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Feasibility in Community Mental Health Research: A Scoping Review
Clara Johnson1, Carla Valero Martínez2, Celine Lu3
1Department of Psychology, University of Washington, Guthrie Hall 119A, Seattle, WA, 98195, USA. cjohnso9@uw.edu.
Administration and Policy in Mental Health
|June 29, 2025
Summary
This scoping review found inconsistent reporting of feasibility in community mental health research. Clearer definitions and methods are needed to improve the implementation of evidence-based psychotherapies.
Area of Science:
- Implementation Science
- Mental Health Services Research
- Psychotherapy Research
Background:
- Feasibility is crucial for successful intervention implementation and sustainability, especially in resource-limited community mental health settings.
- Existing research lacks consensus on defining, measuring, and reporting feasibility in these settings.
- This study addresses the need for standardized feasibility assessment in community mental health trials.
Purpose of the Study:
- To synthesize how feasibility is described in trials of evidence-based psychotherapies (EBPs) in community mental health settings.
- To identify current practices in defining, measuring, and reporting feasibility.
- To propose guidelines for improving future feasibility research.
Main Methods:
- A scoping review of articles from major databases (Medline, PsycInfo, etc.) conducted in September 2023.
- Included studies delivered EBPs in community mental health settings to individuals with elevated symptoms and reported outcomes.
- Data extraction, synthesis, and qualitative content analysis were used to examine feasibility aspects.
Main Results:
- Sixty-one articles from 20 countries were included, covering diverse EBPs and populations.
- While all studies reported feasibility, only 60.7% provided a rationale, 11.5% defined it, 73.8% measured it, and 67.2% reported descriptive statistics.
- Significant inconsistencies were found in the reporting of feasibility rationales, definitions, measures, and results.
Conclusions:
- There is a critical need for clearer and more consistent approaches to conceptualizing and studying feasibility in community mental health research.
- Proposed guidelines include defining feasibility, using combined measures, considering researcher engagement timing, involving multiple stakeholders, and exploring feasibility's impact on outcomes.
- Adopting these guidelines will enhance the rigor and utility of feasibility research, ultimately improving intervention implementation and outcomes.
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