed literature.Conflict and health · 2023Article
- Effect of Psychological Counseling Based on Problem Management Plus on Social Anxiety in Parents of Children with Autism Spectrum Disorder.Iranian journal of public health · 2023Article
- Using a theory of change in monitoring, evaluating and steering scale-up of a district-level health management strengthening intervention in Ghana, Malawi, and Uganda - lessons from the PERFORM2Scale consortium.BMC health services research · 2022Article
- Barriers and facilitators for scaling up mental health and psychosocial support interventions in low- and middle-income countries for populations affected by humanitarian crises: a systematic review.International journal of mental health systems · 2021Review
- Improving mental health and psychosocial wellbeing in humanitarian settings: reflections on research funded through R2HC.Conflict and health · 2020Article
- Planning the scale up of brief psychological interventions using theory of change.BMC health services research · 2020Article
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Authors and funding
12 authors at 7 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA considerable evidence base has been produced in recent years highlighting the effectiveness of brief scalable psychological interventions for people living in communities exposed to adversity. However, practical guidance on how to scale up these interventions to wider populations does not exist. In this paper we report on the use of Theory of Change (ToC) to plan the scale up of the World Health Organization's flagship low intensity psychological intervention "Problem Management Plus" (PM+) for Syrian refugees in Turkey.
methodsWe conducted a one-day ToC workshop in Istanbul. ToC is a participatory planning process used in the development, implementation and evaluation of projects. It is similar to driver diagrams or logic models in that it offers a tool to visually present the components needed to reach a desired long-term outcome or impact. The overall aim of ToC is to understand the change process of a complex intervention and to map out causal pathways through which an intervention or strategy has an effect.
resultsTwenty-four stakeholders (including governmental officials, mental health providers, officials from international/national non-governmental organisations, conflict and health researchers) participated in the ToC workshop. A ToC map was produced identifying three key elements of scaling up (the resource team; the innovation and the health system; and the user organisation) which are represented in three distinct causal pathways. Context-specific barriers related to the health system and the political environment were identified, and possible strategies for overcoming these challenges were suggested.
conclusionToC is a valuable methodology to develop an integrated framework for scaling up. The results highlight that the scaling up of PM+ for Syrian refugees in Turkey needs careful planning and investment from different stakeholders at the national level. Our paper provides a theoretical foundation of the scaling up of PM+, and exemplifies for the first time the use of ToC in planning the scaling up of an evidence-based psychological intervention in global mental health.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.