Developing a framework for evaluation: a Theory of Change for complex workplace mental health interventions

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• dc.contributor.author Tsantila, Fotini
• dc.contributor.author Amann, Benedikt Lorenz
• dc.contributor.author Van Audenhove, Chantal
• dc.date.accessioned 2024-02-26T07:26:39Z
• dc.date.available 2024-02-26T07:26:39Z
• dc.date.issued 2023
• dc.description.abstract Background: There is a gap between the necessity of effective mental health interventions in the workplace and the availability of evidence-based information on how to evaluate them. The available evidence outlines that mental health interventions should follow integrated approaches combining multiple components related to different levels of change. However, there is a lack of robust studies on how to evaluate multicomponent workplace interventions which target a variety of outcomes at different levels taking into account the influence of different implementation contexts. Method: We use the MENTUPP project as a research context to develop a theory-driven approach to facilitate the evaluation of complex mental health interventions in occupational settings and to provide a comprehensive rationale of how these types of interventions are expected to achieve change. We used a participatory approach to develop a ToC involving a large number of the project team representing multiple academic backgrounds exploiting in tandem the knowledge from six systematic reviews and results from a survey among practitioners and academic experts in the field of mental health in SMEs. Results: The ToC revealed four long-term outcomes that we assume MENTUPP can achieve in the workplace: 1) improved mental wellbeing and reduced burnout, 2) reduced mental illness, 3) reduced mental illness-related stigma, and 4) reduced productivity losses. They are assumed to be reached through six proximate and four intermediate outcomes according to a specific chronological order. The intervention consists of 23 components that were chosen based on specific rationales to achieve change on four levels (employee, team, leader, and organization). Conclusions: The ToC map provides a theory of how MENTUPP is expected to achieve its anticipated long-term outcomes through intermediate and proximate outcomes assessing alongside contextual factors which will facilitate the testing of hypotheses. Moreover, it allows for a structured approach to informing the future selection of outcomes and related evaluation measures in either subsequent iterations of complex interventions or other similarly structured programs. Hence, the resulting ToC can be employed by future research as an example for the development of a theoretical framework to evaluate complex mental health interventions in the workplace.
• dc.description.sponsorship This study is funded by the European Union’s Horizon 2020 research and innovation program under grant agreement No. 848137. The material presented and views expressed here are the responsibility of the author(s) only. The EU Commission takes no responsibility for any use made of the information set out.
• dc.format.mimetype application/pdf
• dc.identifier.citation Tsantila F, Coppens E, De Witte H, Abdulla K, Amann BL, Arensman E et al. Developing a framework for evaluation: a Theory of Change for complex workplace mental health interventions. BMC Public Health. 2023 Jun 17;23(1):1171. DOI: 10.1186/s12889-023-16092-x
• dc.identifier.doi http://dx.doi.org/10.1186/s12889-023-16092-x
• dc.identifier.issn 1471-2458
• dc.identifier.uri http://hdl.handle.net/10230/59259
• dc.language.iso eng
• dc.publisher BioMed Central
• dc.relation.ispartof BMC Public Health. 2023 Jun 17;23(1):1171
• dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/848137
• dc.rights © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Complex interventions
• dc.subject.keyword Evaluation
• dc.subject.keyword Implementation
• dc.subject.keyword Intervention development
• dc.subject.keyword MENTUPP
• dc.subject.keyword Medical Research Council framework
• dc.subject.keyword Organizational interventions
• dc.subject.keyword Theory of Change
• dc.subject.keyword Small and Medium Enterprises (SMEs)
• dc.subject.keyword Workplace-based mental health/health interventions
• dc.title Developing a framework for evaluation: a Theory of Change for complex workplace mental health interventions
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion