Process evaluations of mental health and psychosocial support interventions for populations affected by humanitarian crises

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dc.contributor.authorMassazza, Alessandro
dc.contributor.authorMay, Carl R.
dc.contributor.authorRoberts, Bayard
dc.contributor.authorTol, Wietse
dc.contributor.authorBogdanov, Sergiy
dc.contributor.authorNadkarni, Abhijit
dc.contributor.authorFuhr, Daniela
dc.date.accessioned2022-07-21T05:17:28Z
dc.date.available2022-07-21T05:17:28Z
dc.date.issued2022
dc.description.abstractBackground: Randomised controlled trials (RCTs) have been increasingly used to test the effectiveness of mental health and psychosocial support(MHPSS) interventions for populations affected by humanitarian crises. Process evaluations are often integrated within RCTs of psychological interventions to investigate the implementation of the intervention, the impact of context, and possible mechanisms of action. We aimed to explore limitations and strengths of how process evaluations are currently conceptualised and implemented within MHPSS RCTs specifically. Methods: In April–June 2021 we conducted semi-structured interviews with 24 researchers involved in RCTs of MHPSS interventions in 23 different countries. Participants were selected based on systematic reviews of MHPSS interventions, funders’ databases, and personal networks. Data were analysed using codebook thematic analysis. Results: The conduct of process evaluations was characterized by high heterogeneity in perceived function, implementation outcomes assessed, and methods used. While process evaluations were overwhelmingly considered as an important component of an RCT, there were different opinions on their perceived quality. This could be explained by the varying prioritization of effectiveness data over implementation data, confusion around the nature of process evaluations, and challenges in the collection and analysis of process data in humanitarian settings. Various practical recommendations were made by participants to improve future process evaluations in relation to: (i) study design (e.g., embedding process evaluations in study protocol and overall study objectives); (ii) methods (e.g., use of mixed methods); and (iii) increased financial and human resources dedicated to process evaluations. Conclusion: The current state of process evaluations in MHPSS RCTs is heterogeneous. The quality of process evaluations should be improved to strengthen implementation science of the growing number of evidenceinformed MHPSS interventions.en_US
dc.identifier.citationProcess evaluations of mental health and psychosocial support interventions for populations affected by humanitarian crises / Massazza A., May C. R., Roberts B., Tol W. A., Bogdanov S., Nadkarni A., Fuhr D. C. // Social Science and Medicine. - 2022. - Vol. 303. - Article number 114994. - https://doi.org/10.1016/j.socscimed.2022.114994en_US
dc.identifier.issn0277-9536
dc.identifier.issn1873-5347
dc.identifier.urihttps://doi.org/10.1016/j.socscimed.2022.114994
dc.identifier.urihttps://ekmair.ukma.edu.ua/handle/123456789/23476
dc.language.isoenuk_UA
dc.relation.sourceSocial Science and Medicineen_US
dc.statusfirst publisheduk_UA
dc.subjectprocess evaluationen_US
dc.subjectimplementation scienceen_US
dc.subjectmental health and psychosocial supporten_US
dc.subjectrandomized controlled trialen_US
dc.subjecthumanitarian crisesen_US
dc.subjectarticleen_US
dc.titleProcess evaluations of mental health and psychosocial support interventions for populations affected by humanitarian crisesen_US
dc.typeArticleuk_UA
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