ArticleIntervention (Amstelveen, Netherlands)
Adapting Problem Management Plus for Implementation: Lessons Learned from Public Sector Settings Across Rwanda, Peru, Mexico and Malawi.
Article in Intervention (Amstelveen, Netherlands). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06659315 (Addressing Perinatal Depression and PMTCT Adherence in Malawi), which is not on this map. Cited by 18 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Addressing Perinatal Depression and PMTCT Adherence in Malawi: A Couple-Based Approach
Who cites it
18 citing papers in PubMed.
- Internet-Based Problem Management Plus Intervention for Antenatal Depression: Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Effectiveness, cost-effectiveness, and positive externalities of integrated chronic care for adults with major depressive disorder in Malawi (IC3D): a stepped-wedge, cluster-randomised, controlled trial.Lancet (London, England) · 2024Trial
- Couples problem-solving therapy for perinatal women living with HIV and male partners in Malawi: a study protocol for a pilot trial ofBMJ open · 2026Article
- Advancing mental health equity: a community-based adaptation of problem management plus (PM+) on a mobile health clinic.Frontiers in public health · 2026Article
- Clinical outcomes of a primary care mental health implementation program scale-up in the Eastern Province of Rwanda: a prospective cohort study.BMC psychiatry · 2025Article
- Development of a non-specialist worker delivered psychological intervention to address alcohol use disorders and psychological distress among conflict-affected populations in Uganda and Ukraine.International journal of mental health systems · 2025Article
- Integrated programs for common mental illnesses within primary care and community settings in Latin America: a scoping review of components and implementation strategies.Lancet regional health. Americas · 2025Article
- 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
- Article
- A scoping review of the literature on the application and usefulness of the Problem Management Plus (PM+) intervention around the world.BJPsych open · 2024Article
- Integrating Mental Health Management into Empowerment Group Sessions for Out-of-School Adolescents in Kenyan Informal Settlements: A Process Paper.International journal of environmental research and public health · 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
- Piloting a psychosocial intervention for perinatal depression, the Thinking Healthy Programme-Peer delivered (THPP), in a primary care setting in Lilongwe District, Malawi.PLOS global public health · 2024Article
- Programmatic implementation of depression screening and remote mental health support sessions for persons recently diagnosed with TB in Lima, Peru during the COVID-19 pandemic.Global mental health (Cambridge, England) · 2024Article
- A qualitative evaluation of the use of Problem Management Plus (PM+) among Arabic-speaking migrants with psychological distress in France - The APEX study.European journal of psychotraumatology · 2024Article
- Enhancing mental health and well-being in adults from lower-resource settings: A mixed-method evaluation of the impact of problem management plus.Global mental health (Cambridge, England) · 2024Article
- MSW Students' Perspectives on Learning and Delivering a Protocolized, Low-Intensity Transdiagnostic Psychological Intervention: Implications for Experiential Learning.Community mental health journal · 2023Article
- Article
Corrections and comments
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Authors and funding
24 authors.
Funding
Abstract
Problem Management Plus (PM+) is a low-intensity psychological intervention developed by the World Health Organization that can be delivered by nonspecialists to address common mental health conditions in people affected by adversity. Emerging evidence demonstrates the efficacy of PM+ across a range of settings. However, the published literature rarely documents the adaptation processes for psychological interventions to context or culture, including curriculum or implementation adaptations. Practical guidance for adapting PM+ to context while maintaining fidelity to core psychological elements is essential for mental health implementers to enable replication and scale. This paper describes the process of contextually adapting PM+ for implementation in Rwanda, Peru, Mexico and Malawi undertaken by the international nongovernmental organization Partners In Health. To our knowledge, this initiative is among the first to adapt PM+ for routine delivery across multiple public sector primary care and community settings in partnership with Ministries of Health. Lessons learned contribute to a broader understanding of effective processes for adapting low-intensity psychological interventions to real-world contexts.
Indexed as
Identifiers
34642580PMC8503941What OpenQuestion holds
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.