Analysis of the possible pathways between social and well-being outcomes: a mixed-method study about community-based sociotherapy for refugees in Nakivale Settlement, Uganda

Among this group of participants, we found no quantitative and limited qualitative evidence that improvements in well-being led to improved social outcomes, or vice versa. We consider how methodological limitations (i.e. our sample size and limited number of survey items) may have influenced our results, and contextual and temporal explanations for the lack of evidence of pathways. This finding stands in contrast with the theories of change of many mental health and psychosocial support interventions, and therefore calls for consideration of the complex realities of people living in refugee settings, rather than assuming simple pathways.