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Making complex interventions work in low resource settings: developing and applying a design focused implementation approach to deliver mental health through primary care in India

Overview of attention for article published in International Journal of Mental Health Systems, January 2018
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  • Above-average Attention Score compared to outputs of the same age (53rd percentile)

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Citations

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130 Mendeley
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Title
Making complex interventions work in low resource settings: developing and applying a design focused implementation approach to deliver mental health through primary care in India
Published in
International Journal of Mental Health Systems, January 2018
DOI 10.1186/s13033-018-0181-7
Pubmed ID
Authors

Rohit Ramaswamy, Rahul Shidhaye, Sharmishtha Nanda

Abstract

Globally, there is a large treatment gap for people with mental disorders, and this gap is especially extreme in Low and Middle Income Countries. This gap can be potentially bridged by integrating evidenced based mental health interventions into primary care, but there is little knowledge about how to do this well, especially in countries with weak health systems. Research into the best implementation approaches is a priority, but in order to do so, it is first necessary to adapt implementation science principles and tools for mental health services in low resource settings. The frameworks that have been used to implement evidence-based behavioral health and health care interventions in High Income Countries do not directly apply to contexts where resources and processes for service delivery and support do not exist. We propose an implementation approach for low resource settings, called design-focused implementation, emphasizing the design of delivery systems using systematic design methods as precursor to implementation in severely resource constrained environments. This approach draws from existing literature in design thinking, quality implementation, improvement science and evaluation and we describe its use in creating the processes, organizations and the enabling environment for integration of mental health service delivery into primary care in India. Design-focused implementation will be useful for guiding research and practice in closing the implementation gap for a wide variety of complex interventions in low resource settings.

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The data shown below were collected from the profiles of 5 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 130 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 130 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 20 15%
Student > Ph. D. Student 19 15%
Researcher 17 13%
Student > Doctoral Student 11 8%
Other 6 5%
Other 16 12%
Unknown 41 32%
Readers by discipline Count As %
Medicine and Dentistry 22 17%
Social Sciences 15 12%
Nursing and Health Professions 12 9%
Psychology 7 5%
Business, Management and Accounting 6 5%
Other 22 17%
Unknown 46 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 03 April 2018.
All research outputs
#8,381,663
of 25,042,800 outputs
Outputs from International Journal of Mental Health Systems
#452
of 751 outputs
Outputs of similar age
#160,529
of 452,770 outputs
Outputs of similar age from International Journal of Mental Health Systems
#9
of 11 outputs
Altmetric has tracked 25,042,800 research outputs across all sources so far. This one is in the 43rd percentile – i.e., 43% of other outputs scored the same or lower than it.
So far Altmetric has tracked 751 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.9. This one is in the 37th percentile – i.e., 37% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 452,770 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 53% of its contemporaries.
We're also able to compare this research output to 11 others from the same source and published within six weeks on either side of this one. This one is in the 27th percentile – i.e., 27% of its contemporaries scored the same or lower than it.