Using a theory driven approach to develop and evaluate a complex mental health intervention: the friendship bench project in Zimbabwe
| dc.contributor.author | Chibanda, Dixon | |
| dc.contributor.author | Verhey, Ruth | |
| dc.contributor.author | Munetsi, Epiphany | |
| dc.contributor.author | Cowan, Frances M | |
| dc.contributor.author | Lund, Crick | |
| dc.date.accessioned | 2016-05-25T06:12:20Z | |
| dc.date.available | 2016-05-25T06:12:20Z | |
| dc.date.issued | 2016-02-29 | |
| dc.date.updated | 2016-05-19T09:15:09Z | |
| dc.description.abstract | Background: There is a paucity of data on how to deliver complex interventions that seek to reduce the treatment gap for mental disorders, particularly in sub-Saharan Africa. The need for well-documented protocols which clearly describe the development and the scale-up of programs and interventions is necessary if such interventions are to be replicated elsewhere. This article describes the use of a theory of change (ToC) model to develop a brief psychological intervention for common mental disorders and its’ evaluation through a cluster randomized controlled trial in Zimbabwe. Methods: A total of eight ToC workshops were held with a range of stakeholders over a 6-month period with a focus on four key components of the program: formative work, piloting, evaluation and scale-up. A ToC map was developed as part of the process with defined causal pathways leading to the desired impact. Interventions, indicators, assumptions and rationale for each point along the causal pathway were considered. Results: Political buy-in from stakeholders together with key resources, which included human, facility/infrastructure, communication and supervision were identified as critical needs using the ToC approach. Ten (10) key interventions with specific indicators, assumptions and rationale formed part of the final ToC map, which graphically illustrated the causal pathway leading to the development of a psychological intervention and the successful implementation of a cluster randomized controlled trial. Conclusion: ToC workshops can enhance stakeholder engagement through an iterative process leading to a shared vision that can improve outcomes of complex mental health interventions particularly where scaling up of the intervention is desired. | en_ZA |
| dc.identifier.apacitation | Chibanda, D., Verhey, R., Munetsi, E., Cowan, F. M., & Lund, C. (2016). Using a theory driven approach to develop and evaluate a complex mental health intervention: the friendship bench project in Zimbabwe. <i>International Journal of Mental Health Systems</i>, http://hdl.handle.net/11427/19839 | en_ZA |
| dc.identifier.chicagocitation | Chibanda, Dixon, Ruth Verhey, Epiphany Munetsi, Frances M Cowan, and Crick Lund "Using a theory driven approach to develop and evaluate a complex mental health intervention: the friendship bench project in Zimbabwe." <i>International Journal of Mental Health Systems</i> (2016) http://hdl.handle.net/11427/19839 | en_ZA |
| dc.identifier.citation | Chibanda, D., Verhey, R., Munetsi, E., Cowan, F. M., & Lund, C. (2016). Using a theory driven approach to develop and evaluate a complex mental health intervention: the friendship bench project in Zimbabwe. International journal of mental health systems, 10(1), 16. | en_ZA |
| dc.identifier.issn | 1752-445 | en_ZA |
| dc.identifier.ris | TY - Journal Article AU - Chibanda, Dixon AU - Verhey, Ruth AU - Munetsi, Epiphany AU - Cowan, Frances M AU - Lund, Crick AB - Background: There is a paucity of data on how to deliver complex interventions that seek to reduce the treatment gap for mental disorders, particularly in sub-Saharan Africa. The need for well-documented protocols which clearly describe the development and the scale-up of programs and interventions is necessary if such interventions are to be replicated elsewhere. This article describes the use of a theory of change (ToC) model to develop a brief psychological intervention for common mental disorders and its’ evaluation through a cluster randomized controlled trial in Zimbabwe. Methods: A total of eight ToC workshops were held with a range of stakeholders over a 6-month period with a focus on four key components of the program: formative work, piloting, evaluation and scale-up. A ToC map was developed as part of the process with defined causal pathways leading to the desired impact. Interventions, indicators, assumptions and rationale for each point along the causal pathway were considered. Results: Political buy-in from stakeholders together with key resources, which included human, facility/infrastructure, communication and supervision were identified as critical needs using the ToC approach. Ten (10) key interventions with specific indicators, assumptions and rationale formed part of the final ToC map, which graphically illustrated the causal pathway leading to the development of a psychological intervention and the successful implementation of a cluster randomized controlled trial. Conclusion: ToC workshops can enhance stakeholder engagement through an iterative process leading to a shared vision that can improve outcomes of complex mental health interventions particularly where scaling up of the intervention is desired. DA - 2016-02-29 DB - OpenUCT DO - 10.1186/s13033-016-0050-1 DP - University of Cape Town J1 - International Journal of Mental Health Systems KW - Theory of change KW - Mental health KW - Complex intervention KW - Stakeholder involvement LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 SM - 1752-445 T1 - Using a theory driven approach to develop and evaluate a complex mental health intervention: the friendship bench project in Zimbabwe TI - Using a theory driven approach to develop and evaluate a complex mental health intervention: the friendship bench project in Zimbabwe UR - http://hdl.handle.net/11427/19839 ER - | en_ZA |
| dc.identifier.uri | http://dx.doi.org/10.1186/s13033-016-0050-1 | |
| dc.identifier.uri | http://hdl.handle.net/11427/19839 | |
| dc.identifier.vancouvercitation | Chibanda D, Verhey R, Munetsi E, Cowan FM, Lund C. Using a theory driven approach to develop and evaluate a complex mental health intervention: the friendship bench project in Zimbabwe. International Journal of Mental Health Systems. 2016; http://hdl.handle.net/11427/19839. | en_ZA |
| dc.language | eng | en_ZA |
| dc.language.rfc3066 | en | |
| dc.publisher | BioMed Central | en_ZA |
| dc.publisher.department | Centre for Public Mental Health | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.rights | Creative Commons Attribution 4.0 International (CC BY 4.0) | * |
| dc.rights.holder | Chibanda et al. | |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_ZA |
| dc.source | International Journal of Mental Health Systems | en_ZA |
| dc.source.uri | http://ijmhs.biomedcentral.com/ | |
| dc.subject | Theory of change | |
| dc.subject | Mental health | |
| dc.subject | Complex intervention | |
| dc.subject | Stakeholder involvement | |
| dc.title | Using a theory driven approach to develop and evaluate a complex mental health intervention: the friendship bench project in Zimbabwe | en_ZA |
| dc.type | Journal Article | en_ZA |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Article | en_ZA |