Insert Table 1 here
In question two, concerning the behavioural determinants affecting adolescent activity-related performance and wellbeing, scores ranged from 53 to 167 in round one and 30 to 100 in round two . The level of agreement in round one between the two highest prioritised determinants, ‘under-developed coping skills’ (n167) and ‘over or under consumption of activities’ (n153) is very similar at 33% and 31%. In round two ‘over or under consumption of activities’, referring to concerns about the amount of time spent in an activity, was ranked highest with n100 (67%), and above that of ‘under-developed coping skills’ (n95), referring to the skills an adolescent has to cope with life’s challenges, was rated highest in round one. After these first two determinants, the next highest-ranking items are ‘inadequate balance of activities’, referring to the balance between the various activities a person does, and ‘risk behaviours’, referring to activities that put an individual at risk of harm. In question 2 of the second round, the highest level of agreement for the ranking of any of the 17 determinants, was 67%, for items prioritised as most important and least important. The lowest level of agreement, 22%, was for the midrange prioritised items.
Question three concerned which personal determinants have the greatest impact on mental wellbeing, scores ranged from 59 to 173 in round one and 28 to 146 in round two. ‘Personal self-confidence’ (n146), was ranked as having the greatest impact on mental wellbeing, and the level of agreement increased from 46% to 70% between round one and two. The ranking, for ‘perception of competence’ (n120), ‘personal skills’ (n113), and ‘cultural values’ (n102), changed between rounds, but the level of agreement increased. At an interpersonal level (question four), scores ranged from 19 to 119 and the determinants most likely to influence adolescents’ choices about what to do were thought to be ‘peers’ and ‘siblings’, with ‘peers’ scoring the highest level of agreement (90%) between panellists. The next highest level of agreement was observed in the lower ranked determinants (80%) ‘counsellors’ and ‘other professionals’. The level of agreement between middle ranked determinants was low, ranging from 20% to 50%.
In question five, scores ranged from 38 to 145 in round one and 21 to 169 in round two. ‘Geography and locality’ (n169) was the community-based determinants ranked highest across rounds with an increased level of agreement. Next were two items, ‘social determinants’ (n151) and ‘nature and quality of family relationships’ (n151), with a level of 50% agreement. Panellists’ comments suggest this question was difficult to answer because of the variety of different community settings which exist, and because the impact of the environment depends on an adolescent individual’s circumstances.
Finally, in question six, Scores ranged from n59 to n101 in round one and n17 and n75 in round two. The highest ranked societal or organisational determinant thought to affect mental health, which had the highest level of agreement, was ‘local council investment in services’ (n75). The first three highest ranked determinants did not change position in the ranking between rounds, but the level of agreement on the ranking increased. Across the different questions it is evident ranking remains similar between rounds, while the percentage level of agreement appears to increase. Agreement appears be greatest at the upper and lower ends of the ranking with the items in the middle showing lower levels of agreement.
In addition to the percentage level of agreement achieved with regard to the rankings of determinants for each question, the agreement between those rating items between rounds was examined, using the non-parametric test, Kendal’s co-efficient of concordance (Kendal’s W) (Sossa et al. , 2019), the results of are recorded in the table 2.