Evidence map›Paper›PMID 35968901›Full record

ArticleBJPsych open2022

Perceived sustainability of psychosocial treatment in low- and middle-income countries in South-Eastern Europe.

Emina Ribic, Hana Sikira, Alma Dzubur Kulenovic, Tamara Pemovska, Manuela Russo, Nikolina Jovanovic, Tamara Radojicic, Selman Repisti, Miloš Milutinović, Biljana Blazevska and 4 more

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In one paragraph

Article in BJPsych open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Emina RibicClinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina.ORCID https://orcid.org/0000-0002-4569-1277
Hana SikiraClinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Alma Dzubur KulenovicClinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Tamara PemovskaUnit for Social and Community Psychiatry, Queen Mary University of London, London, UK; and WHO Collaborating Centre for Mental Health Services Development, Bart's and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Manuela RussoUnit for Social and Community Psychiatry, Queen Mary University of London, London, UK.ORCID https://orcid.org/0000-0002-0098-7533
Nikolina JovanovicUnit for Social and Community Psychiatry, Queen Mary University of London, London, UK; and Newham Centre for Mental Health, London, UK.ORCID https://orcid.org/0000-0002-7554-9837
Tamara RadojicicClinical Centre of Montenegro, Podgorica, Montenegro.
Selman RepistiClinical Centre of Montenegro, Podgorica, Montenegro.
Miloš MilutinovićUniversity Clinical Centre Mother Teresa Skopje, Skopje, Macedonia.
Biljana BlazevskaUniversity Clinical Centre Mother Teresa Skopje, Skopje, Macedonia.
Jon KonjufcaDepartment of Psychology, University of Prishtina 'Hasan Prishtina', Prishtina, Kosovo, Albania; and University of Prishtina, Kosovska Mitrovica, Serbia.
Fjolla RamadaniDepartment of Psychology, University of Prishtina 'Hasan Prishtina', Prishtina, Kosovo, Albania.ORCID https://orcid.org/0000-0002-3429-9034
Stefan JeroticDepartment of Psychiatry, University Clinical Center of Serbia, Belgrade, Serbia; and Department of Psychiatry, Clinic for Psychiatry, Clinical Centre of Serbia, Belgrade, Serbia.ORCID https://orcid.org/0000-0002-7784-0249
Bojana SavicUniversity Clinical Center of Serbia, Belgrade, Serbia.

Funding

Horizon 2020 Framework Programme 779334
6 · The paper itself

Abstract

backgroundDIALOG+ is an evidence-based, generic, cost-saving and easily deliverable psychosocial intervention, adaptable to clinicians' personal manner of interaction with patients. It was implemented in mental health services in five low- and middle-income countries in South-Eastern Europe during a 12-month randomised-controlled trial (IMPULSE) to improve the effectiveness of out-patient treatment for people with psychotic disorders.

aimsTo investigate barriers and facilitators to the perceived sustainability of DIALOG+ that has been successfully implemented as a part of the IMPULSE project.

methodThree months after the IMPULSE trial's end, perceived sustainability of the DIALOG+ intervention was assessed via a short survey of clinicians and patients who took part in the trial. Quantitative data collected from the survey were analysed using descriptive statistics; content analysis assessed qualitative survey data. The views and experiences of key informants (patients, clinicians and healthcare policy influencers) regarding the sustainability and scale-up of DIALOG+ were further explored through semi-structured interviews. These data were explored using framework analysis.

resultsClinicians mostly appreciated the comprehensiveness of DIALOG+, and patients described DIALOG+ meetings as empowering and motivating. The barrier most commonly identified by key informants was availability of financial resources; the most important facilitators were the clinically relevant structure and comprehensiveness of the DIALOG+ intervention.

conclusionsParticipants showed a willingness to sustain the implementation of DIALOG+. It is important to maintain collaboration with healthcare policy influencers to improve implementation of DIALOG+ across different levels of healthcare systems and ensure availability of resources for implementing psychosocial interventions such as DIALOG+.

Indexed as

bipolar affective disorderslow- and middle-income countriespsychosocial interventionsqualitative researchSchizophrenia

Identifiers

PMID35968901
PMCPMC9438482

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.