Table 3 Key assumptions, evidence and indicators
Outcomes levels | Assumptions | Evidence/experience base | Indicators |
|---|---|---|---|
Long-term outcome | Preconditions at the community, health organization, service user and caregiver level met Improved community organizations and inter-sector collaboration | Stated during the workshop by the participants that represented diverse stakeholder groups | Health care system inclusive of service user and caregiver needs(service user and caregiver satisfaction, affordable medication, holistic care, including medication and psychosocial, involvement structure and strategies) Comprehensives and reliability mental healthcare service (pharmacological and basic psychosocial interventions) Established service user and caregiver involvement structures within healthcare systems (e.g. peer support, board/committee members) |
Community intermediate outcomes | Willingness of community stakeholders to work collaboratively to mobilize, support and empower service user and caregivers and their organization Willingness of social organizations to promote mental health for their members | Stated during the ToC workshops and meetings by the participants that represented diverse stakeholder groups Research evidence in the local context showed the need [110] | Number of stakeholders involved in ToC workshops Number of stakeholders involved in service user and caregiver support meeting ToC map and narratives Community stakeholders collaborate to empower service user and caregiver groups Number and types of community support generated to empower service users |
Health organization | Willingness of health professionals and managers to undergo capacity building training; engage in participatory action research with service user and caregiver’s Commitment to create enabling environment service user and caregiver involvement | Stated during the ToC workshops by the participants Assessed need in the qualitative study Several research findings from HICs [3, 12, 13] and international study [2] | Number of participants attendance at the capacity building training Changes in knowledge and attitudes compared in pre-and-post training Number of members involved in participatory action research activities Reported personal experiences related to ToC model introduction |
Service users and caregivers | Willingness by service user and caregiver to undergo capacity building training Willingness to work with health professionals, managers and community Time and resources to engage in involvement activities | Stated during the ToC workshops by the participants Identified needs in the qualitative study Recommended by several studies from HICs [3, 12, 13], LMICs [30, 42, 91, 111] and international study [2] | Number of participants attended capacity building training Changes in knowledge and attitude compared in pre-and-post training Number of participants involved in participatory action research activities Reported personal experiences related to ToC model introduction Service user and caregiver groups organized |