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Implementing a community-based caregiver intervention in limited-resource settings: a focus on implementation strategies

The systematic use of implementation strategies can enhance sustainable implementation of evidence-based interventions in real-world settings. However, there are little data on the use of implementation strategies in low-resourced settings. The World Health Organization Caregiver Skills Training Pro...

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Main Author: Combrinck, Jeanri
Other Authors: Schlebusch, Liezl
Format: Thesis
Language:English
Published: Department of Psychiatry and Mental Health 2023
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access_status_str Open Access
author Combrinck, Jeanri
author2 Schlebusch, Liezl
author_browse Combrinck, Jeanri
Schlebusch, Liezl
author_facet Schlebusch, Liezl
Combrinck, Jeanri
author_sort Combrinck, Jeanri
collection Thesis
description The systematic use of implementation strategies can enhance sustainable implementation of evidence-based interventions in real-world settings. However, there are little data on the use of implementation strategies in low-resourced settings. The World Health Organization Caregiver Skills Training Programme (WHO-CST) for families of children with developmental disabilities was piloted in a rural setting in South Africa and was called the 'Diamond Families Project'. The goal of this study was to describe systematically the implementation strategies used during the planning phase of the project. Archival project records were reviewed to identify all planning activities, which were coded into implementation strategies using a tailored manual and consensus coding approach. We identified 150 activities representing 33 unique implementation strategies across nine categories. Developing stakeholder interrelationships was the most frequently used category, with the largest number of actors, highest costs, and longest cumulative duration. Developing an implementation blueprint was the most frequently used individual strategy, while promoting adaptability had the longest duration. The Diamond Families Project incorporated a comprehensive set of implementation strategies with a clear focus on building stakeholder relationships. Findings contribute to an evidence-base of implementation strategies for WHO-CST in South Africa, which may inform the implementation of interventions in similar low-resourced settings.
format Thesis
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:42:27.417Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2023
publishDateRange 2023
publishDateSort 2023
publisher Department of Psychiatry and Mental Health
publisherStr Department of Psychiatry and Mental Health
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/37986 Implementing a community-based caregiver intervention in limited-resource settings: a focus on implementation strategies Combrinck, Jeanri Schlebusch, Liezl de Vries Petrus Psychiatry The systematic use of implementation strategies can enhance sustainable implementation of evidence-based interventions in real-world settings. However, there are little data on the use of implementation strategies in low-resourced settings. The World Health Organization Caregiver Skills Training Programme (WHO-CST) for families of children with developmental disabilities was piloted in a rural setting in South Africa and was called the 'Diamond Families Project'. The goal of this study was to describe systematically the implementation strategies used during the planning phase of the project. Archival project records were reviewed to identify all planning activities, which were coded into implementation strategies using a tailored manual and consensus coding approach. We identified 150 activities representing 33 unique implementation strategies across nine categories. Developing stakeholder interrelationships was the most frequently used category, with the largest number of actors, highest costs, and longest cumulative duration. Developing an implementation blueprint was the most frequently used individual strategy, while promoting adaptability had the longest duration. The Diamond Families Project incorporated a comprehensive set of implementation strategies with a clear focus on building stakeholder relationships. Findings contribute to an evidence-base of implementation strategies for WHO-CST in South Africa, which may inform the implementation of interventions in similar low-resourced settings. 2023-06-27T14:24:42Z 2023-06-27T14:24:42Z 2023 2023-06-27T14:23:16Z Master Thesis Masters MMed http://hdl.handle.net/11427/37986 eng application/pdf Department of Psychiatry and Mental Health Faculty of Health Sciences
spellingShingle Psychiatry
Combrinck, Jeanri
Implementing a community-based caregiver intervention in limited-resource settings: a focus on implementation strategies
thesis_degree_str Master's
title Implementing a community-based caregiver intervention in limited-resource settings: a focus on implementation strategies
title_full Implementing a community-based caregiver intervention in limited-resource settings: a focus on implementation strategies
title_fullStr Implementing a community-based caregiver intervention in limited-resource settings: a focus on implementation strategies
title_full_unstemmed Implementing a community-based caregiver intervention in limited-resource settings: a focus on implementation strategies
title_short Implementing a community-based caregiver intervention in limited-resource settings: a focus on implementation strategies
title_sort implementing a community based caregiver intervention in limited resource settings a focus on implementation strategies
topic Psychiatry
url http://hdl.handle.net/11427/37986
work_keys_str_mv AT combrinckjeanri implementingacommunitybasedcaregiverinterventioninlimitedresourcesettingsafocusonimplementationstrategies