3 - (OP16) Identifying the Determinants of Uptake of Low-intensity Psychological Interventions in Jordan

Sustainment of low-intensity psychological interventions (such as PM+) within low-and-middle income country (LMIC) settings is notoriously challenging. The aim of this study was to identify determinants of the uptake of these interventions within the context of a stepped model of mental health care for adults affected by adversity in Jordan. For the first-time, an implementation science framework-driven study design was adopted. We conducted semi-structured interviews using purposive sampling with government leaders within Ministry of Health, implementers, psychology and psychiatry professionals, non-specialists, and beneficiaries (N=90). Design and analysis of interviews were guided by standardised implementation science frameworks. Key determinants to the process of implementing low intensity psychological interventions within Jordan were identified. Whilst most key informants expressed the perceived value of low-intensity psychological interventions, several barriers to implementation were expressed within Jordanian systems of care. Empirically driven implementation strategies will be discussed within the context of identified key determinants. Implementation science frameworks should be utilised to systematically understand factors enabling and hindering the uptake of low-intensity psychological interventions within resource-constrained settings such as LMICs. The findings provide an evidence-based foundation for selecting and designing implementation strategies to promote the uptake of such interventions.