Factors affecting beneficiary attendance in a community youth mental health promotion program in Karnataka, India.

Abstract Background: Yuva Spandana is a unique community based Youth Mental Health Promotion program implemented across Karnataka. This program provides mental health promotion services like guidance and referral services for any issues related to youth. These services are provided through Youth Guidance centres established within every district stadium across Karnataka. We assessed factors affecting beneficiary attendance to these guidance centres across Karnataka. Methods: A conceptual framework was developed to understand the factors affecting beneficiary attendance through stakeholder consultation. First time beneficiaries attending guidance centres between 1st January 2017 and 31st December 2018 across 30 districts of Karnataka were considered study subjects. Requisite data were drawn from the computerized management information system (CMIS) specifically developed for the program. Multivariate Linear Regression was performed with factors affecting beneficiary attendance as outcome and a host of hypothesized variables within the conceptual framework as potential exposures that contribute towards beneficiary attendance. All variables significantly associated with outcome (p<0.10) in univariate and which changed the β-coefficient of atleast one preceding variable by 10% was retained in the multivariate model. Results: For every sensitization program where more than one issue was addressed, the beneficiary attendance increased by 84% (β =0.84; 95% CI=0.53-1.15). Reaching out to parent beneficiaries through sensitisation programs, increased beneficiary attendance at YSK by 79% (β =0.79; 95% CI=0.20-1.37). Referring clients to resource mapped organisations, significantly increased beneficiary attendance by 81% (β =0.81; 95% CI=0.34-1.28). For every percentage increase in reminder calls made to probable beneficiaries who sought support following a sensitization programme, beneficiary attendance increased by 2.18 times (β =2.18; 95% CI=0.52-3.83). Availability of internet connectivity at these guidance centres in 2017, increased beneficiary attendance by 18 times (β =18.00; 95% CI=5.86-30.13). Conclusions: This study provides important inputs towards increasing beneficiary attendance towards large scale youth mental health promotion programs. Addressing more than one issue during sensitisation programs among beneficiaries; conducting sensitization programs among parent groups; making reminder calls to beneficiaries who requested support through feedback forms to fix appointment at guidance centres; providing referrals to beneficiaries to seek services at resource mapped individuals/organizations and ensuring availability of internet in guidance centres increases beneficiary attendance.

Download Full-text

Factors affecting beneficiary attendance in a community youth mental health promotion program in Karnataka, India.

10.21203/rs.2.18661/v2 ◽

2019 ◽

Author(s):

Pradeep Banandur ◽

Lavanya Garady ◽

Mutharaju Arelingaiah ◽

Gururaj Gopalkrishna ◽

Jyoti M Koujageri ◽

...

Keyword(s):

Mental Health ◽

Health Promotion ◽

Conceptual Framework ◽

Large Scale ◽

Youth Mental Health ◽

Mental Health Promotion ◽

Health Promotion Program ◽

Percentage Increase ◽

Factors Affecting ◽

Promotion Program

Abstract Context: Yuva Spandana is a unique community based Youth Mental Health Promotion program implemented across Karnataka. This program provides mental health promotion services like guidance and referral services for any issues related to youth. These services are provided through Youth Guidance centres established within every district stadium across Karnataka. We assessed factors affecting beneficiary attendance to these guidance centres across Karnataka. Methodology: A conceptual framework was developed to understand the factors affecting beneficiary attendance through stakeholder consultation. First time beneficiaries attending guidance centres between 1st January 2017 and 31st December 2018 across 30 districts of Karnataka were considered study subjects. Requisite data were drawn from the computerized management information system (CMIS) specifically developed for the program. Multivariate Linear Regression was performed with factors affecting beneficiary attendance as outcome and a host of hypothesized variables within the conceptual framework as potential exposures that contribute towards beneficiary attendance. All variables significantly associated with outcome (p<0.10) in univariate and which changed the β-coefficient of atleast one preceding variable by 10% was retained in the multivariate model. Results: For every sensitization program where more than one issue was addressed, the beneficiary attendance increased by 84% (β =0.84; 95% CI=0.53-1.15). Reaching out to parent beneficiaries through sensitisation programs, increased beneficiary attendance at YSK by 79% (β =0.79; 95% CI=0.20-1.37). Referring clients to resource mapped organisations, significantly increased beneficiary attendance by 81% (β =0.81; 95% CI=0.34-1.28). For every percentage increase in reminder calls made to probable beneficiaries who sought support following a sensitization programme, beneficiary attendance increased by 2.18 times (β =2.18; 95% CI=0.52-3.83).Availability of internet connectivity at these guidance centres in 2017, increased beneficiary attendance by 18 times (β =18.00; 95% CI=5.86-30.13). Conclusion: This study provides important inputs towards increasing beneficiary attendance towards large scale youth mental health promotion programs. Addressing more than one issue during sensitisation programs among beneficiaries; conducting sensitization programs among parent groups; making reminder calls to beneficiaries who requested support through feedback forms to fix appointment at guidance centres; providing referrals to beneficiaries to seek services at resource mapped individuals/organizations and ensuring availability of internet in guidance centres increases beneficiary attendance.

Download Full-text

Pilot Testing the Theoretical Framework of Acceptability in a Process Evaluation of a Community Pharmacy–Based Men’s Mental Health Promotion Program

SAGE Open ◽

10.1177/2158244019885129 ◽

2019 ◽

Vol 9 (4) ◽

pp. 215824401988512

Author(s):

Andrea Lynn Murphy ◽

David Martin Gardner

Keyword(s):

Mental Health ◽

Health Promotion ◽

Process Evaluation ◽

Theoretical Framework ◽

Mental Health Promotion ◽

Health Promotion Program ◽

Perceived Effectiveness ◽

Pilot Testing ◽

Promotion Program ◽

Affective Attitude

The objective of this study was to assess men’s acceptability of a men’s mental health promotion program in community pharmacies through pilot testing the theoretical framework of acceptability (TFA) as part of the process evaluation. Five men were interviewed about their experiences with the Headstrong program to learn about the acceptability of the program. The TFA was used as the deductive coding scheme and consists of seven constructs including affective attitude, burden, intervention coherence, ethicality, opportunity costs, perceived effectiveness, and self-efficacy. Three constructs, affective attitude, perceived effectiveness, and intervention coherence, from the TFA were coded in all five transcripts. The most frequently coded constructs were affective attitude and perceived effectiveness, coded 19 and 17 times, respectively. Interviewees all reported good relationships with their pharmacists, which influenced their willingness, attitude, and low burden for participation in Headstrong. Each of the men expressed comments reflecting anticipated effectiveness of the program outside of their own experience and how it could impact other men. Use of the TFA as part of a process evaluation of men’s experiences in a men’s mental health program was useful in identifying men’s perceptions of the program’s acceptability. Further research regarding how the quality of existing relationships with clinicians and patients impacts the TFA constructs of affective attitudes, perceived effectiveness, and burden would be useful.

Download Full-text

Design of a Mental Health Promotion Program for Vulnerable African American Youth

Journal of Forensic Nursing ◽

10.1111/j.1939-3938.2005.tb00038.x ◽

2008 ◽

Vol 1 (4) ◽

pp. 158-165

Author(s):

Deborah Shelton ◽

Joan Smith ◽

Marva Purnell-Greene

Keyword(s):

Mental Health ◽

Health Promotion ◽

African American ◽

African American Youth ◽

Mental Health Promotion ◽

Health Promotion Program ◽

Promotion Program

Download Full-text

The significance of resilience in mental health promotion of marriage immigrant women: A qualitative study of factors and processes

10.21203/rs.2.13818/v2 ◽

2020 ◽

Author(s):

Yeonjae Jo

Keyword(s):

Mental Health ◽

Health Promotion ◽

Economic Activity ◽

Immigrant Women ◽

Mental Health Promotion ◽

Health Promotion Program ◽

Structural Level ◽

Resilience Theory ◽

Factors Affecting ◽

Recognition Respect

Abstract Background: This study explores a series of processes in which marriage immigrant women achieve positive mental health status after experiencing various marriage- and migrant-related difficulties through the framework of resilience theory. As marriage immigrant women face greater barriers to public health services than non-immigrant women, it is necessary to understand the related factors, process, and context to address these barriers and strengthen available assets. Methods: A qualitative case study design was used with the phenomenological approach. Eleven mental health promotion program managers and twelve marriage immigrant women from who experienced resilience were recruited from four public-funded multicultural community centers in Seoul and Gyeonggi-do, South Korea, between December 2015 and March 2016. Using data from in-depth semi-structured face-to-face interviews, the author applied theme analysis informed by the resilience theory in order to identify factors that affect resilience and its development process. Results: Findings indicated that the process of resilience follows enduring difficulties, collapse of stability, access to professional help, professional and social support, and experience of growth. A combination of the staged process of growth, absence of partner support, children as a driving force for change, the need for economic activity, factors affecting difference in growth: satisfaction levels of women’s need for recognition, respect, and reward, and level of spousal support were identified as factors affecting marriage immigrant women’s resilience. Conclusions: Spouses, children, and economic activity play key roles in resilience in positive and negative ways. The existing information barrier should be addressed at a structural level to improve the mental health of marriage immigrant women, and the optimum time for intervention is suggested within two years post-migration. Efforts to build supportive relationships with Korean spouses and meet the women’s needs for recognition, respect, and reward may also help promote these women’s resilience. Keywords: marriage immigrant women; women’s health; mental health; access to service; resilience theory; qualitative research

Download Full-text

Correlates of relationship issues among youth: Findings from a large scale youth mental health promotion program in India

10.21203/rs.3.rs-17841/v1 ◽

2020 ◽

Author(s):

Pradeep Banandur ◽

Gopalan Kalpana ◽

Shikha G Pai ◽

Mutharaju Arelingaiah ◽

Sathya R Velu ◽

...

Keyword(s):

Mental Health ◽

Health Promotion ◽

Large Scale ◽

Health Promotion Program ◽

Middle Income ◽

Factors Affecting ◽

Safety Issues ◽

Middle Income Countries ◽

Low Middle Income Countries ◽

Health Promotion Interventions

Abstract Background : Relationships and mental health have a bidirectional effect. The effect of relationships on mental health is stronger than vice versa. We analyzed two-year case records of 8595 beneficiaries aged 15-35 years attending youth guidance centres (Yuva Spandana Kendras) in Karnataka, India to understand factors affecting relationship issues. Methods : Multivariate logistic regression was performed with any beneficiary reporting having a relationship issue as outcome. Results : Occupation, marital status, health and lifestyle issues, personality issues, safety issues, gender, sex, & sexuality issues, suicidality, alcohol, and different emotions experienced,had significant association with relationship issues. Investing in health promotion interventions focusing on these precursors of relationship issues amongst youth seems strategic. Conclusion : Our findings have implications for other states in India and other low-middle-income countries like India.

Download Full-text