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T0120


Integrating the Capability Approach in Interventions and Evaluations 
Convenor:
Sabina van der Veen (Leiden University)
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Chair:
Sophie Mitra (Fordham University)
Discussants:
Barbra Elsa Kiconco (MRCUVRI LSHTM Research Unit, Uganda.)
Catharina van der Boor (London School of Hygiene and Tropical Medicine)
Marijn Aalders (Bettery Institute)
Format:
Thematic Panel
Theme:
Capability measurement and empirical analysis

Short Abstract:

In this thematic panel, we will present interventions based on the Capability Approach in both their design and evaluation methodologies. Challenges in defining and measuring capabilities, and navigating cultural differences, will be addressed. The panel session aims to deepen understanding of the design and evaluation of CA-based interventions that aim to promote human flourishing.

Long Abstract:

In recent years, there has been a surge in interest in adopting the Capability Approach (CA) as a framework for designing and evaluating interventions across various fields. In this panel, we aim to examine the prospective applications of the CA in intervention design and evaluation by convening a group of experts who have delved into its integration within intervention frameworks and their subsequent evaluations.

This proposed thematic panel session aims to present an overview of interventions targeting the enhancement of human well-being across diverse settings and countries. We will showcase examples of such interventions that have effectively integrated elements of the CA, along with reflections on how adopting a capabilities perspective has influenced program outcomes. Additionally, we will explore the inherent challenges associated with defining and measuring capabilities in intervention work, as well as navigating cultural and contextual differences.

In a plenary discussion, we will further examine the challenges and opportunities for future developments and evaluations of interventions. By the end of the session, participants will gain a deeper understanding of how the CA can inform and enhance interventions and their evaluations, with the overarching goal of fostering human flourishing and well-being.

This panel session includes researchers and practitioners:

Catharina van der Boor examined the challenges faced by South Sudanese refugees in northern Uganda, including heightened alcohol use disorders (AUDs) and psychological distress, compounded by socio-economic pressures. Recognizing the dearth of evidence-based interventions tailored to conflict-affected populations, the study introduces CHANGE, a peer-led intervention which aims to bolster mental well-being and quality of life, addressing not only AUDs and psychological distress but also broader outcomes such as capability-based well-being and violence reduction, as assessed by the OxCAP-MH measure amongst others. Through a feasibility trial currently under analysis, the study seeks to evaluate the effectiveness and acceptability of CHANGE among male refugees, informing future interventions and humanitarian guidelines while potentially filling crucial gaps in service delivery.

Barbra Elsa Kiconco examined the gap in assessing the quality of life for people living with HIV (PLWH) and comorbid depression in Uganda by comparing two assessment instruments: the capabilities approach-based Oxford CAPabilities Questionnaire for Mental Health (OxCAP-MH) and subjective wellbeing (SWB) measures. The findings suggest that while OxCAP-MH and SWB instruments capture related but distinct aspects of quality of life and mental health in PLWH with depression, their combined use may offer a more comprehensive assessment of their progress. This combined approach has potential applications in diverse cultural contexts and global mental health research, particularly concerning chronic conditions like HIV.

Sabina van der Veen explored the BigMove intervention, an innovative approach to the provision of person-centred, integrated and community-based care in the Netherlands. The intervention aims to improve the functioning, capabilities and quality of life of people facing a combination of physical and mental health conditions. By empowering participants to make self-directed and value-driven choices in life, the intervention facilitates behaviour change aimed at improving functioning and capabilities. First evaluations of the intervention on improved functioning, capabilities and quality of life will be presented. Moreover, a novel evaluation method has been employed in the intervention, focusing on assessing participants' self-perceived functioning, related goals, and action plans. This innovative approach complements more conventional outcome measures and has demonstrated the ability to capture changes over time.

Marijn Aalders has extensive knowledge of the development and implementation of CA-based care interventions in the Netherlands. Furthermore, she trains and coaches healthcare and social care professionals, as well as policymakers, and contributes to the broader implementation of CA-based care interventions across various domains of healthcare and social services.

Accepted papers:

 
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