Scalability of digital psychological innovations for refugees: A comparative analysis in Egypt, Germany, and Sweden

  1. Woodward, Aniek ORCID logo
  2. Burchert, Sebastian
  3. Barry, Alexandra S.
  4. Broerse, Jacqueline E. W.
  5. Sondorp, Egbert
  6. Bold, Anoushka
  7. Ruberl, Alexander
  8. Hessling, Jonas M.
  9. Knaevelsrud, Christine
  10. Roberts, Bayard
  11. Fuhr, Daniela ORCID logo
  12. Ventevogel, Peter
  13. Hosny, Nadine
  14. Lindegaard, Tomas
  15. Shahnavaz, Shervin
  16. Sijbrandij, Marit
  17. Cuijpers, Pim
  18. McKee, Martin
  19. Dieleman, Marjolein A.
  20. The STRENGTHS Consortium

Download
Woodward-et-al_2023_Scalability of digital psychological innovations.pdf 1,67MB
WeightNameValue
1000 Titel
  • Scalability of digital psychological innovations for refugees: A comparative analysis in Egypt, Germany, and Sweden
1000 Autor/in
  1. Woodward, Aniek |
  2. Burchert, Sebastian |
  3. Barry, Alexandra S. |
  4. Broerse, Jacqueline E. W. |
  5. Sondorp, Egbert |
  6. Bold, Anoushka |
  7. Ruberl, Alexander |
  8. Hessling, Jonas M. |
  9. Knaevelsrud, Christine |
  10. Roberts, Bayard |
  11. Fuhr, Daniela |
  12. Ventevogel, Peter |
  13. Hosny, Nadine |
  14. Lindegaard, Tomas |
  15. Shahnavaz, Shervin |
  16. Sijbrandij, Marit |
  17. Cuijpers, Pim |
  18. McKee, Martin |
  19. Dieleman, Marjolein A. |
1000 Mitwirkende/r
  1. The STRENGTHS Consortium |
1000 Erscheinungsjahr 2023
1000 LeibnizOpen
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2023-06-14
1000 Erschienen in
1000 Quellenangabe
  • 4:100231
1000 FRL-Sammlung
1000 Copyrightjahr
  • 2023
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1016/j.ssmmh.2023.100231 |
1000 Ergänzendes Material
  • https://www.sciencedirect.com/science/article/pii/S2666560323000464?via%3Dihub#appsec1 |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • E-mental health interventions may offer innovative means to increase access to psychological support and improve the mental health of refugees. However, there is limited knowledge about how these innovations can be scaled up and integrated sustainably into routine services. This study examined the scalability of a digital psychological intervention called Step-by-Step (SbS) for refugees in Egypt, Germany, and Sweden. We conducted semi-structured interviews (n = 88) with Syrian refugees, and experts in SbS or refugee' mental health systems in the three countries. Data collection and analysis were guided by a system innovation perspective. Interviewees identified three contextual factors that influenced scalability of SbS in each country: increasing use of e-health, the COVID-19 pandemic, and political instability. Nine factors lay at the interface between the innovation and potential delivery systems, and these were categorised by culture (ways of thinking), structure (ways of organising), and practice (ways of doing). Factors related to culture included: perceived need and acceptability of the innovation. Acceptability was influenced by mental health stigma and awareness, digital trust, perceived novelty of self-help interventions, and attitudes towards non-specialist (e-helper) support. Factors related to structure included financing, regulations, accessibility, competencies of e-helpers, and quality control. Factors related to practice were barriers in the initial and continued engagement of end-users. Many actors with a potential stake in the integration of SbS across the three countries were identified, with nineteen stakeholders deemed most powerful. Several context-specific integration scenarios were developed, which need to be tested. We conclude that integrating novel e-mental health interventions for refugees into routine services will be a complex task due to the many interrelated factors and actors involved. Multi-stakeholder collaboration, including the involvement of end-users, will be essential.
1000 Sacherschließung
lokal Egypt
lokal Scalability
lokal Systems perspective
lokal e-mental health
lokal Sweden
lokal Germany
lokal Step-by-Step
lokal Syrian refugees
1000 Fächerklassifikation (DDC)
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-1560-4208|https://frl.publisso.de/adhoc/uri/QnVyY2hlcnQsIFNlYmFzdGlhbg==|https://frl.publisso.de/adhoc/uri/QmFycnksIEFsZXhhbmRyYSBTLg==|https://frl.publisso.de/adhoc/uri/QnJvZXJzZSwgSmFjcXVlbGluZSBFLiBXLg==|https://frl.publisso.de/adhoc/uri/U29uZG9ycCwgRWdiZXJ0|https://frl.publisso.de/adhoc/uri/Qm9sZCwgQW5vdXNoa2E=|https://frl.publisso.de/adhoc/uri/UnViZXJsLCBBbGV4YW5kZXI=|https://frl.publisso.de/adhoc/uri/SGVzc2xpbmcsIEpvbmFzIE0u|https://frl.publisso.de/adhoc/uri/S25hZXZlbHNydWQsIENocmlzdGluZQ==|https://frl.publisso.de/adhoc/uri/Um9iZXJ0cywgQmF5YXJk|https://orcid.org/0000-0001-9020-4629|https://frl.publisso.de/adhoc/uri/VmVudGV2b2dlbCwgUGV0ZXI=|https://frl.publisso.de/adhoc/uri/SG9zbnksIE5hZGluZQ==|https://frl.publisso.de/adhoc/uri/TGluZGVnYWFyZCwgVG9tYXM=|https://frl.publisso.de/adhoc/uri/U2hhaG5hdmF6LCBTaGVydmlu|https://frl.publisso.de/adhoc/uri/U2lqYnJhbmRpaiwgTWFyaXQ=|https://frl.publisso.de/adhoc/uri/Q3VpanBlcnMsIFBpbQ==|https://frl.publisso.de/adhoc/uri/TWNLZWUsIE1hcnRpbg==|https://frl.publisso.de/adhoc/uri/RGllbGVtYW4sIE1hcmpvbGVpbiBBLg==|https://frl.publisso.de/adhoc/uri/VGhlIFNUUkVOR1RIUyBDb25zb3J0aXVt
1000 (Academic) Editor
1000 Label
1000 Förderer
  1. Horizon 2020 Framework Programme |
1000 Fördernummer
  1. 733337
1000 Förderprogramm
  1. -
1000 Dateien
1000 Förderung
  1. 1000 joinedFunding-child
    1000 Förderer Horizon 2020 Framework Programme |
    1000 Förderprogramm -
    1000 Fördernummer 733337
1000 Objektart article
1000 Beschrieben durch
1000 @id frl:6453394.rdf
1000 Erstellt am 2023-08-07T12:12:06.092+0200
1000 Erstellt von 266
1000 beschreibt frl:6453394
1000 Bearbeitet von 317
1000 Zuletzt bearbeitet Tue Aug 08 07:30:23 CEST 2023
1000 Objekt bearb. Tue Aug 08 07:30:10 CEST 2023
1000 Vgl. frl:6453394
1000 Oai Id
  1. oai:frl.publisso.de:frl:6453394 |
1000 Sichtbarkeit Metadaten public
1000 Sichtbarkeit Daten public
1000 Gegenstand von

View source