Co-production using Theory of Change in the development of the SUCCEED Africa community-based rehabilitation intervention for people living with psychosis in West and Southeast Africa
7 affiliations
- 1Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, United Kingdom
- 2Department of Community Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria
- 3Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan, Nigeria
- 4Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, United Kingdom
- 5Faculty of Medicine and Health Sciences, University of Zimbabwe, Harare, Zimbabwe
- 6Department of Mental Health, School of Nursing, Kamuzu University of Health Sciences, Blantyre, Malawi
- 7Department for Clinical Counselling, University of Makeni, Makeni, Sierra Leone
Abstract
Psychosis and other severe mental health conditions cause substantial disability and reduced functioning across a number of domains. Services in low- and middle-income settings are often weak, and predominantly biomedical. Community-Based Rehabilitation (CBR) offers a comprehensive and person-centred approach that is aligned to effective case management models. The Support, Comprehensive Care and Empowerment for People with Psychosocial Disabilities (SUCCEED) programme was co-produced with people living with psychosis in four sub-Saharan countries, with a view to improving quality of life, mental health outcomes, and community participation. This paper described the intervention development process, using multiple iterations of Theory of Change (ToC), incorporating situation analysis, formative research and piloting. We present these iterations as results, using the GUIDED framework for intervention development, and the intervention is described using the TIDieR framework. We conclude that ToC can promote participatory processes of intervention co-development, as well as generate research questions. Interventions must remain flexible, and be open to revision, even if having core active ingredients.
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BibTeX
@article{eaton2026coproduction,
title = {{Co-production using Theory of Change in the development of the SUCCEED Africa community-based rehabilitation intervention for people living with psychosis in West and Southeast Africa}},
author = {Julian Eaton and Olubukola Omobowale and Rita Tamambang and Rachel Greenley and Lloyd Dzapasi and Musa Buyanga and Martin Nkhata and Olayinka Bamidele and Anthony Sefasi and Olayinka Omigbodun and Rebecca Esliker and Olayinka Aturu and Adeola Oduguwa and Olusegun Ogunmola and Alhaji Koroma and Epiphania Munetsi and Tom Shakespeare and Grace K. Ryan},
journal = {PLOS Mental Health},
year = {2026},
month = sep,
doi = {10.1371/journal.pmen.0000668},
url = {https://journals.plos.org/mentalhealth/article?id=10.1371/journal.pmen.0000668},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Co-production using Theory of Change in the development of the SUCCEED Africa community-based rehabilitation intervention for people living with psychosis in West and Southeast Africa
AU - Julian Eaton
AU - Olubukola Omobowale
AU - Rita Tamambang
AU - Rachel Greenley
AU - Lloyd Dzapasi
AU - Musa Buyanga
AU - Martin Nkhata
AU - Olayinka Bamidele
AU - Anthony Sefasi
AU - Olayinka Omigbodun
AU - Rebecca Esliker
AU - Olayinka Aturu
AU - Adeola Oduguwa
AU - Olusegun Ogunmola
AU - Alhaji Koroma
AU - Epiphania Munetsi
AU - Tom Shakespeare
AU - Grace K. Ryan
PY - 2026
DA - 2026/09/11
JO - PLOS Mental Health
DO - 10.1371/journal.pmen.0000668
UR - https://journals.plos.org/mentalhealth/article?id=10.1371/journal.pmen.0000668
AB - Psychosis and other severe mental health conditions cause substantial disability and reduced functioning across a number of domains. Services in low- and middle-income settings are often weak, and predominantly biomedical. Community-Based Rehabilitation (CBR) offers a comprehensive and person-centred approach that is aligned to effective case management models. The Support, Comprehensive Care and Empowerment for People with Psychosocial Disabilities (SUCCEED) programme was co-produced with people living with psychosis in four sub-Saharan countries, with a view to improving quality of life, mental health outcomes, and community participation. This paper described the intervention development process, using multiple iterations of Theory of Change (ToC), incorporating situation analysis, formative research and piloting. We present these iterations as results, using the GUIDED framework for intervention development, and the intervention is described using the TIDieR framework. We conclude that ToC can promote participatory processes of intervention co-development, as well as generate research questions. Interventions must remain flexible, and be open to revision, even if having core active ingredients.
SN - 2837-8156
ER -