Videreudvikling af interventionen SAMtal 18+'s rekrutteringsstrategi

Abstract

Baggrund: Dårlig mental sundhed er et stigende folkesundhedsproblem i Danmark. Især for unge kan dårlig mental sundhed have konsekvenser for livskvalitet, uddannelse og fremtidig tilknytning til arbejdsmarkedet. SAMtal 18+ er en selvhjælpsgruppe rettet mod depression og psykisk mistrivsel hos unge i alderen 18-26 år. I litteraturen ses det, at selvhjælpsgrupper kan forbedre psykisk mistrivsel, opbygge mestringsstrategier samt skabe håb for egen recovery. På trods af SAMtal 18+ positive effekter ses det, at der er en rekrutteringsproblematik, da der på nuværende tidspunkt kun er to deltagere i selvhjælpsgruppen. Formål: Formålet med specialet er at undersøge vha. af interessentperspektiver, hvordan SAMtal 18+’s rekrutteringsstrategi skal forandres for at imødekomme unges barrierer for deltagelse. Metode: Med pragmatismen som videnskabsteori indsamles datamateriale i form af en systematisk litteratursøgning, en workshop med relevante interessenter samt et individuelt interview med specialets samarbejdspartner. Specialets overordnede tilgang tager udgangspunkt i samskabelse, hvor Hawkins et al.’s framework for samskabelse anvendes som ramme. Workshoppen struktureres med inspiration fra Jungk og Müllert’s fremtidsværksted. Det indsamlede datamateriale analyseres vha. Braun og Clarke’s tematiske analysestrategi. Resultater: Den tematiske analyse resulterer i tre overtemaer med tilhørende undertemaer: Barrierer for deltagelse, Faciliterende adgang og Gruppens vilkår. Resultaterne viser, at barrierer i form af manglende energi og initiativtagning, stigma og en forventning om selvstændighed skal italesættes og tages i mente i forbindelse med rekrutteringen af unge. Det ses også, at faktorer såsom interventionens synlighed i form af formidling og reklame, samt fokus på relationsdannelse mellem deltager og gruppeleder er vigtige elementer, der kan være med til at facilitere adgang for de unge. Der skal yderligere være fokus på målgruppens sammensætning, da det ses, at unge bedre kan relatere til hinandens livsfaser frem for alderskategori. Konklusion: Specialet konkluderer, at interessentperspektiver kan bidrage til at udvikle en mere målrettet og differentieret rekrutteringsstrategi for SAMtal 18+, der i højere grad imødekommer unges barrierer for deltagelse. Rekrutteringen skal styrkes gennem øget synlighed, relationel formidling og tydeliggørelse af interventionens lavtærskelkarakter og recovery-orienterede tilgang. Fremtidige samskabelsesprocesser skal inkludere både slutbrugere og beslutningstagere for at sikre større relevans og bæredygtighed i løsningerne.

Background: Mental health problems are an increasing public health concern in Denmark. For young people in particular, poor mental health can have serious consequences for quality of life, education, and future attachment to the labor market. SAMtal 18+ is a self-help group aimed at addressing depression and psychological distress among young people aged 18-26. Literature shows that self-help groups can improve mental well-being, build coping strategies, and foster hope for personal recovery. Despite the positive effects of SAMtal 18+, there is a recruitment challenge, as currently, only two participants are enrolled in the group. Aim: The aim of this thesis is to explore, through stakeholder perspectives, how SAMtal 18+’s recruitment strategy should be adapted to address young people's barriers to participation. Method: With pragmatism as the underlying scientific philosophy, data is collected through a systematic literature review, a workshop with relevant stakeholders, and an individual interview with the thesis’ project partner. The overall approach is based on co-creation, using Hawkins et al.’s framework for co-creation as the guiding structure. The workshop is inspired by Jungk and Müllert’s Future Workshop method. The collected data is analyzed using Braun and Clarke’s thematic analysis strategy. Results: The thematic analysis yielded three main themes with corresponding subthemes: Barriers to Participation, Facilitated Access, and Group Conditions. The results highlight that barriers such as lack of energy and initiative, stigma, and an expectation of independence need to be acknowledged and addressed in recruitment efforts. Furthermore, factors like the visibility of the intervention through communication and advertising, and a focus on relationship-building between participants and group leaders, are important elements that can help facilitate access. Attention should also be given to the composition of the target group, as findings suggest that young people relate more to shared life phases than to age categories. Conclusion: The thesis concludes that stakeholder perspectives can contribute to developing a more targeted and differentiated recruitment strategy for SAMtal 18+ that better addresses young people’s barriers to participation. Recruitment efforts should be strengthened through increased visibility, relational communication, and clarification of the intervention’s low- threshold nature and recovery-oriented approach. Future co-creation processes should include both end-users and decision-makers to ensure greater relevance and sustainability of solutions.

A master thesis from Aalborg University

Videreudvikling af interventionen SAMtal 18+'s rekrutteringsstrategi

[Refining the Recruitment Strategy for the SAMtal 18+ Intervention]