Scaling a group intervention to promote caregiver mental health in Uttarakhand, India
A mixed-methods implementation study
Bibliographic Data
| ID | 15700480 |
|---|---|
| Authors | Disha Agarwal (0009-0001-8272-2749), Christopher R Bailie (0000-0001-5236-0428, The University of Melbourne), Samson Rana, Laxman Balan, Nathan Grills (0000-0003-1228-3047, The George Institute for Global Health), Kaaren Mathias (0000-0002-9607-9459, University of Canterbury, corresponding author) |
| Year | 2023 |
| Volume | 10 |
| Pages | e85-e85 |
| Publication date | 2023-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Cambridge Prisms Global Mental Health (JOURNAL) |
| Journal identifiers | ISSN: 2054-4251 • E-ISSN: 2054-4251 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/gmh.2023.79 |
| PMID | 38161744 |
| OpenAlex | W4389203335 |
| Language | EN |
| Citations received | 2 |
| References cited | 52 |
Caregivers are integral to health and social care systems in South Asian countries yet are themselves at higher risk of mental illness. Interventions to support caregiver mental health developed in high-income contexts may be contextually inappropriate in the Global South. In this mixed-methods study, we evaluated the implementation and scaling of a locally developed mental health group intervention for caregivers and others in Uttarakhand, India. We describe factors influencing implementation using the updated Consolidated Framework for Implementation Research, and selected implementation outcomes. Key influencing factors we found in common with other programs included: an intervention that was relevant and adaptable; family support and stigma operating in the outer setting; training and support for lay health worker providers, shared goals, and relationships with the community and the process of engaging with organisational leaders and service users within the inner setting. We identified further factors including the group delivery format, competing responsibilities for caregivers and opportunities associated with the partnership delivery model as influencing outcomes. Implementation successfully reached target communities however attrition of 20% of participants highlights the potential for improving outcomes by harnessing enablers and addressing barriers. Findings will inform others implementing group mental health and caregiver interventions in South Asia
Attrition · Business · General partnership · Global mental health · Implementation research · Intervention (counseling · Medical education · Mental health · Political science · Psychiatry · Psychological intervention · Scale (ratio · Service (business · Service delivery framework · Stigma (botany · Community Health and Development · Health Policy Implementation Science · Medicine · Mental Health Treatment and Access · Nursing · Psychology
The updated Consolidated Framework for Implementation Research based on user feedback
A systematic review of the use of the Consolidated Framework for Implementation Research
The Role of Communities in Mental Health Care in Low- and Middle-Income Countries
How Effective Are Interventions With Caregivers? An Updated Meta-Analysis
Standards for Reporting Implementation Studies (StaRI) Statement
Differences between caregivers and noncaregivers in psychological health and physical health
RE-AIM Planning and Evaluation Framework
Fostering implementation of health services research findings into practice
Community Health Global Network
A Community-Embedded Implementation Model for Mental-Health Interventions
Engagement of non-governmental organisations in moving towards universal health coverage
Does the Nae Umeed group intervention improve mental health and social participation? A pre–post study in Uttarakhand, India
Acceptability of Peer Support for People With Schizophrenia in Chennai, India
How Many Older Informal Caregivers Are There in Europe? Comparison of Estimates of Their Prevalence from Three European Surveys
Exploring the equity impact of a maternal and newborn health intervention
Framing the Public Health of Caregiving
An asymmetric burden
| Citations per year | 2 |
|---|---|
| Citation span | 2025 - 2025 (1) |
| Highly cited | No |