Implementation outcomes of the waves for change community-based task-shared prevention intervention for adolescent mental health in South Africa
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| Publicat a: | Cambridge Prisms : Global Mental Health vol. 12 (2025) |
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| Altres autors: | , , , , |
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| Accés en línia: | Citation/Abstract Full Text Full Text - PDF |
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| 022 | |a 2054-4251 | ||
| 024 | 7 | |a 10.1017/gmh.2025.10033 |2 doi | |
| 035 | |a 3231774214 | ||
| 045 | 2 | |b d20250101 |b d20251231 | |
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| 100 | 1 | |a Davies, Thandi |u Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, https://ror.org/03p74gp79 University of Cape Town Cape Town, South Africa | |
| 245 | 1 | |a Implementation outcomes of the waves for change community-based task-shared prevention intervention for adolescent mental health in South Africa | |
| 260 | |b Cambridge University Press |c 2025 | ||
| 513 | |a Journal Article | ||
| 520 | 3 | |a 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. | |
| 651 | 4 | |a South Africa | |
| 653 | |a Child development | ||
| 653 | |a Stress | ||
| 653 | |a Mental health care | ||
| 653 | |a Prevention | ||
| 653 | |a Community health care | ||
| 653 | |a Intervention | ||
| 653 | |a Mental disorders | ||
| 653 | |a Well being | ||
| 653 | |a Taxonomy | ||
| 653 | |a Methods | ||
| 653 | |a Adolescence | ||
| 653 | |a Health services | ||
| 653 | |a Child & adolescent mental health | ||
| 653 | |a Skills | ||
| 653 | |a Health care industry | ||
| 653 | |a Psychological safety | ||
| 653 | |a Social workers | ||
| 653 | |a Self evaluation | ||
| 653 | |a Youth employment | ||
| 653 | |a Safety regulations | ||
| 653 | |a Self control | ||
| 653 | |a Mental health services | ||
| 653 | |a Resilience | ||
| 653 | |a Measurement | ||
| 653 | |a Repetition | ||
| 653 | |a Meals | ||
| 653 | |a Adolescents | ||
| 653 | |a Implementation | ||
| 653 | |a Teachers | ||
| 653 | |a Preventive medicine | ||
| 653 | |a Educational attainment | ||
| 653 | |a Employment | ||
| 653 | |a Community-based programs | ||
| 653 | |a Adversity | ||
| 653 | |a Poverty | ||
| 653 | |a Emotional experiences | ||
| 653 | |a Self report | ||
| 653 | |a Prevention programs | ||
| 653 | |a Community change | ||
| 653 | |a Fidelity | ||
| 653 | |a Self regulation | ||
| 653 | |a Trauma | ||
| 653 | |a Education work relationship | ||
| 653 | |a Health care | ||
| 653 | |a At risk populations | ||
| 653 | |a Mental health | ||
| 653 | |a Partnerships | ||
| 700 | 1 | |a Marshall, Jamie |u School of Applied Sciences, https://ror.org/03zjvnn91 Edinburgh Napier University , Edinburgh, UK | |
| 700 | 1 | |a van der Merwe, Nicola |u Waves for Change, Cape Town, South Africa | |
| 700 | 1 | |a Yarrow, Paula |u Waves for Change, Cape Town, South Africa | |
| 700 | 1 | |a Conibear, Tim |u Waves for Change, Cape Town, South Africa | |
| 700 | 1 | |a Lund, Crick |u Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, https://ror.org/03p74gp79 University of Cape Town Cape Town, South Africa; Centre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK | |
| 773 | 0 | |t Cambridge Prisms : Global Mental Health |g vol. 12 (2025) | |
| 786 | 0 | |d ProQuest |t Social Science Database | |
| 856 | 4 | 1 | |3 Citation/Abstract |u https://www.proquest.com/docview/3231774214/abstract/embedded/H09TXR3UUZB2ISDL?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text |u https://www.proquest.com/docview/3231774214/fulltext/embedded/H09TXR3UUZB2ISDL?source=fedsrch |
| 856 | 4 | 0 | |3 Full Text - PDF |u https://www.proquest.com/docview/3231774214/fulltextPDF/embedded/H09TXR3UUZB2ISDL?source=fedsrch |