Adaptation phase | Aim | Methods | Main outputs |
---|---|---|---|
Phase 1: Desk review | To synthesize existing knowledge on mental health among Burundian conflict-affected populations | Academic and grey literature databases searched using selected keywords | Worksheet developed to summarise information from 24 articles on cultural concepts of mental health, available services and culturally appropriate measures used with Burundian communities |
Phase 2: Rapid qualitative assessment | To understand mental health concerns, experiences of violence and coping strategies of young Burundian refugees and preferences for seeking support from their own and other key stakeholders’ perspectives | Free listing (n = 61) and key informant interviews (n = 24) | List of most salient mental health problems and experiences of violence, and a thematic framework with in-depth information on perceived gender and age differences, barriers and facilitators to support seeking and ways of coping |
Phase 3: Group cognitive interviews | To check that the intervention materials were easily and accurately understandable, acceptable and relevant for adolescents and caregivers | Participants (n = 20) shown core intervention materials to assess understanding and acceptability of materials | Response sheets to check comprehension by participants against intended meaning and preparation of a list of problem areas that needed to be adapted |
Phase 4: Adaptation workshop | To review data from earlier phases and propose recommendations for adaptation | Group read through of intervention sessions and supporting materials, review of data from earlier phases and consensus on proposed adaptations | Adaptations log with suggested changes and corresponding Bernal codes |