Cultural Determinants in Conversation Approach to Family Mental Health in Isukha Central, Kakamega

Abstract

Conversational approach is increasingly recognized as a central determinant of family mental health. It functions as a relational process nurturing trust, emotional expression, and shared coping.  Globally, it is increasingly recognized as a driver of family mental health. In many African societies, including Kenya, conversations are shaped by deeply rooted cultural norms and communal value systems. Isukha Central in Western Kenya presents a culturally distinct context, characterized by strong traditional practices and tightly knit community structures. Anchored in Communication Accommodation Theory, this study investigated how indigenous cultural norms, values and conversational approach influence family mental health. Adopting a qualitative case study with a narrative orientation guided by an interpretivist-constructivist paradigm, data was collected through in-depth interviews and focus group discussions. Purposive and snowball sampling strategies were used; thematic analysis was conducted using NVivo. The findings enrich the growing body of knowledge on culturally responsive family mental health strategies in Sub-Saharan Africa, providing practical insights for policymakers, practitioners, and researchers seeking to bridge traditional knowledge systems with contemporary mental health frameworks. The study concludes that culturally responsive conversational approaches integrating traditional values with mental health literacy are essential for strengthening family-based mental health interventions. Thereby, contributing to Sustainable Development Goal No. 3 on ensuring healthy lives and promoting well-being for all.