Developing a logic model for youth mental health: participatory research with a refugee community in Beirut

Abstract

Although logic models are now touted as an important component of health promotion planning, implementation and evaluation, there are few published manuscripts that describe the process of logic model development, and fewer which do so with community involvement, despite the increasing emphasis on participatory research. This paper describes a process leading to the development of a logic model for a youth mental health promotion intervention using a participatory approach in a Palestinian refugee camp in Beirut, Lebanon. First, a needs assessment, including quantitative and qualitative data collection was carried out with children, parents and teachers. The second phase was identification of a priority health issue and analysis of determinants. The final phase in the construction of the logic model involved development of an intervention. The process was iterative and resulted in a more grounded depiction of the pathways of influence informed by evidence. Constructing a logic model with community input ensured that the intervention was more relevant to community needs, feasible for implementation and more likely to be sustainable.

Community-based participatory research in complex settings: clean mind-dirty hands

“…In the implementation phase, the Coalition developed a logic model for the intervention (Afifi et al, 2011) and then conducted qualitative interviews with parents, children and teachers. The Coalition attracted 17-23-year-old youth mentors who were trained to recruit children through home visits, assist in the intervention delivery and conduct some components of the process evaluation.…”

Uncertainty in situations of forced displacement:Acritical interpretative synthesis of refugee literature

“…Several other studies likewise relate uncertainty to refugees' state of mental well‐being (Afifi et al, ; George, Thomson, Chaze, & Guruge, ; Hussain & Bhushan, ; Laban, ; Mansouri & Cauchi, ; Roberts, Ocaka, Browne, Oyok, & Sondorp, ; Warfa et al, , ). Afifi et al () argue that uncertainty is “one of the hallmarks of refugee status and a known source of anxiety” that should be taken into account in mental health assessments (p. 495). The Refugee Trauma Experience Inventory of Hussain and Bhushan () and the Immigration Related Stressors Scale used by Ritsner, Ponizovsky, and Ginath () include items such as “deprivation‐uncertainty,” “anxiety about the future,” and “uncertainty in the present” (p. 497).…”

“…Afifi et al (, p. 495) define uncertainty as “a lack of confidence in one's ability to predict future outcomes” and operationalise this in their empirical study as “a sense of not knowing what will happen” in relation to “personal and family security” and “macro security” issues (p. 496). Richards and Rotter (, p. 1) relate uncertainty to “knowledge we have at our disposal at a particular point in time which enables us to make predictions about the future.” Other authors draw on Turner's notion of “liminality” to explain how refugees are “in a state of being in between, both in a temporal and spatial sense” (El‐Sharaawi, , p. 46), “no longer classified and not yet classified” (Turner, 1967: 95–6 in Beneduce, ), and in an “indefinite and potentially permanent state of precariousness” (Sampson et al, , p. 1).…”

A saúde mental dos refugiados: um olhar sobre estudos qualitativos

“…Some studies, whose population is made up of children and adolescents, treat the issue of mental health by verifying the presence of traumas and disorders [22][23][24][25] , while others [26][27][28] point to aspects related to psychological well-being, with no focus on pathologies.…”