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Scale Qual Research: adolescent school mental health

Evidano7 min read

A PLOS One study protocol (published 16 July 2026) lays out a sequential explanatory mixed-methods plan to develop a quality-improvement intervention for School-Based Support Teams (SBSTs) in Gauteng secondary schools. The protocol combines a cross-sectional survey (target n = 440 from an estimated 6, 042 learners), a scoping review (2015 to 2025 literature), and 20 SBST interviews, then pilots a pre–post intervention. This post provides a compact workflow for running the qualitative parts (from interview collection to thematic, frequency, and cross-segment analysis) and explains how AI-enabled research workspaces can speed each step while preserving ethics and data security. See the protocol: PLOS One. Note: this is research-focused guidance, not clinical advice.

Key Takeaways

This post distils a PLOS One protocol (published 16 July 2026) that uses a sequential explanatory mixed-methods design with a cross-sectional survey (target n = 440) and 20 SBST interviews to co-design and pilot an SBST quality-improvement intervention.

The practical workflow explains transcription to Colaizzi phenomenological analysis, plus cross-segment triangulation by PHQ-A/GAD-7 strata, and gives a 7-step checklist you can run after collecting interviews and surveys.

The protocol’s qualitative pipeline can be accelerated with AI-enabled tools for transcription, consistent coding, and survey-transcript merging while keeping data encrypted and excluded from third-party model training.

  • Protocol publication date and reference: PLOS One, published 16 July 2026, protocol available at the PLOS One article link.
  • Sample targets and timing: cross-sectional target n = 440 from an estimated sampling frame of 6, 042 learners; qualitative SBST interviews start at 20 initial interviews, saturation-guided; recruitment June 2025 to Mar 2026, study completion Dec 2026, results by Jan 2027.
  • Qualitative method and tools: descriptive phenomenology using Colaizzi’s seven-step method, NVIVO 15 for analysis, plus SPSS v30 for quantitative analyses (ANOVA, multivariable regression).

Findings snapshot (protocol key numbers)

Date / ItemMetricValueSourceImplication
PublicationPublished16 July 2026PLOS OneProtocol timing and peer review status
Population frameEstimated learners across 4 schools6, 042ProtocolSampling universe for prevalence estimates
Survey sampleCalculated sample size (quantitative)440ProtocolCross-sectional prevalence & factors
Qualitative sampleSBST interviews20 (initial; saturation-guided)ProtocolPhenomenological interviews analysed with Colaizzi method
Age rangeParticipant ages13 to 19 yearsProtocolSecondary-school population
Analysis toolsSoftwareSPSS v30; NVIVO 15; ANOVA; multivariable regressionProtocolMixed-methods integration planned
TimelineRecruitment started / completion expectedJune 2025 to Mar 2026; study completion Dec 2026; results by Jan 2027ProtocolUseful for planning replication or secondary analyses

What the protocol does (methods in plain English)

This section explains the protocol’s methods in plain English.

This protocol is a sequential explanatory mixed-methods study: Phase 1 collects quantitative prevalence data using validated screeners (PHQ-A, GAD-7, ITQ-CA, PEARLS), runs a scoping review covering 2015 to 2025 literature, then follows up with 20 purposively sampled SBST interviews analysed via Colaizzi’s seven-step method in NVIVO 15. Phase 2 uses Phase 1 findings to co-design and pilot an SBST quality-improvement intervention with a pre–post evaluation (target post sample approximately 206).

  • Key instruments: PHQ-A (depression), GAD-7 (anxiety), ITQ-CA (trauma), PEARLS (ACEs).
  • Qualitative design: descriptive phenomenology with a purposive SBST sample (minimum two years’ experience).
  • Integration plan: scoping review results, quantitative patterns, and qualitative themes will triangulate to design the intervention.

Why this matters for qualitative researchers and program teams

For researchers

This protocol demonstrates a reproducible mixed-methods pipeline researchers can replicate.

The protocol shows a reproducible mixed-methods pipeline you can replicate: survey to identify prevalence and covariates, targeted interviews to understand mechanisms, and co-design of an intervention. The protocol explicitly uses validated measures and NVIVO-enabled phenomenological analysis, which helps justify methodological rigour in ethics applications and funder reports.

For school/UX teams and implementers

Pairing brief validated screeners with targeted qualitative interviews produces usable prevalence estimates plus narratives for feasible workflows.

School-Based Support Teams are often overburdened and undertrained; pairing brief, validated screeners with targeted qualitative interviews produces both prevalence estimates and the narratives needed to design feasible school-level workflows (screening, referral, psychosocial activities).

For policy & health analysts

Mixed-methods outputs provide concrete inputs for investment and monitoring decisions.

Mixed-methods outputs (effect sizes, risk factors, qualitative barriers) support concrete policy levers: where to invest in capacity building, which referral gaps to patch, and how to monitor outcomes pre/post intervention.

Do more, faster (map to this protocol)

Evidano definition and core capabilities

Evidano is an AI-powered qualitative data analysis platform that ingests audio, transcribes with custom dictionaries, redacts PII, supports AI-assisted coding, merges survey spreadsheets with transcripts, and generates thematic summaries and visuals while keeping data encrypted and excluded from third-party model training.

Ingest interviews and transcripts: The platform ingests audio and hand-written notes, applies transcription with a custom dictionary (for local school terms), redacts PII, and exports timestamped transcripts ready for analysis.

Consistent coding and Colaizzi-compatible workflows: The platform imports your codebook, runs AI-assisted initial coding to extract candidate themes and significant statements, and helps refine hierarchical codes and subcodes. Evidano produces thematic summaries and extracts verbatim quotes tied to codes, speeding Colaizzi’s steps of extracting significant statements and formulating meanings.

Triangulate survey and qualitative data: The platform merges spreadsheets (survey responses) with transcripts so you can run frequency, co-occurrence, and subgroup comparisons quickly, linking quantitative strata (for example, high PHQ-A scores) to interview themes.

Visualize and share: The platform generates word clouds, co-occurrence networks, and hierarchical code trees for stakeholder briefs to present intervention rationale to school principals and education departments.

Secure, research-first deployment: Data is encrypted and not used to train third-party models, which supports sensitive adolescent mental-health data handling and ethics approvals. For more, see Evidano.

Quick 7-step checklist to reproduce the qualitative analysis

This checklist explains seven practical steps to run the qualitative analysis after you have interviews and surveys.

  • 1) Consolidate raw files: audio, survey CSVs, field notes. Label with non-identifying IDs.
  • 2) Transcribe audio with a custom dictionary and redact PII during transcription.
  • 3) Upload transcripts and survey CSVs to your analysis workspace and link IDs to segments.
  • 4) Run an AI-assisted initial code sweep to extract candidate themes and significant statements.
  • 5) Apply Colaizzi’s steps: extract statements, formulate meanings, cluster into themes, validate with participants where possible.
  • 6) Cross-segment analysis: compare themes by PHQ-A/GAD-7 strata, school location (urban vs township), and age.
  • 7) Export themed quotes, visuals, and a short memo for the SBST co-design workshop.

FAQ: qualitative analysis of adolescent school mental health

How many interviews are enough?

The protocol starts with 20 SBST interviews and uses saturation as the stop rule.

The protocol begins with 20 SBST members and uses saturation as the stop rule; in practice plan for iterative analysis and check for new themes after every 4 to 5 interviews.

How do I compare themes across high- and low-risk students?

Link transcript IDs to survey scores and run cross-segment frequency and co-occurrence analyses.

Link transcript IDs to survey scores (for example, PHQ-A bands) and run cross-segment frequency and co-occurrence analyses; AI-assisted tagging speeds this and surfaces theme prevalence by subgroup.

What about ethics and sensitive content?

Follow local IRB guidance, use consent and assent processes, anonymize data, and provide on-site support for distressed participants.

Always follow your local IRB guidance, keep data anonymized, provide on-site support for participants who become distressed as the protocol describes, and use encrypted storage.

Wrapping up, next steps you can run this week

This section lists immediate next steps to prepare a pilot and practical options to trial an AI-enabled workflow.

If you are preparing to run or replicate a study like the Gauteng SBST protocol, start by organizing your audio, survey CSVs, and consent metadata. Trial a single-school pilot: transcribe five interviews, run an AI-assisted code pass, and generate visuals for your SBST workshop.

  • Explore how an AI-enabled workspace imports transcripts and survey sheets, runs thematic and cross-segment analyses, and outputs stakeholder-ready reports at Evidano.
  • Protocol reference: PLOS One.
  • Try Evidano for free.

Topics

  • adolescent school mental health
  • qualitative analysis
  • mixed-methods
  • School-Based Support Teams
  • Evidano

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