Cambridge Prisms: Global Mental Health (Jan 2024)

Strategies to improve the implementation and effectiveness of community-based psychosocial support interventions for displaced, migrant and host community women in Latin America

  • M. Claire Greene,
  • Gabrielle Wimer,
  • Maria Larrea,
  • Ingrid Mejia Jimenez,
  • Andrea Armijos,
  • Alejandra Angulo,
  • Maria Esther Guevara,
  • Carolina Vega,
  • Emily W. Heard,
  • Lina Demis,
  • Lucia Benavides,
  • Christine Corrales,
  • Ale de la Cruz,
  • Maria Jose Lopez,
  • Arianna Moyano,
  • Andrea Murcia,
  • Maria Jose Noboa,
  • Abhimeleck Rodriguez,
  • Jennifer Solis,
  • Daniela Vergara,
  • Lena S. Andersen,
  • Maria Cristobal,
  • Milton Wainberg,
  • Annie G. Bonz,
  • Wietse Tol

DOI
https://doi.org/10.1017/gmh.2024.29
Journal volume & issue
Vol. 11

Abstract

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As evidence supporting the effectiveness of mental health and psychosocial interventions grows, more research is needed to understand optimal strategies for improving their implementation in diverse contexts. We conducted a qualitative process evaluation of a multicomponent psychosocial intervention intended to promote well-being among refugee, migrant and host community women in three diverse contexts in Ecuador and Panamá. The objective of this study is to describe the relationships among implementation determinants, strategies and outcomes of this community-based psychosocial intervention. The five implementation strategies used in this study included stakeholder engagement, promoting intervention adaptability, group and community-based delivery format, task sharing and providing incentives. We identified 10 adaptations to the intervention and its implementation, most of which were made during pre-implementation. Participants (n = 77) and facilitators (n = 30) who completed qualitative interviews reported that these strategies largely improved the implementation of the intervention across key outcomes and aligned with the study’s intervention and implementation theory of change models. Participants and facilitators also proposed additional strategies for improving reach, implementation and maintenance of this community-based psychosocial intervention.

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