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Table 1 Phases of adaptation of the EASE intervention for displaced Burundian adolescents in Tanzania

From: Cultural adaptation of a scalable psychological intervention for Burundian refugee adolescents in Tanzania: a qualitative study

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