Contextual Behavioral Science and Global Mental Health: Synergies and opportunities

White, Ross; Gregg, Jennifer; Batten, Sonja V.; Hayes, Louise; Kasujja, Rosco

doi:10.1016/j.jcbs.2017.07.001

Cited by 12 publications

(10 citation statements)

References 45 publications

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“…Notwithstanding these limitations, our findings are promising and indicate that delivery of an innovative, scalable psychological self-help intervention to large groups of participants in challenging settings is feasible with minimal training and supervision, and was well-received by female participants. As such, the research contributes to a wider consideration of opportunities and challenges associated with the global dissemination of psychological interventions (Fairburn & Patel, 2014 ; White et al , 2017 ). We have planned a small cluster randomized cluster trial to test the feasibility of research procedures, and a fully powered randomized controlled trial as a more rigorous evaluation of the potential benefits of SH+ in South Sudanese women.…”

Section: Discussionmentioning

confidence: 99%

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Translation, adaptation, and pilot of a guided self-help intervention to reduce psychological distress in South Sudanese refugees in Uganda

et al. 2018

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Background.In this period of unprecedented levels of displacement, scalable interventions are needed to address mental health concerns of forced migrants in low-resource settings. This paper describes the adaptation and piloting of a guided, multi-media, self-help intervention, Self-Help Plus (SH+), which was developed to reduce psychological distress in large groups of people affected by adversity.Methods.Using a phased approach that included community consultations, cognitive interviewing, facilitator training, pilot implementation, and a qualitative process evaluation, we adapted SH+ for use among South Sudanese refugees in a refugee settlement in northern Uganda.Results.The SH+ materials, including audio-recorded sessions and an accompanying illustrated manual, were translated into Juba Arabic. Cognitive interviewing primarily resulted in adaptations to language with some minor adaptations to content. Facilitator training and supervision led to further suggested changes to delivery methods. An uncontrolled pilot study (n = 65) identified changes in the expected direction on measures of psychological distress, functional impairment, depression, wellbeing, and psychological flexibility. The process evaluation resulted in further adaptations to intervention materials and the decision to focus future effectiveness evaluations of the intervention in its current form on South Sudanese female refugees.Conclusions.We found that this potentially scalable, guided self-help intervention could be adapted for and feasibly implemented among female South Sudanese refugees in northern Uganda. These findings lay the groundwork for a future rigorous evaluation of SH+ in this context.

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Section: Discussionmentioning

confidence: 99%

“…At the same time, ACT also focuses on guiding participants to live in ways consistent with their personal values (Hayes et al , 2011 ). Studies have suggested that ACT may be effectively applied in a self-help format (Cavanagh et al , 2014 ) and in diverse cultural contexts (White et al , 2017 ).…”

Section: Methodsmentioning

confidence: 99%

Translation, adaptation, and pilot of a guided self-help intervention to reduce psychological distress in South Sudanese refugees in Uganda

et al. 2018

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“…Global health can be defined as a set of initiatives that promote the scale up of evidence based interventions to improve the quality of service delivery of mental health services, particularly in LMICs (bayetti & Jain, 2017;Jain & Orr, 2016;White, Gregg, Batten, Hayes, & Kasujja, 2017). The initiatives to expand global mental health care delivery are based on the moral and ethical assumptions that anyone should receive attention and care, regardless of their social determinants of health, including location (Kirmayer & Pedersen, 2014;Mason, Kerridge, & Lipworth, 2017;Patel, 2014), and much progress have been made towards improving the mental health care delivery globally (Patel, Boyce, Collins, Saxena, & Horton, 2011).…”

Section: Issues Of Scientific Integrity and Social Justicementioning

confidence: 99%

Parenting Programs for Underserved Populations in Low- and Middle-Income Countries: Issues of Scientific Integrity and Social Justice

Baumann¹,

Mejía²,

Lachman³

et al. 2018

Glob Soc Welf

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Research suggests that parenting programs are effective for preventing behavioral and emotional difficulties in children, but a lot more attention needs to be paid to issues of context and culture during the development, testing and implementation of these interventions. The views and needs of underserved and disenfranchised communities in the US and the Global South are often not taken into account for the development and testing of interventions. The successful implementation of evidence-based interventions for vulnerable children and families in underserved and marginalized communities requires careful consideration of how existing paradigms of prevention, evaluation, and implementation science impact issues of social justice and equity. This paper will describe how a team of parenting program researchers has been collaborating with their partners globally in generating local knowledge by balancing the need for rigorous scientific methods with issues of power. Authors from the U.S., Latin America, Africa and Southeast Asia draw on their experiences regarding challenges and successes with issues regarding study design and measurement, the transferability and adaptation of interventions, and the dissemination and implementation of different parenting interventions while placing communities at the center of their efforts through participatory methods. We describe innovative approaches that span the continuum of intervention development, adaptation, optimization, evaluation, implementation, and scale up of different parenting programs for vulnerable children and families across the world. We conclude by offering specific and pragmatic recommendations to increase access of culturally relevant and effective parenting programs in these communities.

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“…Through community trainings and empowering local leaders using ACT principles, Commit and act assisted in disseminating values driven behavior change that allowed communities to honor their deceased loved ones via important burial traditions, while also engaging in behaviors to minimize the spread of infection ( Stewart et al, 2017 ). The work of Commit and act was fundamentally grounded the Prosocial approach mentioned earlier ( Atkins, Wilson, & Hayes, 2019 ) which combines psychological flexibility and Ostrom's CDPs ( Ostrom, 1990 ; 2010 ; see Cox, Arnold, & Tomás, 2010 for an empirical review of studies that tested the application of these principles; and White, Gregg, Batten, Hayes, & Kasujja, 2017 , for a broad overview of how CBS might continue to contribute to global mental health).…”

Section: The Covid-19 Challenge: Three Examplesmentioning

confidence: 99%

Process-based functional analysis can help behavioral science step up to novel challenges: COVID - 19 as an example

Hayes

Hofmann

Stanton

2020

Journal of Contextual Behavioral Science

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Historically speaking, the behavioral tradition advanced functional analysis as a method of applying existing principles to novel situations. In the more than half a century since that idea was advanced, functional analysis has either fallen into disuse, as in most of applied psychology, or has been used but modified to a point that is virtually inapplicable elsewhere, as in applied behavior analysis work with severe developmental disabilities. In this paper we argue that the current challenges with COVID-19 present an ideal time to reinvigorate functional analysis by combining it with the growing body of evidence on processes of change, organized under an extended evolutionary meta-model. This new form of process-based functional analysis takes advantage of the strengths of contextual behavioral science, while opening avenues of fruitful interaction with other wings of intervention and evolutionary science more generally. Using the psychological flexibility model as an example, we show how this approach solves the key problems of classical functional analysis and helps professionals deal with novel challenges such as those posed by COVID-19. Humanity is now facing an extraordinary and unexpected situation. Behavioral science needs to rise to that challenge in a way that provides both immediate practical value and greater assurance of long-term benefits for our understanding of human complexity more generally. Process-based functional analysis can be a vehicle to do just that.

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Contextual Behavioral Science and Global Mental Health: Synergies and opportunities

Cited by 12 publications

References 45 publications

Translation, adaptation, and pilot of a guided self-help intervention to reduce psychological distress in South Sudanese refugees in Uganda

Translation, adaptation, and pilot of a guided self-help intervention to reduce psychological distress in South Sudanese refugees in Uganda

Parenting Programs for Underserved Populations in Low- and Middle-Income Countries: Issues of Scientific Integrity and Social Justice

Process-based functional analysis can help behavioral science step up to novel challenges: COVID - 19 as an example

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