Detection of risk for depression among adolescents in diverse global settings: protocol for the IDEA qualitative study in Brazil, Nepal, Nigeria and the UK

Introduction Globally, depression is a leading cause of disability among adolescents, and suicide rates are increasing among youth. Treatment alone is insufficient to address the issue. Early identification and prevention efforts are necessary to reduce morbidity and mortality. The Identifying Depre...

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Main Authors: Christian Kieling, Brandon A Kohrt, Syed Shabab Wahid, Gloria A. Pedersen, Katherine Ottman, Abigail Burgess, Kamal Gautam, Thais Martini, Anna Viduani, Olufisayo Momodu, Crystal Lam, Helen L. Fisher, Abiodun O Adewuya, Valeria Mondelli
Format: Article
Language:English
Published: BMJ Publishing Group 2020-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/7/e034335.full
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author Christian Kieling
Brandon A Kohrt
Syed Shabab Wahid
Gloria A. Pedersen
Katherine Ottman
Abigail Burgess
Kamal Gautam
Thais Martini
Anna Viduani
Olufisayo Momodu
Crystal Lam
Helen L. Fisher
Abiodun O Adewuya
Valeria Mondelli
author_facet Christian Kieling
Brandon A Kohrt
Syed Shabab Wahid
Gloria A. Pedersen
Katherine Ottman
Abigail Burgess
Kamal Gautam
Thais Martini
Anna Viduani
Olufisayo Momodu
Crystal Lam
Helen L. Fisher
Abiodun O Adewuya
Valeria Mondelli
author_sort Christian Kieling
collection DOAJ
description Introduction Globally, depression is a leading cause of disability among adolescents, and suicide rates are increasing among youth. Treatment alone is insufficient to address the issue. Early identification and prevention efforts are necessary to reduce morbidity and mortality. The Identifying Depression Early in Adolescence (IDEA) consortium is developing risk detection strategies that incorporate biological, psychological and social factors that can be evaluated in diverse global populations. In addition to epidemiological and neuroscience research, the IDEA consortium is conducting a qualitative study to explore three domains of inquiry: (1) cultural heterogeneity of biopsychosocial risk factors and lived experience of adolescent depression in low-income and middle-income countries (LMIC); (2) the feasibility, acceptability and ethics of a risk calculator tool for adolescent depression that can be used in LMIC and high-income countries and (3) capacity for biological research into biomarkers for depression risk among adolescents in LMIC. This is a multisite qualitative study being conducted in Brazil, Nepal, Nigeria and the UK.Methods and analysis A systematic set of qualitative methods will be used in this study. The Delphi method, Theory of Change (ToC) workshops, key-informant interviews and focus group discussions will be used to elicit perspectives on the study topics from a broad range of stakeholders (adolescents, parents, policy-makers, teachers, health service providers, social workers and experts). Delphi panellists will participate in three survey rounds to generate consensus through facilitated feedback. Stakeholders will create ToC models via facilitated workshops in the LMIC sites. The framework approach will be used to analyse data from the study.Ethics and dissemination Ethical approvals were received from the Ethics Review Board of George Washington University and from site-specific institutions in Brazil, Nepal, Nigeria and the UK. The findings generated from this study will be reported in highly accessed, peer-reviewed, scientific and health policy journals.
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spelling doaj-art-f17030d532c8477584476e3ab2d3b18b2024-12-05T05:30:09ZengBMJ Publishing GroupBMJ Open2044-60552020-07-0110710.1136/bmjopen-2019-034335Detection of risk for depression among adolescents in diverse global settings: protocol for the IDEA qualitative study in Brazil, Nepal, Nigeria and the UKChristian Kieling0Brandon A Kohrt1Syed Shabab Wahid2Gloria A. Pedersen3Katherine Ottman4Abigail Burgess5Kamal Gautam6Thais Martini7Anna Viduani8Olufisayo Momodu9Crystal Lam10Helen L. Fisher11Abiodun O Adewuya12Valeria Mondelli1310 Child & Adolescent Psychiatry Division, Hospital de Clinicas de Porto Alegre, Porto Alegre, BrazilDivision of Global Mental Health, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USADivision of Global Mental Health, George Washington University, Washington, District of Columbia, USADivision of Global Mental Health, George Washington University, Washington, District of Columbia, USADivision of Global Mental Health, George Washington University, Washington, District of Columbia, USASGDP Centre, King`s College London, Institute of Psychiatry, Psychology & Neuroscience, London, United KingdomTranscultural Psychosocial Organization Nepal, Kathmandu, NepalDepartment of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, BrazilDepartment of Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, BrazilDepartment of Psychiatry, Lagos Island General Hospital, Lagos, NigeriaDepartment of Global Health, George Washington University, Washington, District of Columbia, USASGDP Centre, King`s College London, Institute of Psychiatry, Psychology & Neuroscience, London, United KingdomDepartment of Behavioural Medicine, Lagos State University College of Medicine, Lagos, NigeriaDepartment of Psychological Medicine, Institute of Psychiatry, Psychology, and Neuroscience, King`s College London, London, UKIntroduction Globally, depression is a leading cause of disability among adolescents, and suicide rates are increasing among youth. Treatment alone is insufficient to address the issue. Early identification and prevention efforts are necessary to reduce morbidity and mortality. The Identifying Depression Early in Adolescence (IDEA) consortium is developing risk detection strategies that incorporate biological, psychological and social factors that can be evaluated in diverse global populations. In addition to epidemiological and neuroscience research, the IDEA consortium is conducting a qualitative study to explore three domains of inquiry: (1) cultural heterogeneity of biopsychosocial risk factors and lived experience of adolescent depression in low-income and middle-income countries (LMIC); (2) the feasibility, acceptability and ethics of a risk calculator tool for adolescent depression that can be used in LMIC and high-income countries and (3) capacity for biological research into biomarkers for depression risk among adolescents in LMIC. This is a multisite qualitative study being conducted in Brazil, Nepal, Nigeria and the UK.Methods and analysis A systematic set of qualitative methods will be used in this study. The Delphi method, Theory of Change (ToC) workshops, key-informant interviews and focus group discussions will be used to elicit perspectives on the study topics from a broad range of stakeholders (adolescents, parents, policy-makers, teachers, health service providers, social workers and experts). Delphi panellists will participate in three survey rounds to generate consensus through facilitated feedback. Stakeholders will create ToC models via facilitated workshops in the LMIC sites. The framework approach will be used to analyse data from the study.Ethics and dissemination Ethical approvals were received from the Ethics Review Board of George Washington University and from site-specific institutions in Brazil, Nepal, Nigeria and the UK. The findings generated from this study will be reported in highly accessed, peer-reviewed, scientific and health policy journals.https://bmjopen.bmj.com/content/10/7/e034335.full
spellingShingle Christian Kieling
Brandon A Kohrt
Syed Shabab Wahid
Gloria A. Pedersen
Katherine Ottman
Abigail Burgess
Kamal Gautam
Thais Martini
Anna Viduani
Olufisayo Momodu
Crystal Lam
Helen L. Fisher
Abiodun O Adewuya
Valeria Mondelli
Detection of risk for depression among adolescents in diverse global settings: protocol for the IDEA qualitative study in Brazil, Nepal, Nigeria and the UK
BMJ Open
title Detection of risk for depression among adolescents in diverse global settings: protocol for the IDEA qualitative study in Brazil, Nepal, Nigeria and the UK
title_full Detection of risk for depression among adolescents in diverse global settings: protocol for the IDEA qualitative study in Brazil, Nepal, Nigeria and the UK
title_fullStr Detection of risk for depression among adolescents in diverse global settings: protocol for the IDEA qualitative study in Brazil, Nepal, Nigeria and the UK
title_full_unstemmed Detection of risk for depression among adolescents in diverse global settings: protocol for the IDEA qualitative study in Brazil, Nepal, Nigeria and the UK
title_short Detection of risk for depression among adolescents in diverse global settings: protocol for the IDEA qualitative study in Brazil, Nepal, Nigeria and the UK
title_sort detection of risk for depression among adolescents in diverse global settings protocol for the idea qualitative study in brazil nepal nigeria and the uk
url https://bmjopen.bmj.com/content/10/7/e034335.full
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