Publication:
Pathways towards scaling up roblem management plus in Turkey: a theory of change workshop

dc.contributor.coauthorFuhr, D.C.
dc.contributor.coauthorUygun, E.
dc.contributor.coauthorMcGrath, M.
dc.contributor.coauthorİlkkurşun, Z.
dc.contributor.coauthorKaykha, S.
dc.contributor.coauthorSondorp, E.
dc.contributor.coauthorSijbrandij, M.
dc.contributor.coauthorVentevogel, P.
dc.contributor.coauthorCuijpers, P.
dc.contributor.coauthorRoberts, B.
dc.contributor.departmentDepartment of Psychology
dc.contributor.kuauthorAcartürk, Ceren
dc.contributor.schoolcollegeinstituteCollege of Social Sciences and Humanities
dc.date.accessioned2024-11-09T12:40:06Z
dc.date.issued2020
dc.description.abstractBackground: a considerable evidence base has been produced in recent years highlighting the effectiveness of brief scalable psychological interventions for people living in communities exposed to adversity. However, practical guidance on how to scale up these interventions to wider populations does not exist. In this paper we report on the use of Theory of Change (ToC) to plan the scale up of the World Health Organization's flagship low intensity psychological intervention "Problem Management Plus" (PM+) for Syrian refugees in Turkey. Methods: we conducted a one-day ToC workshop in Istanbul. ToC is a participatory planning process used in the development, implementation and evaluation of projects. It is similar to driver diagrams or logic models in that it offers a tool to visually present the components needed to reach a desired long-term outcome or impact. The overall aim of ToC is to understand the change process of a complex intervention and to map out causal pathways through which an intervention or strategy has an effect. Results: twenty-four stakeholders (including governmental officials, mental health providers, officials from international/national non-governmental organisations, conflict and health researchers) participated in the ToC workshop. A ToC map was produced identifying three key elements of scaling up (the resource team; the innovation and the health system; and the user organisation) which are represented in three distinct causal pathways. Context-specific barriers related to the health system and the political environment were identified, and possible strategies for overcoming these challenges were suggested. Conclusion: ToC is a valuable methodology to develop an integrated framework for scaling up. The results highlight that the scaling up of PM+ for Syrian refugees in Turkey needs careful planning and investment from different stakeholders at the national level. Our paper provides a theoretical foundation of the scaling up of PM+, and exemplifies for the first time the use of ToC in planning the scaling up of an evidence-based psychological intervention in global mental health.
dc.description.fulltextYES
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue1
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuEU
dc.description.sponsorshipSTRENGTHS (Syrian REfuGees MeNTal HealTH Care Systems) Project, Horizon 2020 The Framework Programme for Research and Innovation (2014–2020)
dc.description.sponsorshipEuropean Union (European Union)
dc.description.versionPublisher version
dc.description.volume14
dc.identifier.doi10.1186/s13031-020-00278-w
dc.identifier.embargoNO
dc.identifier.filenameinventorynoIR02215
dc.identifier.issn1752-1505
dc.identifier.quartileQ2
dc.identifier.scopus2-s2.0-85084562314
dc.identifier.urihttps://doi.org/10.1186/s13031-020-00278-w
dc.identifier.wos533415200001
dc.keywordsLow-intensity psychological intervention
dc.keywordsMental health
dc.keywordsRefugees
dc.keywordsScaling up
dc.keywordsTheory of change
dc.language.isoeng
dc.publisherBioMed Central
dc.relation.grantnoNA
dc.relation.ispartofConflict and Health
dc.relation.urihttp://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/8884
dc.subjectPublic, environmental and occupational health
dc.titlePathways towards scaling up roblem management plus in Turkey: a theory of change workshop
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorAcartürk, Zeynep Ceren
local.publication.orgunit1College of Social Sciences and Humanities
local.publication.orgunit2Department of Psychology
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relation.isParentOrgUnitOfPublication3f7621e3-0d26-42c2-af64-58a329522794
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