ArticleBMC health services research2020
Planning the scale up of brief psychological interventions using theory of change.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 50 citations in OpenAlex.
- Implementing a Non-Specialist Delivered Psychological Intervention for Young Adolescents in a Protracted Refugee Setting: a Qualitative Process Evaluation in Lebanon.The journal of behavioral health services & research · 2024Trial
- Comparing Mediators and Moderators of Mental Health Outcomes from the Implementation of Group Problem Management Plus (PM+) among Venezuelan Refugees and Migrants and Colombian Returnees in Northern Colombia.International journal of environmental research and public health · 2024Trial
- Peer-provided psychological intervention for Syrian refugees: results of a randomised controlled trial on the effectiveness of Problem Management Plus.BMJ mental health · 2023Trial
- Group problem management plus (PM+) to decrease psychological distress among Syrian refugees in Turkey: a pilot randomised controlled trial.BMC psychiatry · 2022Trial
- Decentralising healthcare for diabetes and hypertension from secondary to primary level in a humanitarian setting in Kurdistan, Iraq: a qualitative study.BMC health services research · 2025Article
- A qualitative process evaluation of group problem management plus for distressed Syrian refugees in Türkiye.Global mental health (Cambridge, England) · 2025Article
- A 'Cultural Models' Approach to Psychotherapy for Refugees and Asylum Seekers: A Case Study from the UK.International journal of environmental research and public health · 2024Article
- A scoping review of the literature on the application and usefulness of the Problem Management Plus (PM+) intervention around the world.BJPsych open · 2024Article
- Using theory of change to plan for the implementation of a psychological intervention addressing alcohol use disorder and psychological distress in Uganda.Global mental health (Cambridge, England) · 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
- 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
- Developing an integrated model of care for vulnerable populations living with non-communicable diseases in Lebanon: an online theory of change workshop.Conflict and health · 2023Article
- Developing a framework for evaluation: a Theory of Change for complex workplace mental health interventions.BMC public health · 2023Article
- Health Care Organization in Poland in Light of the Refugee Crisis Related to the Military Conflict in Ukraine.International journal of environmental research and public health · 2023Review
- A theory of change for community-initiated mental health care in the United States.Global mental health (Cambridge, England) · 2023Article
- Improving child health service interventions through a Theory of Change: A scoping review.Frontiers in pediatrics · 2023Article
- Mixed-methods evaluation of a group psychosocial intervention for refugee, migrant and host community women in Ecuador and Panamá: Results from theGlobal mental health (Cambridge, England) · 2023Article
- A theory of change of an innovation for therapeutic care and meaningful living in a German nursing home.BMC geriatrics · 2022Article
- 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
- Mental health in Lebanon: Tomorrow's silent epidemic.Mental health & prevention · 2021Article
Corrections and comments
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Authors and funding
13 authors at 7 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA large mental health treatment gap exists among conflict-affected populations, and Syrian refugees specifically. Promising brief psychological interventions for conflict-affected populations exist such as the World Health Organization's Problem Management Plus (PM+) and the Early Adolescent Skills for Emotions (EASE) intervention, however, there is limited practical guidance for countries of how these interventions can be taken to scale. The aim of this study was to unpack pathways for scaling up PM+ and EASE for Syrian refugees.
methodsWe conducted three separate Theory of Change (ToC) workshops in Turkey, the Netherlands, and Lebanon in which PM+ and EASE are implemented for Syrian refugees. ToC is a participatory planning process involving key stakeholders, and aims to understand a process of change by mapping out intermediate and long-term outcomes on a causal pathway. 15-24 stakeholders were invited per country, and they participated in a one-day interactive ToC workshop on scaling up.
resultsA cross-country ToC map for scale up brief psychological interventions was developed which was based on three country-specific ToC maps. Two distinct causal pathways for scale up were identified (a policy and financing pathway, and a health services pathway) which are interdependent on each other. A list of key assumptions and interventions which may hamper or facilitate the scaling up process were established.
conclusionToC is a useful tool to help unpack the complexity of scaling up. Our approach highlights that scaling up brief psychological interventions for refugees builds on structural changes and reforms in policy and in health systems. Both horizontal and vertical scale up approaches are required to achieve sustainability. This paper provides the first theory-driven map of causal pathways to help support the scaling-up of evidence-based brief psychological interventions for refugees and populations in global mental health more broadly.
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Registered trials
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.