Implications for mental health promotion and prevention interventions : findings from adolescent focus group discussions in Belize, Kazakhstan, and South Africa

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van der Westhuizen, Claire and Carvajal-Velez, Liliana and de Carvalho Eriksson, Cristina and Gatto, Jennifer and Kadirova, Aigul and Samuels, Renata and Siqabatiso, Zanele and Skeen, Sarah and Stewart, Jackie and Lai, Joanna (2023) Implications for mental health promotion and prevention interventions : findings from adolescent focus group discussions in Belize, Kazakhstan, and South Africa. Journal of Adolescent Health, 72 (1). S105-S111. ISSN 1054-139X (https://doi.org/10.1016/j.jadohealth.2021.10.024)

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Abstract

Purpose: This study aimed to understand 10- to 19-year-old adolescents' conceptions of mental health and well-being, and suggestions for appropriate interventions, in three low- and middle-income countries to inform the design of adolescent-responsive preventive and promotive mental health programming. Methods: Ninety-one adolescents participated in focus group discussions in Belize, Kazakhstan, and South Africa. The discussions were recorded, transcribed, translated, and analyzed using thematic analysis. Results: Adolescents were active contributors to the discussions and provided important information and solutions for improving adolescents' mental health from interpersonal skills training to interventions in schools and communities. Adolescents identified a need for social emotional skills development, particularly regarding interpersonal relationships and navigating peer pressure and bullying. Furthermore, the discussions highlighted the need for programming to be tailored to the local context regarding language, contextual challenges faced by adolescents, and choice of program facilitators. Adolescents valued supportive interactions with adults in their lives and recommended that programs should include teacher/parent training on interacting with adolescents. Conclusions: These findings highlight that adolescents are valuable partners in developing adolescent health interventions and show that social emotional skills are key components in such interventions. These programs should be culturally and locally appropriate and include components for teachers and parents.

ORCID iDs

van der Westhuizen, Claire, Carvajal-Velez, Liliana, de Carvalho Eriksson, Cristina, Gatto, Jennifer, Kadirova, Aigul, Samuels, Renata, Siqabatiso, Zanele, Skeen, Sarah, Stewart, Jackie ORCID logoORCID: https://orcid.org/0000-0003-1854-8296 and Lai, Joanna;
CORE (COnnecting REpositories)