Evidence map›Paper›PMID 35168661›Full record

ArticleImplementation science communications2022

Alternate delivery platforms and implementation models for bringing evidence-based behavioral interventions to scale for youth facing adversity: a case study in West Africa.

Laura Bond, Jordan Farrar, Ryan C Borg, Katrina Keegan, Katharine Journeay, Nathan Hansen, Emmanuel Mac-Boima, Alimamy Rassin, Theresa S Betancourt

2 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

NCT03542500 nacompletednot on this map

Youth Functioning and Organizational Success for West African Regional Development: Scale Up

TypeinterventionalSponsorBoston CollegeRan2019 to 2022Enrolled1,783ConditionsMental Health Impairment, Mental Health Disorder, Psychosocial ProblemArmsYouth Readiness Intervention (YRI), Entrepreneurship Training
NCT03603613 nacompletednot on this map

Youth Functioning and Organizational Success for West African Regional Development: Pilot

TypeinterventionalSponsorBoston CollegeRan2018 to 2019Enrolled297ConditionsMental Health Disorder, Mental Health Impairment, Psychosocial Impairment, Emotional DysfunctionArmsYRI, EPP
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Trial
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  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Laura BondBoston College School of Social Work, 140 Commonwealth Avenue, Chestnut Hill, MA, 02467, USA.
Jordan FarrarBoston College School of Social Work, 140 Commonwealth Avenue, Chestnut Hill, MA, 02467, USA.
Ryan C BorgBoston College School of Social Work, 140 Commonwealth Avenue, Chestnut Hill, MA, 02467, USA.
Katrina KeeganBoston College School of Social Work, 140 Commonwealth Avenue, Chestnut Hill, MA, 02467, USA.
Katharine JourneayBoston College School of Social Work, 140 Commonwealth Avenue, Chestnut Hill, MA, 02467, USA.
Nathan HansenUniversity of Georgia College of Public Health, Health Sciences Campus, Athens, GA, 30602, USA.
Emmanuel Mac-BoimaCaritas Sierra Leone, 19 Savage Street, Freetown, Sierra Leone.
Alimamy RassinCaritas Sierra Leone, 19 Savage Street, Freetown, Sierra Leone.
Theresa S BetancourtBoston College School of Social Work, 140 Commonwealth Avenue, Chestnut Hill, MA, 02467, USA. betancth@bc.edu.ORCID http://orcid.org/0000-0002-3683-4440

Funding

Social and Biological Mechanisms Driving the Intergenerational Impact of War on Child Mental Health: Implications for Developing Family-Based InterventionsR01MH128928 · NIMH · BOSTON COLLEGE · PI Theresa Stichick Betancourt · 2022 to 2026
$3.6M
Youth FORWARD: Capacity Building in Alternate Delivery Platforms and Implementation Models for Bringing Evidence-Based Behavioral Interventions to Scale for Youth Facing Adversity in West AfricaU19MH109989 · NIMH · HARVARD SCHOOL OF PUBLIC HEALTH · PI BETANCOURT, THERESA STICHICK, HANSEN, NATHAN B · 2016 to 2021
$2.6M
NIMH NIH HHS R01 MH128928NIMH NIH HHS U19 MH109989NIMH NIH HHS U19MH109989
6 · The paper itself

Abstract

backgroundYouth Functioning and Organizational Success for West African Regional Development (Youth FORWARD) was launched as an implementation science collaboration focused on scaling out evidence-based mental health interventions for youth exposed to war and other adversities through novel delivery platforms. This implementation science case study examines the use of a collaborative team approach (CTA) as a scale-out strategy to foster the integration of an evidence-based group mental health intervention, the Youth Readiness Intervention, into youth employment programs tied to regional economic development in Sierra Leone.

methodsA case study methodology is used to explore the feasibility and acceptability of integrating an evidence-based intervention, the Youth Readiness Intervention (YRI), into youth entrepreneurship programs (ENTR) in Sierra Leone, facilitated by the CTA. The authors analyzed field notes logged during program implementation, 8 weeks of supervision notes, 20 interviews with agency leaders and front-line staff delivering the YRI within this alternate delivery platform. Quantitative dissemination and implementation interviews administered to youth, facilitators, and agency leaders were analyzed using descriptive statistics and mixed linear models. A linked Hybrid Type II effectiveness-implementation cluster randomized trial is evaluating the clinical effectiveness of the YRI within this delivery platform.

resultsExtant data indicate the strong feasibility and acceptability of integrating the YRI into the ENTR program. Facilitators of integration of the YRI into the ENTR include mission alignment of the organizations with the delivery of psychosocial interventions, shared commitment to serving vulnerable youth, support from local District Youth Councils, and high interest from the youth served. Barriers include perceived competition between frontline organizations seeking funding for psychosocial interventions, and challenges in flexibility between donors and implementation partners operating in a fragile/post-conflict setting. The CTA was a feasible and acceptable strategy to support fidelity and quality improvement while scaling out the YRI.

conclusionsYouth entrepreneurship and livelihood programs offer a promising mechanism for expanding the reach of evidence-based interventions to youth in fragile and post-conflict settings. Quality improvement and sustainment of evidence-based interventions are novel concepts in such settings. The CTA strategy institutionalizes the integration of an evidence-based intervention into youth entrepreneurship programs.

trial registrationNCT03603613 (phase 1 pilot, registered May 18, 2018) and NCT03542500 (phase 2 scale-out study, registered May 18, 2018).

Indexed as

Alternate delivery platformsCollaborative team approachConflict-affected regionsEmployment/entrepreneurship programsEvidence-based interventionLow-resource settingMental healthScaling outSierra LeoneYouth

Identifiers

PMID35168661
PMCPMC8848683

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.