Participatory mental health interventions in low-income and middle-income countries: a realist review protocol

Cheyann J Heap; Hannah Maria Jennings; Kaaren Mathias; Himal Gaire; Farirai Gumbonzvanda; Nyaradzayi Gumbonzvanda; Garima Gupta; Sumeet Jain; Bidya Maharjan; Rakchhya Maharjan; Sujen Man Maharjan; Pashupati Mahat; Pooja Pillai; Martin Webber; Jerome Wright; Rochelle Burgess

doi:10.1136/bmjopen-2021-057530

Participatory mental health interventions in low-income and middle-income countries: a realist review protocol

Cheyann J Heap, Hannah Maria Jennings, Kaaren Mathias, Himal Gaire, Farirai Gumbonzvanda, Nyaradzayi Gumbonzvanda, Garima Gupta, Sumeet Jain, Bidya Maharjan, Rakchhya Maharjan, Sujen Man Maharjan, Pashupati Mahat, Pooja Pillai, Martin Webber, Jerome Wright, Rochelle Burgess

Research output: Contribution to journal › Review article › peer-review

Abstract

INTRODUCTION: The launch of the Movement for Global Mental Health brought long-standing calls for improved mental health interventions in low-and middle-income countries (LMICs) to centre stage. Within the movement, the participation of communities and people with lived experience of mental health problems is argued as essential to successful interventions. However, there remains a lack of conceptual clarity around 'participation' in mental health interventions with the specific elements of participation rarely articulated. Our review responds to this gap by exploring how 'participation' is applied, what it means and what key mechanisms contribute to change in participatory interventions for mental health in LMICs.

METHODS AND ANALYSIS: A realist review methodology will be used to identify the different contexts that trigger mechanisms of change, and the resulting outcomes related to the development and implementation of participatory mental health interventions, that is: what makes participation work in mental health interventions in LMICs and why? We augment our search with primary data collection in communities who are the targets of global mental health initiatives to inform the production of a programme theory on participation for mental health in LMICs.

ETHICS AND DISSEMINATION: Ethical approval for focus group discussions (FGDs) was obtained in each country involved. FGDs will be conducted in line with WHO safety guidance during the COVID-19 crisis. The full review will be published in an academic journal, with further papers providing an in-depth analysis on community perspectives on participation in mental health. The project findings will also be shared on a website, in webinars and an online workshop.

Original language	English
Article number	e057530
Number of pages	8
Journal	BMJ Open
Volume	12
Issue number	4
DOIs	https://doi.org/10.1136/bmjopen-2021-057530
Publication status	Published - 7 Apr 2022

Bibliographical note

Keywords

COVID-19
Developing Countries
Humans
Income
Mental Health
Poverty

Access to Document

10.1136/bmjopen-2021-057530Licence: CC BY

Participatory mental health interventions in low-income and middle-income countries: a realist review protocol
© Author(s) (or their employer(s)) 2022
Final published version, 940 KBLicence: CC BY

Cite this

Heap, C. J., Jennings, H. M., Mathias, K., Gaire, H., Gumbonzvanda, F., Gumbonzvanda, N., Gupta, G., Jain, S., Maharjan, B., Maharjan, R., Maharjan, S. M., Mahat, P., Pillai, P., Webber, M., Wright, J., & Burgess, R. (2022). Participatory mental health interventions in low-income and middle-income countries: a realist review protocol. BMJ Open, 12(4), Article e057530. https://doi.org/10.1136/bmjopen-2021-057530

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abstract = "INTRODUCTION: The launch of the Movement for Global Mental Health brought long-standing calls for improved mental health interventions in low-and middle-income countries (LMICs) to centre stage. Within the movement, the participation of communities and people with lived experience of mental health problems is argued as essential to successful interventions. However, there remains a lack of conceptual clarity around 'participation' in mental health interventions with the specific elements of participation rarely articulated. Our review responds to this gap by exploring how 'participation' is applied, what it means and what key mechanisms contribute to change in participatory interventions for mental health in LMICs.METHODS AND ANALYSIS: A realist review methodology will be used to identify the different contexts that trigger mechanisms of change, and the resulting outcomes related to the development and implementation of participatory mental health interventions, that is: what makes participation work in mental health interventions in LMICs and why? We augment our search with primary data collection in communities who are the targets of global mental health initiatives to inform the production of a programme theory on participation for mental health in LMICs.ETHICS AND DISSEMINATION: Ethical approval for focus group discussions (FGDs) was obtained in each country involved. FGDs will be conducted in line with WHO safety guidance during the COVID-19 crisis. The full review will be published in an academic journal, with further papers providing an in-depth analysis on community perspectives on participation in mental health. The project findings will also be shared on a website, in webinars and an online workshop.",

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note = "{\textcopyright} Author(s) (or their employer(s)) 2022",

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Heap, CJ , Jennings, HM, Mathias, K, Gaire, H, Gumbonzvanda, F, Gumbonzvanda, N, Gupta, G, Jain, S, Maharjan, B, Maharjan, R, Maharjan, SM, Mahat, P, Pillai, P, Webber, M, Wright, J & Burgess, R 2022, 'Participatory mental health interventions in low-income and middle-income countries: a realist review protocol', BMJ Open, vol. 12, no. 4, e057530. https://doi.org/10.1136/bmjopen-2021-057530

TY - JOUR

T1 - Participatory mental health interventions in low-income and middle-income countries

T2 - a realist review protocol

AU - Heap, Cheyann J

AU - Jennings, Hannah Maria

AU - Mathias, Kaaren

AU - Gaire, Himal

AU - Gumbonzvanda, Farirai

AU - Gumbonzvanda, Nyaradzayi

AU - Gupta, Garima

AU - Jain, Sumeet

AU - Maharjan, Bidya

AU - Maharjan, Rakchhya

AU - Maharjan, Sujen Man

AU - Mahat, Pashupati

AU - Pillai, Pooja

AU - Webber, Martin

AU - Wright, Jerome

AU - Burgess, Rochelle

PY - 2022/4/7

Y1 - 2022/4/7

N2 - INTRODUCTION: The launch of the Movement for Global Mental Health brought long-standing calls for improved mental health interventions in low-and middle-income countries (LMICs) to centre stage. Within the movement, the participation of communities and people with lived experience of mental health problems is argued as essential to successful interventions. However, there remains a lack of conceptual clarity around 'participation' in mental health interventions with the specific elements of participation rarely articulated. Our review responds to this gap by exploring how 'participation' is applied, what it means and what key mechanisms contribute to change in participatory interventions for mental health in LMICs.METHODS AND ANALYSIS: A realist review methodology will be used to identify the different contexts that trigger mechanisms of change, and the resulting outcomes related to the development and implementation of participatory mental health interventions, that is: what makes participation work in mental health interventions in LMICs and why? We augment our search with primary data collection in communities who are the targets of global mental health initiatives to inform the production of a programme theory on participation for mental health in LMICs.ETHICS AND DISSEMINATION: Ethical approval for focus group discussions (FGDs) was obtained in each country involved. FGDs will be conducted in line with WHO safety guidance during the COVID-19 crisis. The full review will be published in an academic journal, with further papers providing an in-depth analysis on community perspectives on participation in mental health. The project findings will also be shared on a website, in webinars and an online workshop.

AB - INTRODUCTION: The launch of the Movement for Global Mental Health brought long-standing calls for improved mental health interventions in low-and middle-income countries (LMICs) to centre stage. Within the movement, the participation of communities and people with lived experience of mental health problems is argued as essential to successful interventions. However, there remains a lack of conceptual clarity around 'participation' in mental health interventions with the specific elements of participation rarely articulated. Our review responds to this gap by exploring how 'participation' is applied, what it means and what key mechanisms contribute to change in participatory interventions for mental health in LMICs.METHODS AND ANALYSIS: A realist review methodology will be used to identify the different contexts that trigger mechanisms of change, and the resulting outcomes related to the development and implementation of participatory mental health interventions, that is: what makes participation work in mental health interventions in LMICs and why? We augment our search with primary data collection in communities who are the targets of global mental health initiatives to inform the production of a programme theory on participation for mental health in LMICs.ETHICS AND DISSEMINATION: Ethical approval for focus group discussions (FGDs) was obtained in each country involved. FGDs will be conducted in line with WHO safety guidance during the COVID-19 crisis. The full review will be published in an academic journal, with further papers providing an in-depth analysis on community perspectives on participation in mental health. The project findings will also be shared on a website, in webinars and an online workshop.

KW - COVID-19

KW - Developing Countries

KW - Humans

KW - Income

KW - Mental Health

KW - Poverty

U2 - 10.1136/bmjopen-2021-057530

DO - 10.1136/bmjopen-2021-057530

M3 - Review article

C2 - 35393321

SN - 2044-6055

VL - 12

JO - BMJ Open

JF - BMJ Open

IS - 4

M1 - e057530

ER -