Implementing a complex mental health intervention in occupational settings: process evaluation of the MENTUPP pilot study
Background According to the Medical Research Council (MRC) framework, the theorisation of how multilevel, multicomponent interventions work and the understanding of their interaction with their implementation context are necessary to be able to evaluate them beyond their complexity. More research is...
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| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/12/e077093.full |
| _version_ | 1797371295384469504 |
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| author | Ulrich Hegerl Paul Corcoran eve griffin Ella Arensman Chantal Van Audenhove Reiner Rugulies Margaret Maxwell Kahar Abula Katherine Thompson Kristian Wahlbeck Asmae Doukani Gentiana Qirjako Jaap van Weeghel Birgit Aust Charlotte Paterson Birgit Greiner Grace Cully Hans De Witte Caleb Leduc Hanna Reich Sarita Sanches Naim Fanaj Fotini Tsantila Victoria Ross Sharna Mathieu Arlinda Cerga Pashoja György Purebl Evelien Coppens Lars De Winter Arilda Dushaj Bridget Hogg Carolyn Holland Mallorie Leduc Doireann Ni Dhalaigh Cliodhna O' Brien Mónika Ditta Tóth Benedikt Amann Laura Cox Johanna Creswell-Smith Luigia D’Alessandro Grace Davey Kim Dooyoung Stefan Hackel Ana Moreno- Alcazar Karen Mulcahy Ainslie O’ Connor Wendy Orchard Saara Rapeli Andras Szekely Eva Zsak |
| author_facet | Ulrich Hegerl Paul Corcoran eve griffin Ella Arensman Chantal Van Audenhove Reiner Rugulies Margaret Maxwell Kahar Abula Katherine Thompson Kristian Wahlbeck Asmae Doukani Gentiana Qirjako Jaap van Weeghel Birgit Aust Charlotte Paterson Birgit Greiner Grace Cully Hans De Witte Caleb Leduc Hanna Reich Sarita Sanches Naim Fanaj Fotini Tsantila Victoria Ross Sharna Mathieu Arlinda Cerga Pashoja György Purebl Evelien Coppens Lars De Winter Arilda Dushaj Bridget Hogg Carolyn Holland Mallorie Leduc Doireann Ni Dhalaigh Cliodhna O' Brien Mónika Ditta Tóth Benedikt Amann Laura Cox Johanna Creswell-Smith Luigia D’Alessandro Grace Davey Kim Dooyoung Stefan Hackel Ana Moreno- Alcazar Karen Mulcahy Ainslie O’ Connor Wendy Orchard Saara Rapeli Andras Szekely Eva Zsak |
| collection | DOAJ |
| description | Background According to the Medical Research Council (MRC) framework, the theorisation of how multilevel, multicomponent interventions work and the understanding of their interaction with their implementation context are necessary to be able to evaluate them beyond their complexity. More research is needed to provide good examples following this approach in order to produce evidence-based information on implementation practices.Objectives This article reports on the results of the process evaluation of a complex mental health intervention in small and medium enterprises (SMEs) tested through a pilot study. The overarching aim is to contribute to the evidence base related to the recruitment, engagement and implementation strategies of applied mental health interventions in the workplace.Method The Mental Health Promotion and Intervention in Occupational Settings (MENTUPP) intervention was pilot tested in 25 SMEs in three work sectors and nine countries. The evaluation strategy of the pilot test relied on a mixed-methods approach combining qualitative and quantitative research methods. The process evaluation was inspired by the RE-AIM framework and the taxonomy of implementation outcomes suggested by Proctor and colleagues and focused on seven dimensions: reach, adoption, implementation, acceptability, appropriateness, feasibility and maintenance.Results Factors facilitating implementation included the variety of the provided materials, the support provided by the research officers (ROs) and the existence of a structured plan for implementation, among others. Main barriers to implementation were the difficulty of talking about mental health, familiarisation with technology, difficulty in fitting the intervention into the daily routine and restrictions caused by COVID-19.Conclusions The results will be used to optimise the MENTUPP intervention and the theoretical framework that we developed to evaluate the causal mechanisms underlying MENTUPP. Conducting this systematic and comprehensive process evaluation contributes to the enhancement of the evidence base related to mental health interventions in the workplace and it can be used as a guide to overcome their contextual complexity.Trial registration number ISRCTN14582090. |
| first_indexed | 2024-03-08T18:16:46Z |
| format | Article |
| id | doaj.art-8f52c91f62444d07baf23eb66228c608 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-08T18:16:46Z |
| publishDate | 2023-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-8f52c91f62444d07baf23eb66228c6082023-12-31T11:10:08ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-077093Implementing a complex mental health intervention in occupational settings: process evaluation of the MENTUPP pilot study Ulrich HegerlPaul Corcoran0eve griffin1Ella Arensman2Chantal Van Audenhove3Reiner RuguliesMargaret Maxwell4Kahar AbulaKatherine ThompsonKristian WahlbeckAsmae Doukani5Gentiana QirjakoJaap van Weeghel6Birgit Aust7Charlotte PatersonBirgit GreinerGrace Cully8Hans De Witte9Caleb Leduc10Hanna Reich11Sarita SanchesNaim Fanaj12Fotini Tsantila13Victoria RossSharna Mathieu14Arlinda Cerga Pashoja15György PureblEvelien Coppens16Lars De Winter17Arilda Dushaj18Bridget Hogg19Carolyn Holland20Mallorie Leduc21Doireann Ni Dhalaigh22Cliodhna O' Brien23Mónika Ditta Tóth24Benedikt AmannLaura CoxJohanna Creswell-SmithLuigia D’AlessandroGrace DaveyKim DooyoungStefan HackelAna Moreno- AlcazarKaren MulcahyAinslie O’ ConnorWendy OrchardSaara RapeliAndras SzekelyEva ZsakNational Suicide Research Foundation, Cork, IrelandSchool of Public Health, University College Cork, Cork, IrelandSchool of Public Health, University College Cork, Cork, IrelandLUCAS, Centre for Care Research and Consultancy, KU Leuven, Leuven, BelgiumNursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, Stirling, UKPopulation Health, London School of Hygiene and Tropical Medicine, London, UKTRANZO Department, Tilburg University, Tilburg, NetherlandsDet Nationale Forskningscenter for Arbejdsmiljø, Kobenhavn, DenmarkSchool of Public Health, University College Cork, Cork, IrelandResearch Group Work, Organisational and Personnel Psychology (WOPP – O2L), KU Leuven, Leuven, BelgiumSchool of Public Health, University College Cork, Cork, IrelandGerman Foundation for Research and Education on Depression, Leipzig, GermanyAlma Mater Europaea Campus Kolegji Rezonanca, Pristina, AlbaniaLUCAS, Centre for Care Research and Consultancy, KU Leuven, Leuven, BelgiumAustralian Institute for Suicide Research and Prevention, Griffith University, Brisbane, Queensland, AustraliaFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine Faculty of Public Health and Policy, London, UKLUCAS, Centre for Care Research and Consultancy, KU Leuven, Leuven, BelgiumPhrenos Center of Expertise, Utrecht, The NetherlandsCommunity Center for Health and Wellbeing, Tirana, AlbaniaCentre Fòrum Research Unit, Hospital del Mar Neuropsychiatry and Addictions Institute, Barcelona, SpainNational Suicide Research Foundation, Cork, IrelandNational Suicide Research Foundation, Cork, IrelandNational Suicide Research Foundation, Cork, IrelandNational Suicide Research Foundation, Cork, IrelandInstitute of Behavioural Sciences, Semmelweis University, Budapest, HungaryBackground According to the Medical Research Council (MRC) framework, the theorisation of how multilevel, multicomponent interventions work and the understanding of their interaction with their implementation context are necessary to be able to evaluate them beyond their complexity. More research is needed to provide good examples following this approach in order to produce evidence-based information on implementation practices.Objectives This article reports on the results of the process evaluation of a complex mental health intervention in small and medium enterprises (SMEs) tested through a pilot study. The overarching aim is to contribute to the evidence base related to the recruitment, engagement and implementation strategies of applied mental health interventions in the workplace.Method The Mental Health Promotion and Intervention in Occupational Settings (MENTUPP) intervention was pilot tested in 25 SMEs in three work sectors and nine countries. The evaluation strategy of the pilot test relied on a mixed-methods approach combining qualitative and quantitative research methods. The process evaluation was inspired by the RE-AIM framework and the taxonomy of implementation outcomes suggested by Proctor and colleagues and focused on seven dimensions: reach, adoption, implementation, acceptability, appropriateness, feasibility and maintenance.Results Factors facilitating implementation included the variety of the provided materials, the support provided by the research officers (ROs) and the existence of a structured plan for implementation, among others. Main barriers to implementation were the difficulty of talking about mental health, familiarisation with technology, difficulty in fitting the intervention into the daily routine and restrictions caused by COVID-19.Conclusions The results will be used to optimise the MENTUPP intervention and the theoretical framework that we developed to evaluate the causal mechanisms underlying MENTUPP. Conducting this systematic and comprehensive process evaluation contributes to the enhancement of the evidence base related to mental health interventions in the workplace and it can be used as a guide to overcome their contextual complexity.Trial registration number ISRCTN14582090.https://bmjopen.bmj.com/content/13/12/e077093.full |
| spellingShingle | Ulrich Hegerl Paul Corcoran eve griffin Ella Arensman Chantal Van Audenhove Reiner Rugulies Margaret Maxwell Kahar Abula Katherine Thompson Kristian Wahlbeck Asmae Doukani Gentiana Qirjako Jaap van Weeghel Birgit Aust Charlotte Paterson Birgit Greiner Grace Cully Hans De Witte Caleb Leduc Hanna Reich Sarita Sanches Naim Fanaj Fotini Tsantila Victoria Ross Sharna Mathieu Arlinda Cerga Pashoja György Purebl Evelien Coppens Lars De Winter Arilda Dushaj Bridget Hogg Carolyn Holland Mallorie Leduc Doireann Ni Dhalaigh Cliodhna O' Brien Mónika Ditta Tóth Benedikt Amann Laura Cox Johanna Creswell-Smith Luigia D’Alessandro Grace Davey Kim Dooyoung Stefan Hackel Ana Moreno- Alcazar Karen Mulcahy Ainslie O’ Connor Wendy Orchard Saara Rapeli Andras Szekely Eva Zsak Implementing a complex mental health intervention in occupational settings: process evaluation of the MENTUPP pilot study BMJ Open |
| title | Implementing a complex mental health intervention in occupational settings: process evaluation of the MENTUPP pilot study |
| title_full | Implementing a complex mental health intervention in occupational settings: process evaluation of the MENTUPP pilot study |
| title_fullStr | Implementing a complex mental health intervention in occupational settings: process evaluation of the MENTUPP pilot study |
| title_full_unstemmed | Implementing a complex mental health intervention in occupational settings: process evaluation of the MENTUPP pilot study |
| title_short | Implementing a complex mental health intervention in occupational settings: process evaluation of the MENTUPP pilot study |
| title_sort | implementing a complex mental health intervention in occupational settings process evaluation of the mentupp pilot study |
| url | https://bmjopen.bmj.com/content/13/12/e077093.full |
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