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Record W4409455175 · doi:10.1177/16094069251328146

Exploring Youth Substance Use Challenges and Solutions: Initial Developments in Participatory Research Focused on the Icelandic Prevention Model

2025· article· en· W4409455175 on OpenAlexafffundabout
Tanya Halsall, Mahalia Dixon, Rebecca Shams, Nishad Khanna, Misha Jan, Juhi Tayal, Alexis Holmgren, Kianna Mahmoud, Srividya N. Iyer, Kimberly Matheson

Bibliographic record

VenueInternational Journal of Qualitative Methods · 2025
Typearticle
Languageen
FieldHealth Professions
TopicCommunity Health and Development
Canadian institutionsDalhousie UniversityStudents CommissionMental Health Commission of CanadaCentre for Addiction and Mental HealthCarleton UniversityRoyal Ottawa Mental Health CentreMcGill UniversityLeeds, Grenville & Lanark District Health UnitUniversity of Ottawa
FundersCanadian Institutes of Health Research
KeywordsIcelandicCitizen journalismSubstance usePolitical sciencePsychologySociologyClinical psychologyLaw

Abstract

fetched live from OpenAlex

Background: The Icelandic Prevention Model (IPM) represents a promising practice for youth substance use prevention. It applies a community-driven primary prevention approach that is designed to create healthy contexts. Lanark County was the first community in Canada to adopt the IPM and has been pioneering a youth engagement approach to support the implementation. This paper describes the early findings related to a participatory evaluation that was co-designed with young people and focuses on examining youth perspectives on community needs and substance use issues. Method: Our approach integrated three levels of youth involvement, including co-design with youth advisors, collaborative asset mapping and community consultations. For the consultations, semi-structured interviews and focus groups were conducted with 10 young people. A thematic analysis was applied using NVivo software. Results: Thematic analyses of the consultation interviews identified four themes: (1) Social norms and accessibility as influences in youth substance use behaviours, (2), Lack of activities, (3) Intersectional discrimination and (4) Youth suggestions for strategies to enhance the community. Discussion: This research represents a novel participatory approach that includes youth in the strategic design and evaluation of the IPM. It highlights issues related to implementation and the added value of youth perspectives. Our multi-level approach enabled the meaningful engagement of young people within a complex prevention initiative. Findings will support the ongoing efforts in Lanark County and serve to inform other IPM implementations, as well as upstream prevention initiatives that integrate youth engagement.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.037
metaresearch head score (Gemma)0.006
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.175
Threshold uncertainty score0.991

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0370.006
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.988
GPT teacher head0.766
Teacher spread0.222 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes3
Has abstractyes

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