Group interpersonal psychotherapy for depression and anxiety among adolescents in rural Nepal: a feasibility and pilot study
Lead Research Organisation:
King's College London
Department Name: Social Science, Health and Medicine
Abstract
Our study seeks to understand how a group interpersonal psychotherapy (IPT) intervention can be made relevant, feasible and acceptable for adolescents with depression and anxiety in rural Nepal.
Addressing depression and anxiety in adolescence is key to improving adolescent health since these disorders are two of the leading causes of disability in this age group. Depression and anxiety are also associated with mortality due to suicide, and have negative long-term health, social and economic effects. In Nepal, adolescents are at high risk of depression and anxiety, due to a complex picture of recent and historical trauma (two major earthquakes in 2015 and a 10-year civil war between 1996-2006) on a background of socio-economic deprivation. Our study will take place in Sindhupalchowk, one of the districts in Nepal that was most severely affected by the earthquakes and where many young people lost family and friends, as well as their homes and schools.
Globally there is a lack of services for child and adolescent mental health. This is especially true in low-and middle-income countries (LMICs) including Nepal, where the burden is highest. The World Health Organization (WHO) Mental Health Gap Action Programme outlines a role for psychological therapies including IPT in the treatment of child and adolescent emotional disorders such as depression and anxiety, however few studies have adapted these for young people in LMICs.
We aim to adapt and pilot the WHO group IPT intervention, which was originally developed for adults. IPT is a psychological therapy to treat depression, and has also been shown to be effective in treating anxiety. It focuses on addressing difficulties linked to four common problems that can trigger depression and anxiety: grief, interpersonal disputes, role transitions and interpersonal isolation. IPT has been shown to be beneficial for adolescent mental health and compared to other psychological therapies it may be more acceptable to adolescents. It has also been delivered by non-specialists in group settings, which is a potentially scalable model for low-resource settings such as Nepal.
Our study will involve a preliminary qualitative study, translation and expert-led revision of the IPT manual, practice training, an intervention adaptation workshop and a community advisory board, and pilot IPT groups. The qualitative study will include interviews and focus group discussions with adolescents, their parents/guardians, teachers, community health workers and government officers to understand how adolescents experience depression and anxiety, how they seek help and potential barriers to intervention. Informed by the qualitative study findings, our team of Nepalese and international investigators, including psychiatrists and psychologists, will then culturally and developmentally adapt the manual for adolescents in Nepal. We will conduct practice training with experienced counsellors and ask for feedback and input from a community advisory board in Sindhupalchowk, comprising adolescents, their parents/guardians, a teacher and community health workers. In the final stage of the project, we will pilot eight IPT groups. We will pilot both community- and school-based groups in order to engage in-school and out-of-school adolescents and to identify a suitable cadre of group facilitators, such as teachers or community health volunteers. Throughout the intervention we will track symptoms of depression and anxiety, and functioning, in order to estimate optimal treatment duration. Post-intervention, we will collect data on intervention acceptability, adherence, quality and cost.
Our study will generate new and important findings that will help us to understand how to deliver psychological interventions for adolescents in LMICs, and will enable us to conduct a randomised controlled trial to evaluate the effectiveness and cost value of an IPT intervention in Nepal.
Addressing depression and anxiety in adolescence is key to improving adolescent health since these disorders are two of the leading causes of disability in this age group. Depression and anxiety are also associated with mortality due to suicide, and have negative long-term health, social and economic effects. In Nepal, adolescents are at high risk of depression and anxiety, due to a complex picture of recent and historical trauma (two major earthquakes in 2015 and a 10-year civil war between 1996-2006) on a background of socio-economic deprivation. Our study will take place in Sindhupalchowk, one of the districts in Nepal that was most severely affected by the earthquakes and where many young people lost family and friends, as well as their homes and schools.
Globally there is a lack of services for child and adolescent mental health. This is especially true in low-and middle-income countries (LMICs) including Nepal, where the burden is highest. The World Health Organization (WHO) Mental Health Gap Action Programme outlines a role for psychological therapies including IPT in the treatment of child and adolescent emotional disorders such as depression and anxiety, however few studies have adapted these for young people in LMICs.
We aim to adapt and pilot the WHO group IPT intervention, which was originally developed for adults. IPT is a psychological therapy to treat depression, and has also been shown to be effective in treating anxiety. It focuses on addressing difficulties linked to four common problems that can trigger depression and anxiety: grief, interpersonal disputes, role transitions and interpersonal isolation. IPT has been shown to be beneficial for adolescent mental health and compared to other psychological therapies it may be more acceptable to adolescents. It has also been delivered by non-specialists in group settings, which is a potentially scalable model for low-resource settings such as Nepal.
Our study will involve a preliminary qualitative study, translation and expert-led revision of the IPT manual, practice training, an intervention adaptation workshop and a community advisory board, and pilot IPT groups. The qualitative study will include interviews and focus group discussions with adolescents, their parents/guardians, teachers, community health workers and government officers to understand how adolescents experience depression and anxiety, how they seek help and potential barriers to intervention. Informed by the qualitative study findings, our team of Nepalese and international investigators, including psychiatrists and psychologists, will then culturally and developmentally adapt the manual for adolescents in Nepal. We will conduct practice training with experienced counsellors and ask for feedback and input from a community advisory board in Sindhupalchowk, comprising adolescents, their parents/guardians, a teacher and community health workers. In the final stage of the project, we will pilot eight IPT groups. We will pilot both community- and school-based groups in order to engage in-school and out-of-school adolescents and to identify a suitable cadre of group facilitators, such as teachers or community health volunteers. Throughout the intervention we will track symptoms of depression and anxiety, and functioning, in order to estimate optimal treatment duration. Post-intervention, we will collect data on intervention acceptability, adherence, quality and cost.
Our study will generate new and important findings that will help us to understand how to deliver psychological interventions for adolescents in LMICs, and will enable us to conduct a randomised controlled trial to evaluate the effectiveness and cost value of an IPT intervention in Nepal.
Technical Summary
Depression and anxiety are leading causes of disability adjusted life years among adolescents aged 10-19 and can lead to social and educational impairment, substance misuse and suicide. The treatment gap for adolescent mental disorders is large, especially in LMICs. The WHO Mental Health Gap Action Programme outlines a role for psychological therapies in the treatment of child and adolescent emotional disorders such as depression and anxiety, however there is an urgent need to adapt these for use in LMICs.
We aim to adapt and pilot the WHO group interpersonal psychotherapy (IPT) intervention for adolescents with symptoms of depression and anxiety. We will do this in rural Nepal where adolescents are at high risk of mental disorders and have limited access to mental health services. IPT was selected as the intervention because of evidence that it is more acceptable to adolescents compared to other psychological therapies, also because it can be delivered in groups by non-specialists and is therefore potentially scalable in low-resource settings like Nepal.
Our study has five stages: (i) a preliminary qualitative study to understand adolescents' experiences of depression and anxiety, help-seeking and barriers to intervention; (ii) translation and expert-led revision of the IPT intervention manual; (iii) practice training; (iv) an intervention adaptation workshop and community advisory board to provide feedback on the revised manual, (v) and pilot community and school IPT groups for boys and girls to assess intervention acceptability, adherence, quality and costs, and optimal treatment duration.
Our study will generate essential information on adolescent mental health intervention in LMICs and will enable us to develop a protocol for a randomised controlled trial to evaluate the effectiveness and cost value of an IPT intervention in Nepal. This study will also build research capacity and strong local and international stakeholder partnerships.
We aim to adapt and pilot the WHO group interpersonal psychotherapy (IPT) intervention for adolescents with symptoms of depression and anxiety. We will do this in rural Nepal where adolescents are at high risk of mental disorders and have limited access to mental health services. IPT was selected as the intervention because of evidence that it is more acceptable to adolescents compared to other psychological therapies, also because it can be delivered in groups by non-specialists and is therefore potentially scalable in low-resource settings like Nepal.
Our study has five stages: (i) a preliminary qualitative study to understand adolescents' experiences of depression and anxiety, help-seeking and barriers to intervention; (ii) translation and expert-led revision of the IPT intervention manual; (iii) practice training; (iv) an intervention adaptation workshop and community advisory board to provide feedback on the revised manual, (v) and pilot community and school IPT groups for boys and girls to assess intervention acceptability, adherence, quality and costs, and optimal treatment duration.
Our study will generate essential information on adolescent mental health intervention in LMICs and will enable us to develop a protocol for a randomised controlled trial to evaluate the effectiveness and cost value of an IPT intervention in Nepal. This study will also build research capacity and strong local and international stakeholder partnerships.
Planned Impact
Our study is ODA compliant. Depression and anxiety in adolescence are major public health problems given their large contribution to the burden of disease and the treatment gap that exists. We will deliver high quality research to address these disorders in Nepal, a country on the DAC list, drawing on the strength of two UK institutions, UCL and KCL, and partnership with Nepalese and US collaborators.
The ultimate goal of our study is to benefit adolescents with depression and anxiety in rural Nepal who currently have limited access to mental health care. In the short term, within the study timeframe, we will achieve this through implementation of pilot IPT groups and training teachers, health workers and community psychosocial workers to identify adolescents with depression and anxiety and to facilitate IPT sessions. Longer term, as a result of this study, we will impact on adolescents through implementation of a randomised controlled trial of the IPT intervention to evaluate effectiveness and cost value. Pending these results, the intervention will then be suitable for scale up in other districts across Nepal where it could potentially impact on a large population of adolescents.
In addition to adolescents, there are other potential beneficiaries of our research:
1) Communities in Sindhupalchowk will benefit from the opportunity to participate in community advisory board meetings which will help to build awareness and mobilise communities to improve adolescent mental health. We will also develop mental health care capacity in these communities through training community psychosocial workers, teachers and health workers as IPT facilitators. These facilitators will be encouraged to disseminate their learning within their communities in order to benefit individuals who are not directly participating in the research.
2) Researchers working in adolescent mental health and on intervention development: We will develop an IPT manual and training package that academics can refer to and adapt for other similar low-resource settings, and we will be happy to advise and support them in this process. Academics working on intervention development in other areas of health can also potentially benefit from our insights into the process of adapting and piloting a complex intervention according to the MRC development and evaluation guidance. Our focus on engaging adolescents and key stakeholders throughout the intervention development process could help to inspire other research groups to adopt a similarly participatory approach. We will publish our insights into intervention development, alongside findings from the pilot study, in a peer-reviewed journal. Our qualitative research on adolescents' experiences of depression and anxiety will impact on academics working in anthropology, epidemiology and social science disciplines and could help to inform the development of new and locally relevant screening tools and intervention approaches.
3) Policy makers and programmers: We will build intervention development capacity in Nepal through the intervention adaptation workshop and through dissemination of our research findings with government officers and non-governmental organisations. The tools we develop through this study will be shared with the Nepal Ministry of Health and the Ministry of Education. We aim to partner with these ministries to conduct a full-scale evaluation of the IPT intervention. At a global level, policy makers and programmers will be able to synthesise findings from our study with research from other LMICs to refine and update existing packages of mental health care for adolescents, for example the WHO Mental Health Gap Action Programme package of care. We will ensure our research findings are available to these beneficiaries by widely disseminating policy briefs and publications through our existing global mental health networks.
The ultimate goal of our study is to benefit adolescents with depression and anxiety in rural Nepal who currently have limited access to mental health care. In the short term, within the study timeframe, we will achieve this through implementation of pilot IPT groups and training teachers, health workers and community psychosocial workers to identify adolescents with depression and anxiety and to facilitate IPT sessions. Longer term, as a result of this study, we will impact on adolescents through implementation of a randomised controlled trial of the IPT intervention to evaluate effectiveness and cost value. Pending these results, the intervention will then be suitable for scale up in other districts across Nepal where it could potentially impact on a large population of adolescents.
In addition to adolescents, there are other potential beneficiaries of our research:
1) Communities in Sindhupalchowk will benefit from the opportunity to participate in community advisory board meetings which will help to build awareness and mobilise communities to improve adolescent mental health. We will also develop mental health care capacity in these communities through training community psychosocial workers, teachers and health workers as IPT facilitators. These facilitators will be encouraged to disseminate their learning within their communities in order to benefit individuals who are not directly participating in the research.
2) Researchers working in adolescent mental health and on intervention development: We will develop an IPT manual and training package that academics can refer to and adapt for other similar low-resource settings, and we will be happy to advise and support them in this process. Academics working on intervention development in other areas of health can also potentially benefit from our insights into the process of adapting and piloting a complex intervention according to the MRC development and evaluation guidance. Our focus on engaging adolescents and key stakeholders throughout the intervention development process could help to inspire other research groups to adopt a similarly participatory approach. We will publish our insights into intervention development, alongside findings from the pilot study, in a peer-reviewed journal. Our qualitative research on adolescents' experiences of depression and anxiety will impact on academics working in anthropology, epidemiology and social science disciplines and could help to inform the development of new and locally relevant screening tools and intervention approaches.
3) Policy makers and programmers: We will build intervention development capacity in Nepal through the intervention adaptation workshop and through dissemination of our research findings with government officers and non-governmental organisations. The tools we develop through this study will be shared with the Nepal Ministry of Health and the Ministry of Education. We aim to partner with these ministries to conduct a full-scale evaluation of the IPT intervention. At a global level, policy makers and programmers will be able to synthesise findings from our study with research from other LMICs to refine and update existing packages of mental health care for adolescents, for example the WHO Mental Health Gap Action Programme package of care. We will ensure our research findings are available to these beneficiaries by widely disseminating policy briefs and publications through our existing global mental health networks.
Publications
Rose-Clarke K
(2020)
Culturally and developmentally adapting group interpersonal therapy for adolescents with depression in rural Nepal.
in BMC psychology
Hassan E
(2022)
Community perspectives on the implementation of a group psychological intervention for adolescents with depression: A qualitative study in rural Nepal.
in Frontiers in psychiatry
Rose-Clarke K
(2022)
School-based group interpersonal therapy for adolescents with depression in rural Nepal: a mixed methods study exploring feasibility, acceptability, and cost.
in Global mental health (Cambridge, England)
Rose-Clarke Kelly
(2020)
Rethinking research on the social determinants of global mental health
in LANCET PSYCHIATRY
Rose-Clarke K
(2021)
A cross-cultural interpersonal model of adolescent depression: A qualitative study in rural Nepal.
in Social science & medicine (1982)
Rose-Clarke K
(2020)
Rethinking research on the social determinants of global mental health.
in The lancet. Psychiatry
Pradhan I
(2024)
Interpersonal Psychotherapy: A Global Reach
Description | Citation in a systematic review of implementation outcomes |
Geographic Reach | Multiple continents/international |
Policy Influence Type | Citation in systematic reviews |
Description | Established a cadre of interpersonal therapists in Nepal |
Geographic Reach | National |
Policy Influence Type | Influenced training of practitioners or researchers |
Impact | Interpersonal therapists have developed the requisite skills needed to competently deliver the therapy. This is evidenced in several ways: satisfactory adherence to the therapy manual; passing a knowledge test; demonstration of interpersonal competencies; positive feedback from adolescents who received the therapy and a trend towards improved depression. The two original interpersonal trainers are being supported to receive international certification by the International Society of Interpersonal Therapy. |
Description | Half-day training on mental health for children and young people for staff at the UK Department for International Development |
Geographic Reach | Multiple continents/international |
Policy Influence Type | Influenced training of practitioners or researchers |
URL | https://www.heart-resources.org/mmedia/mental-health-for-children-and-young-people/ |
Description | Training of interpersonal therapy facilitators in Nepal |
Geographic Reach | Local/Municipal/Regional |
Policy Influence Type | Influenced training of practitioners or researchers |
Impact | Newly trained facilitators have delivered interpersonal therapy to over 40 adolescents with depression in schools in Chitwan, Nepal. Adolescents, parents and teachers have told us that the therapy has helped/is helping to improve the lives of adolescents and their families. |
Description | ADOLESCENT TALKING THERAPIES FOR LOW-RESOURCE SETTINGS: ASKING WHAT WORKS FOR WHOM, HOW, AND IN WHAT CIRCUMSTANCES |
Amount | £1,605,727 (GBP) |
Funding ID | MR/W00285X/1 |
Organisation | Medical Research Council (MRC) |
Sector | Public |
Country | United Kingdom |
Start | 07/2022 |
End | 07/2027 |
Description | Community-based psychological treatment for adolescents with anxiety and depression in India |
Amount | £786,933 (GBP) |
Funding ID | MR/T040319/1 |
Organisation | Medical Research Council (MRC) |
Sector | Public |
Country | United Kingdom |
Start | 03/2022 |
End | 03/2025 |
Description | London Interdisciplinary Social Science Doctoral Training Partnership |
Amount | £72,852 (GBP) |
Organisation | Economic and Social Research Council |
Sector | Public |
Country | United Kingdom |
Start | 09/2023 |
End | 09/2026 |
Title | Patient Health Questionnaire 9 items modified for adolescents (PHQ-A) |
Description | The PHQ-A is a brief screening tool developed in the US to measure symptoms of depression among adolescents. As part of the SAATHI project we translated, adapted and validated the tool for use in Nepal. |
Type Of Material | Physiological assessment or outcome measure |
Year Produced | 2022 |
Provided To Others? | Yes |
Impact | The Nepali PHQ-A is being used in other research projects in Nepal including UKRI-funded projects (HASHTAG MR/S02400X/1; SAATHI-2 MR/W00285X/1; SMART MR/T040181/1). |
Description | Participation in the Global Network on Mental Health and Child Marriage |
Organisation | King's College London |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | Participation in a global network which seeks to: raise awareness of the under-explored and unaddressed mental health consequences of child marriage; promote advocacy and action around the mental health consequences of child marriage in high prevalence countries and communities; identify and fill the research gaps in our understanding of how poor mental health outcomes linked to child marriage are shaped by environment and context. Dr Rose-Clarke is involved in a scoping review of the mental health consequences of child marriage and participated in a Delphi workshop to identify research gaps related to mental health and child marriage. |
Collaborator Contribution | Participation in virtual meetings to agree on the aims and scope of the network. Participation in a Delphi workshop to discuss research gaps related to mental health and child marriage. |
Impact | This is a multi-disciplinary collaboration, involving psychologists, anthropologists, public health experts, epidemiologists and representatives from non-governmental organisations. |
Start Year | 2019 |
Description | Participation in the Global Network on Mental Health and Child Marriage |
Organisation | Overseas Development Institute (ODI) |
Country | United Kingdom |
Sector | Charity/Non Profit |
PI Contribution | Participation in a global network which seeks to: raise awareness of the under-explored and unaddressed mental health consequences of child marriage; promote advocacy and action around the mental health consequences of child marriage in high prevalence countries and communities; identify and fill the research gaps in our understanding of how poor mental health outcomes linked to child marriage are shaped by environment and context. Dr Rose-Clarke is involved in a scoping review of the mental health consequences of child marriage and participated in a Delphi workshop to identify research gaps related to mental health and child marriage. |
Collaborator Contribution | Participation in virtual meetings to agree on the aims and scope of the network. Participation in a Delphi workshop to discuss research gaps related to mental health and child marriage. |
Impact | This is a multi-disciplinary collaboration, involving psychologists, anthropologists, public health experts, epidemiologists and representatives from non-governmental organisations. |
Start Year | 2019 |
Description | Participation in the Global Network on Mental Health and Child Marriage |
Organisation | University College London |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | Participation in a global network which seeks to: raise awareness of the under-explored and unaddressed mental health consequences of child marriage; promote advocacy and action around the mental health consequences of child marriage in high prevalence countries and communities; identify and fill the research gaps in our understanding of how poor mental health outcomes linked to child marriage are shaped by environment and context. Dr Rose-Clarke is involved in a scoping review of the mental health consequences of child marriage and participated in a Delphi workshop to identify research gaps related to mental health and child marriage. |
Collaborator Contribution | Participation in virtual meetings to agree on the aims and scope of the network. Participation in a Delphi workshop to discuss research gaps related to mental health and child marriage. |
Impact | This is a multi-disciplinary collaboration, involving psychologists, anthropologists, public health experts, epidemiologists and representatives from non-governmental organisations. |
Start Year | 2019 |
Description | Participation in the Global Network on Mental Health and Child Marriage |
Organisation | Women's University in Africa |
Country | Zimbabwe |
Sector | Academic/University |
PI Contribution | Participation in a global network which seeks to: raise awareness of the under-explored and unaddressed mental health consequences of child marriage; promote advocacy and action around the mental health consequences of child marriage in high prevalence countries and communities; identify and fill the research gaps in our understanding of how poor mental health outcomes linked to child marriage are shaped by environment and context. Dr Rose-Clarke is involved in a scoping review of the mental health consequences of child marriage and participated in a Delphi workshop to identify research gaps related to mental health and child marriage. |
Collaborator Contribution | Participation in virtual meetings to agree on the aims and scope of the network. Participation in a Delphi workshop to discuss research gaps related to mental health and child marriage. |
Impact | This is a multi-disciplinary collaboration, involving psychologists, anthropologists, public health experts, epidemiologists and representatives from non-governmental organisations. |
Start Year | 2019 |
Title | Group interpersonal therapy for adolescents with depression: a manual for non-mental health specialists in Nepal |
Description | Through a rigorous, multi-stage adaptation procedure, we have adapted the World Health Organization's group interpersonal therapy intervention for adolescents with depression in Nepal. We have developed a Nepali manual that can be used by non-mental health specialists in this setting. We are currently assessing the feasibility of the therapy in the final stage of our research project. |
Type | Therapeutic Intervention - Psychological/Behavioural |
Current Stage Of Development | Initial development |
Year Development Stage Completed | 2020 |
Development Status | Under active development/distribution |
Impact | This is the first adaptation of interpersonal therapy for Nepal. |
Description | Consultation with adolescents in Kathmandu |
Form Of Engagement Activity | A formal working group, expert panel or dialogue |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Patients, carers and/or patient groups |
Results and Impact | We convened a youth mental health advisory board in Kathmandu, including young people with lived experience of depression. We presented the project to the board and sought their feedback concerning implementation of group interpersonal therapy among adolescents with depression in Nepal. The board participated enthusiastically and provided helpful suggestions to address key barriers to implementation. |
Year(s) Of Engagement Activity | 2019 |
Description | Departmental seminar on group interpersonal therapy for adolescents with depression in Nepal |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Professional Practitioners |
Results and Impact | The principal investigator, Kelly Rose-Clarke, gave a departmental seminar at King's College London, describing group interpersonal therapy and the project in Nepal. The presentation was attended by social science researchers and students, and was followed by a question and answer session. |
Year(s) Of Engagement Activity | 2019 |
Description | Development and distribution of brochures, leaflets and policy belief |
Form Of Engagement Activity | A magazine, newsletter or online publication |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Policymakers/politicians |
Results and Impact | We developed and distributed brochures, and leaflets related to adolescents depression and group IPT as a strategy to address depression among adolescents. We distribted brochures, and leaflets in the dissemination programs at both local and national levels. Similarly, we also developed and tributed policy belief among policy makers. |
Year(s) Of Engagement Activity | 2020 |
Description | Dissemination of results and lessons learned among local stakeholders in Barhabise, Sindhupalchowk |
Form Of Engagement Activity | Participation in an activity, workshop or similar |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Policymakers/politicians |
Results and Impact | 32 local stakeholders including, municipalities including officers, Ward presidents, teachers, parents, study participants, and key community members participated in the half-day dissemination program. Parents and study participants (students) also shared their experiences of the interventions and the changes they observed among those who received the intervention. The municipality officers and teachers made commitments to continue the program in their respective schools. |
Year(s) Of Engagement Activity | 2020 |
Description | Dissemination of the adapted group interpersonal therapy (IPT), evaluation results and lessons learned among mental health experts and academicians |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | 33 postgraduates (resident psychiatrists, psychologists, medical doctors), clinical psychologists, and psychiatrists attend the virtual dissemination program. Participants asked various questions about the adaptation process of the group IPT, evaluation design, and a delivery agent. They have also shown interest to use the group IPT in their clinical work. |
Year(s) Of Engagement Activity | 2020 |
Description | Dissemination of the adapted group interpersonal therapy (IPT), evaluation results and lessons learned among national level stakeholders |
Form Of Engagement Activity | Participation in an activity, workshop or similar |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Policymakers/politicians |
Results and Impact | 25 senior-level policymakers from the Ministry of Health, mental health experts, and members of the civil society organization participated in the half-day workshop. As the results were impressive, the policymakers committed to scale-up of the intervention in other districts. They also suggested a large-scale randomized controlled trial for generating more evidence about the effectiveness of the program |
Year(s) Of Engagement Activity | 2020 |
URL | http://tponepal.org/saathi-study-to-adapt-adolescent-interpersonal-therapy-in-nepal-dissemination-of... |
Description | Dissemination of the adapted group interpersonal therapy (IPT), evaluation results and lessons learned among researchers and academicians |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Other audiences |
Results and Impact | 23 professors, researchers, mental health and development professionals, students, and freelancers participated in the virtual dissemination event. Participants had a lot of interest and queries about the adaptation process of the group IPT for use in Nepal, the terminology used in the Nepali manual, delivery agents, and setting. |
Year(s) Of Engagement Activity | 2020 |
Description | Global Mental Health Course in Nepal |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Postgraduate students |
Results and Impact | Dr Nagendra Luitel shared findings from the validation study of the Patient Health Questionnaire modified for adolescents (PHQ-A) to participants on the Global Mental Health Course. The course was organised jointly by TPO Nepal, George Washington University and Tribhuvan University Teaching Hospital Department of Psychiatry. |
Year(s) Of Engagement Activity | 2022 |
Description | HERA2 domestic violence and mental health group |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Professional Practitioners |
Results and Impact | Co-investigator Dr Devakumar delivered a presentation to the HERA 2 NIHR Global Health Research Group in their annual workshop in Kandy, Sri Lanka. The group included academics, health professionals, practitioners and students who work on mental health related to domestic violence in Nepal, Sri Lanka, the UK, Brazil, and Palestine. The presentation included a description of the SAATHI project work. |
Year(s) Of Engagement Activity | 2020 |
Description | International Conference on Child and Adolescent Mental Health Nepal |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Professional Practitioners |
Results and Impact | Co-investigator, Dr Nagendra Luitel presented the results of a validation study of the Patient Health Questionnaire modified for adolescents (PHQ-A). |
Year(s) Of Engagement Activity | 2022 |
URL | https://iccamh.org |
Description | Presentation at the 5th Annual Global Health Training Day |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | The principal investigator, Kelly Rose-Clarke, presented at the Global Health Training Day in April 2019. The event was live-streamed and attended in person by around 100 NHS trainees in core medicine, surgery and psychiatry. The presentation covered key issues in global mental health and included an orientation to SAATHI and the benefits of group-based psychological therapy delivered through schools. After the presentation there was a question and answer session. |
Year(s) Of Engagement Activity | 2019 |
URL | https://www.hpforgh.org.uk/events |
Description | Presentation by the project coordinator at the Road to Global Mental Health Conference |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Professional Practitioners |
Results and Impact | Prakash BK, the project coordinator, submitted an abstract for an early career researcher 'Lightening Talk' at the Road to Global Mental Health Conference in London, UK. His abstract was selected and he was awarded funds to cover his participation (travel from Nepal, accommodation and subsistence) from conference funds provided by the Wellcome Trust. The conference was attended by researchers, students, practitioners, and others working in global mental health. After his presentation, Prakash was approached by several conference participants who requested more information about the project. |
Year(s) Of Engagement Activity | 2019 |
URL | https://www.centreforglobalmentalhealth.org/the-road-to-global-mental-health-conference-sold-out |
Description | Presentation for the Centre for Global Mental Health |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Other audiences |
Results and Impact | Dr Kelly Rose-Clarke gave a presentation on SAATHI and SAATHI-2 projects to around 30 members of the KCL/LSHTM Centre for Global Mental Health, including researchers and students based in Africa, South Asia and the UK. Following the presentation there was a Q&A session and members who attended the presentation emailed Dr Rose-Clarke regarding a job vacancy linked to the projects. |
Year(s) Of Engagement Activity | 2022 |
URL | https://www.centreforglobalmentalhealth.org/ |
Description | Presentation for the Nepal Mental Health Research Seminar Series |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Professional Practitioners |
Results and Impact | I presented our research on interpersonal therapy in Nepal to around 30 practitioners, researchers and students from around the world though mainly in Nepal. Audience members had many questions. The presentation helped to raise the profile of our research in the Nepal research community. |
Year(s) Of Engagement Activity | 2023 |
URL | https://www.facebook.com/nepalmentalhealthresearch/ |
Description | Presentation to the UK Interpersonal Psychotherapy Research Group |
Form Of Engagement Activity | A formal working group, expert panel or dialogue |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Other audiences |
Results and Impact | Dr Kelly Rose-Clarke gave an online presentation to the UK Interpersonal Psychotherapy Research Group comprising researchers and psychologists in England and Scotland. Dr Rose-Clarke presented findings from SAATHI and received feedback on plans for SAATHI-2. As a result of the presentation Dr Rose-Clarke has new collaborations with several members of the group. |
Year(s) Of Engagement Activity | 2022 |
Description | Teaching on adaptation of psychological interventions |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | Local |
Primary Audience | Postgraduate students |
Results and Impact | Dr Rose-Clarke was invited to give a live, online presentation to UCL postgraduate and undergraduate students studying anthropology. Her presentation focussed on the adaptation of IPT for adolescents in rural Nepal and prompted questions and discussion among the students. |
Year(s) Of Engagement Activity | 2020 |
URL | https://www.ucl.ac.uk/global-health/study/all_teaching_modules/anthropological_perspectives_global_h... |
Description | Training for Nepali mental health specialists on group interpersonal therapy |
Form Of Engagement Activity | Participation in an activity, workshop or similar |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Fifteen mental health specialists (psychologists, psychosocial counsellors and researchers) from TPO Nepal and Tribhuvan University Teaching Hospital participated in online and in-person training in Kathmandu on group interpersonal therapy. The training was led by Dr Lena Verdeli and Kathleen Clougherty from Teachers College, Columbia University. During the training we orientated participants to the research project and sought feedback on how they thought the therapy should be adapted for the context of Nepal. Participants reported that interpersonal therapy was a good fit for their clients and found the training helpful for their clinical practice. Some participants requested future training opportunities. |
Year(s) Of Engagement Activity | 2019 |
Description | University of Amsterdam Global Mental Health Winter Course |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Postgraduate students |
Results and Impact | Dr Nagendra Luitel shared findings from the feasibility study of interpersonal therapy for adolescents with depression in Nepal, and from the validation study of the Patient Health Questionnaire modified for adolescents. |
Year(s) Of Engagement Activity | 2023 |