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Implementation outcomes of the waves for change community-based task-shared prevention intervention for adolescent mental health in South Africa

Gorde:
Argitaratua izan da:Cambridge Prisms : Global Mental Health vol. 12 (2025)
Egile nagusia: Davies, Thandi
Beste egile batzuk: Marshall, Jamie, van der Merwe, Nicola, Yarrow, Paula, Conibear, Tim, Lund, Crick
Argitaratua:
Cambridge University Press
Gaiak:
South Africa
Child development
Stress
Mental health care
Prevention
Community health care
Intervention
Mental disorders
Well being
Taxonomy
Methods
Adolescence
Health services
Child & adolescent mental health
Skills
Health care industry
Psychological safety
Social workers
Self evaluation
Youth employment
Safety regulations
Self control
Mental health services
Resilience
Measurement
Repetition
Meals
Adolescents
Implementation
Teachers
Preventive medicine
Educational attainment
Employment
Community-based programs
Adversity
Poverty
Emotional experiences
Self report
Prevention programs
Community change
Fidelity
Self regulation
Trauma
Education work relationship
Health care
At risk populations
Mental health
Partnerships
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Laburpena:Adolescents face increased vulnerability to mental health conditions, particularly when exposed to multidimensional poverty and trauma and pronounced treatment gaps. Waves for Change, a Sport for Development (SfD) intervention, employs task-sharing through its ‘5-Pillar Method’ to build resilience and prevent mental health conditions among at-risk adolescents in South Africa. This study assessed the implementation outcomes of this Method using a mixed-methods design, incorporating interviews, focus groups, self-report questionnaires, document reviews and routine site assessments, with 69 stakeholders including staff, peer coaches, mental healthcare providers, social workers, teachers, and adolescents. A thematic analysis revealed key facilitators to successful implementation, including: a year-long preventative approach, creation of safe spaces for learning self-regulation skills, employment of youth coaches from local communities, incorporation of fun, group-based physical activities, modelling and repetition of desired skills, provision of transport and meals, government partnerships, and consistent weekly training and supervision. Implementation challenges included coach capacity, due to their education levels and own trauma experiences, measurement of fidelity to the Method and of adolescents’ emotional experiences, and some concerns around ocean safety. These findings provide valuable insights for implementing community-based SfD interventions for adolescents facing adversity, and contributes towards global evidence supporting task-shared mental health approaches in LMICs.
ISSN:2054-4251
DOI:10.1017/gmh.2025.10033
Baliabidea:Social Science Database