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Developing a framework for evaluation: a Theory of Change for complex workplace mental health interventions.

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  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2001-
    • الموضوع:
      Mental Disorders*/therapy ; Burnout, Professional*; Humans ; Mental Health ; Workplace/psychology
    • نبذة مختصرة :
      Background: There is a gap between the necessity of effective mental health interventions in the workplace and the availability of evidence-based information on how to evaluate them. The available evidence outlines that mental health interventions should follow integrated approaches combining multiple components related to different levels of change. However, there is a lack of robust studies on how to evaluate multicomponent workplace interventions which target a variety of outcomes at different levels taking into account the influence of different implementation contexts.
      Method: We use the MENTUPP project as a research context to develop a theory-driven approach to facilitate the evaluation of complex mental health interventions in occupational settings and to provide a comprehensive rationale of how these types of interventions are expected to achieve change. We used a participatory approach to develop a ToC involving a large number of the project team representing multiple academic backgrounds exploiting in tandem the knowledge from six systematic reviews and results from a survey among practitioners and academic experts in the field of mental health in SMEs.
      Results: The ToC revealed four long-term outcomes that we assume MENTUPP can achieve in the workplace: 1) improved mental wellbeing and reduced burnout, 2) reduced mental illness, 3) reduced mental illness-related stigma, and 4) reduced productivity losses. They are assumed to be reached through six proximate and four intermediate outcomes according to a specific chronological order. The intervention consists of 23 components that were chosen based on specific rationales to achieve change on four levels (employee, team, leader, and organization).
      Conclusions: The ToC map provides a theory of how MENTUPP is expected to achieve its anticipated long-term outcomes through intermediate and proximate outcomes assessing alongside contextual factors which will facilitate the testing of hypotheses. Moreover, it allows for a structured approach to informing the future selection of outcomes and related evaluation measures in either subsequent iterations of complex interventions or other similarly structured programs. Hence, the resulting ToC can be employed by future research as an example for the development of a theoretical framework to evaluate complex mental health interventions in the workplace.
      (© 2023. The Author(s).)
    • References:
      Syst Rev. 2021 Jan 28;10(1):41. (PMID: 33509258)
      Disabil Rehabil. 2022 Dec;44(25):7791-7801. (PMID: 34762548)
      BMC Geriatr. 2018 Feb 14;18(1):47. (PMID: 29444645)
      Int J Environ Res Public Health. 2022 Jan 15;19(2):. (PMID: 35055773)
      J Affect Disord. 2021 Jul 1;290:378-386. (PMID: 34082284)
      BMC Health Serv Res. 2020 Aug 26;20(1):801. (PMID: 32847580)
      Trials. 2014 Jul 05;15:267. (PMID: 24996765)
      Int J Environ Res Public Health. 2013 Oct 15;10(10):5062-82. (PMID: 24132134)
      Am Psychol. 2012 Apr;67(3):231-43. (PMID: 22040221)
      Stress Health. 2016 Aug;32(3):201-15. (PMID: 25044861)
      Biomed Res Int. 2015;2015:414832. (PMID: 26557665)
      Implement Sci. 2016 May 06;11:63. (PMID: 27153985)
      Front Psychiatry. 2021 Mar 26;12:631032. (PMID: 33841203)
      Aust N Z J Psychiatry. 2018 Jan;52(1):15-23. (PMID: 28835112)
      J Occup Environ Med. 2022 Jan 1;64(1):e1-e7. (PMID: 34654039)
      J Occup Environ Med. 2020 Jul;62(7):503-510. (PMID: 32730026)
      Eur J Neurol. 2005 Jun;12 Suppl 1:1-27. (PMID: 15877774)
      Epidemiol Psychiatr Sci. 2020 Jan 29;29:e96. (PMID: 31992379)
      BMC Psychiatry. 2019 Jan 24;19(1):40. (PMID: 30678679)
      J Occup Health Psychol. 2017 Jul;22(3):394-406. (PMID: 27732006)
      Int J Environ Res Public Health. 2020 Mar 14;17(6):. (PMID: 32183392)
      J Affect Disord. 2013 Sep 5;150(2):320-9. (PMID: 23706876)
      Int J Environ Res Public Health. 2019 Aug 19;16(16):. (PMID: 31430939)
      BMJ. 2021 Sep 30;374:n2061. (PMID: 34593508)
      Med J Aust. 1997 Feb 17;166(4):182-6. (PMID: 9066546)
      Ann Work Expo Health. 2018 Sep 13;62(suppl_1):S42-S54. (PMID: 30212884)
      Eur J Heart Fail. 2020 Nov;22(11):2007-2017. (PMID: 32468714)
      BMJ Glob Health. 2018 Jan 3;3(1):e000617. (PMID: 29515919)
      J Occup Environ Med. 2014 Jun;56(6):579-87. (PMID: 24905421)
      Int J Environ Res Public Health. 2020 Oct 31;17(21):. (PMID: 33142745)
      J Affect Disord. 2013 Dec;151(3):821-30. (PMID: 24091302)
      BMC Psychiatry. 2014 May 09;14:131. (PMID: 24884425)
    • Contributed Indexing:
      Keywords: Complex interventions; Evaluation; Implementation; Intervention development; MENTUPP; Medical Research Council framework; Organizational interventions; Theory of Change, Small and Medium Enterprises (SMEs); Workplace-based mental health/health interventions
    • الموضوع:
      Date Created: 20230617 Date Completed: 20230619 Latest Revision: 20231117
    • الموضوع:
      20231117
    • الرقم المعرف:
      PMC10276374
    • الرقم المعرف:
      10.1186/s12889-023-16092-x
    • الرقم المعرف:
      37330460