Consolidate, conceptualize, contextualise: key learnings for future intervention acceptability research with young people in Africa

Figures & data

Figure 1. Types and numbers of interventions assessed for acceptability, by acceptability studies with young people in Africa (2010–2020).

Table 1. Themes emerging from our systematic review thematic analyses in relation to components of Sekhon et al.’s (2017) TFA.

Theme emerging from our thematic analyses	Related component in TFA	Description
Emerging themes that overlap with components of Sekhon et al’s TFA
Overall feelings towards intervention	Affective attitude	How young people (YP) feel about the intervention
Understanding of intervention	Intervention coherence	Extent to which YP have adequate knowledge and understanding of the intervention
Perceived effectiveness	Perceived effectiveness	Extent to which the intervention is perceived to achieve its purpose
Costs related to participating	Burden and Opportunity Costs	Anticipated or experienced direct or opportunity costs required to participate in the intervention
Ease of use	Self-efficacy	YP’s confidence to perform the behaviours required to use or participate in the intervention
Alignment with individual value system	Ethicality	Extent to which the intervention fits with the YP’s individual value system
Emerging themes that extend beyond components of Sekhon et al’s TFA
Alignment with social and cultural norms and practices		Extent to which intervention is considered to be aligned with community values, or broader social, cultural and religious norms and practices
Relevance		Extent to which YP consider the intervention relevant to their needs and lived experience
Broader perceived positive effects		Broader anticipated or experienced positive social effects of the intervention for the YP, their household or community (beyond intervention objectives)
Perceived negative effects		Anticipated or experienced negative consequences of the intervention for the YP, their household or community
Perceived acceptability of others		YP’s perceived acceptability of the intervention by other key individuals in their lives

Figure 2. Potential cycle of inductive-deductive acceptability empirical research and theory building.

Sekhon, M., Cartwright, M., & Francis, J. J. (2017). Acceptability of healthcare interventions: An overview of reviews and development of a theoretical framework. BMC Health Services Research, 17(1), 1–13. https://doi.org/10.1186/s12913-017-2031-8

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