Evidence map›Paper›PMID 38308294›Full record

ArticleInternational journal for equity in health2024

Community-based mental health interventions in low- and middle-income countries: a qualitative study with international experts.

Clarissa Giebel, Mark Gabbay, Nipun Shrestha, Gabriel Saldarriaga, Siobhan Reilly, Ross White, Ginger Liu, Dawn Allen, Maria Isabel Zuluaga

Abstract read
In one paragraph

Article in International journal for equity in health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
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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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Clarissa GiebelDepartment of Primary Care & Mental Health, University of Liverpool, Liverpool, UK. Clarissa.giebel@liverpool.ac.uk.
Mark GabbayDepartment of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.
Nipun ShresthaTrials Centre, NHMRC Clinical, University of Sydney, Sydney, Australia.
Gabriel SaldarriagaPublic Health Faculty, Universidad de Antioquia, Medellin, Colombia.
Siobhan ReillyCentre for Applied Dementia Studies, Faculty of Health Studies, University of Bradford, Bradford, UK.
Ross WhiteSchool of Psychology, Queen's University Belfast, Belfast, UK.
Ginger LiuNIHR Applied Research Collaboration North West Coast (ARC NWC), Liverpool, UK.
Dawn AllenNIHR Applied Research Collaboration North West Coast (ARC NWC), Liverpool, UK.
Maria Isabel ZuluagaPublic Health Faculty, Universidad de Antioquia, Medellin, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health services are scarce in low- and middle-income countries (LMICs), and designing and implementing effective interventions can be difficult. The aim of this international study was to explore the key lessons for developing, implementing, and evaluating community-based mental health and well-being interventions in LMICs, with an additional focus on older adults.

methodsResearch and clinical experts in developing and implementing psychosocial community-based interventions in LMICs were interviewed remotely between October 2021 and January 2022. Participants were recruited via existing global health networks and via published literature searches. Participants were asked about their experiences of developing and implementing interventions, and about key barriers and facilitators during the process. Interviews lasted up to 45 min, and data were analysed using combined inductive and deductive thematic analysis.

resultsSixteen global mental health experts participated. Five themes with different sub-themes were generated: Mechanisms and contexts; Barriers; Facilitators; Public and stakeholder involvement; Looking through an ageing lens. The development and delivery of mental health interventions in LMICs are facilitated through integration into existing health infrastructures and working with existing job roles as delivery agents. Public and stakeholder involvement are crucial at all stages of development through to implementation to focus on meeting local needs and sustaining participant motivation. Logistical barriers of transport, resources, and location need to be addressed, emphasising local sustainability.

conclusionsThis study provides important insights for how the development, implementation, and evaluation of community-based mental health and well-being interventions in LMICs can be optimised, and can complement general guidance into complex interventions developments.

Indexed as

Mental HealthMental Health ServicesAgedDeveloping CountriesHumansQualitative ResearchGlobal mental healthInterventionsMental healthOlder adults

Identifiers

PMID38308294
PMCPMC10835969

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.