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Scalability of digi...
Scalability of digital psychological innovations for refugees: A comparative analysis in Egypt, Germany, and Sweden
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- Woodward, Aniek (författare)
- KIT Hlth, Netherlands; Vrije Univ Amsterdam, Netherlands
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- Burchert, Sebastian (författare)
- Free Univ Berlin, Germany
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- Barry, Alexandra S. (författare)
- KIT Hlth, Netherlands; NHS England, England
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- Broerse, Jacqueline E. W. (författare)
- Vrije Univ Amsterdam, Netherlands
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- Sondorp, Egbert (författare)
- KIT Hlth, Netherlands
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- Bold, Anoushka (författare)
- KIT Hlth, Netherlands; Inuka Coaching, Netherlands
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- Ruberl, Alexander (författare)
- Free Univ Berlin, Germany
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- Hessling, Jonas M. (författare)
- Free Univ Berlin, Germany
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- Knaevelsrud, Christine (författare)
- Free Univ Berlin, Germany
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- Roberts, Bayard (författare)
- London Sch Hyg & Trop Med, England
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- Fuhr, Daniela C. (författare)
- London Sch Hyg & Trop Med, England; Leibniz Inst Prevent Res & Epidemiol BIPS, Germany; Univ Bremen, Germany
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- Ventevogel, Peter (författare)
- United Nations High Commissioner Refugees, Switzerland
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- Hosny, Nadine (författare)
- Univ Lausanne, Switzerland
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- Lindegaard, Tomas (författare)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Shahnavaz, Shervin (författare)
- Karolinska Inst, Sweden; Reg Stockholm, Sweden
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- Sijbrandij, Marit (författare)
- Vrije Univ Amsterdam, Netherlands
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- Cuijpers, Pim (författare)
- Vrije Univ Amsterdam, Netherlands; Babes Bolyai Univ, Romania
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- Mckee, Martin (författare)
- London Sch Hyg & Trop Med, England
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- Dieleman, Marjolein A. (författare)
- KIT Hlth, Netherlands; Vrije Univ Amsterdam, Netherlands
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(creator_code:org_t)
- ELSEVIER, 2023
- 2023
- Engelska.
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Ingår i: SSM-MENTAL HEALTH. - : ELSEVIER. - 2666-5603. ; 4
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Syrian refugees; e-mental health; Step-by-Step; Scalability; Egypt; Germany; Sweden; Systems perspective
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Woodward, Aniek
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Burchert, Sebast ...
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Barry, Alexandra ...
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Broerse, Jacquel ...
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Sondorp, Egbert
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Bold, Anoushka
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Ruberl, Alexande ...
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Hessling, Jonas ...
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Knaevelsrud, Chr ...
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Roberts, Bayard
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Fuhr, Daniela C.
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Ventevogel, Pete ...
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Hosny, Nadine
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Lindegaard, Toma ...
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Shahnavaz, Sherv ...
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Sijbrandij, Mari ...
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Cuijpers, Pim
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Mckee, Martin
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Dieleman, Marjol ...
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