Building resilience and resources to overcome depression and anxiety in young people from urban neighbourhoods in Latin America

Lead Research Organisation: Queen Mary University of London
Department Name: Blizard Institute of Cell and Molecular

Abstract

Background
The numbers of people with depression and anxiety greatly increases during adolescence. Adolescents who live in big cities more commonly experience stressful events such as conflict, poverty, substance misuse and social isolation. This includes adolescents from Latin America - which is the most urban part of the world. Although many individuals experience stressful events, the majority do not develop either depression or anxiety. Furthermore, when people do experience them, up to half recover within a year. This raises the question of what helps people to prevent depression and anxiety, and what helps people recover. We have called these resilience factors. Our aim is to understand resilience factors so we can develop new approaches to treat depression and anxiety.

Objectives
The overall aim is to identify resilience factors that are linked to either prevention of depression and anxiety, or to recovery. We will focus on adolescents and young people who live in three large Latin American cities - Buenos Aires, Bogotá and Peru. To achieve this, we aim to:
1. Develop new ways of measuring resilience factors that can be used with adolescents and young people,
2. Identify which resilience factors prevent depression and anxiety,
3. Identify which resilience factors help adolescent and young people to recover from depression and anxiety within one year,
4. Develop case studies about existing approaches that promote prevention and recovery,
5. Build up the research skills and knowledge of researchers in Latin America,
6. Involve adolescents and young people through an interactive arts-based project.

Methods
The project is organised into six work packages (WPs). In the WP1, we will ask young people and staff who work in schools, youth organisations and healthcare services to help us develop new ways of measuring resilience factors to create an assessment tool. The new tool will be used in a study that will compare 1020 adolescents (15-16 years old) and young people (20-24 years old) with depression and anxiety to 1020 adolescents and young people without. We will look at personal factors such as health behaviours and social factors including relationships. We will test if there are differences between the two groups. This will help us discover which factors are linked to prevention. The individuals who have depression and anxiety will be asked to complete the same measures after one year. We will compare individuals who recovered from depression and anxiety to those who did not. This will tell us about recovery. To promote prevention and recovery we will conduct interviews with participants who did and did not recover and with different stakeholders. This will help us identify areas of "good-practice" which we will write up as case studies. This may include initiatives such as health centres or social-groups in the community (WP4). So that researchers in Latin America can continue studying resilience and recovery, we will provide training and activities focused on research skills (WP5). Finally, we want to involve adolescents and young people in our research. To do this, we will run an arts-based project where we will ask those with depression and anxiety to use different materials such as photographs, films, and graffiti to document their experience. We will hold exhibitions to display the art. We hope this will encourage other young people to get involved in research (WP6).

Expected results
The project will lead to new knowledge about what prevents depression and anxiety and what help people recover. Understanding this will help us develop new approaches to improve the mental health of adolescents and young people and reduce the burden of mental disorders. Our communication methods will ensure the research is widely disseminated. Although the project focuses on Latin America, our learning will help other countries, including many Low and Middle Income countries, which are becoming more urban.

Technical Summary

pression and anxiety are leading causes of youth disability worldwide. Risk factors such as social isolation, conflict, internal displacement and poverty, are common in urban environments. Despite this, many adolescents and young people do not develop either condition and up to 50% who do experience an episode recover within a year. Our aim is to identify resilience factors associated with prevention and recovery from depression and anxiety in adolescents and young people from urban regions in three Latin American countries. To achieve this we will:

-Develop appropriate methods of assessing resilience factors in adolescents and young people in Argentina, Colombia and Peru,
-Identify resilience factors associated with prevention and recovery from depression and anxiety,
-Develop case studies of existing initiatives to amplify these factors,
-Engage stakeholders in a participatory arts-based project giving voice to adolescents and young people,
-Increase research capacity within Latin American institutions.

We will conduct a cross-sectional study of adolescents and young people to assess whether resilience factors differ between 1020 individuals with and 1020 without depression and anxiety to determine which factors may be associated with prevention. The group with either condition will be followed up for one-year in a prospective cohort study to compare those who do and do not recover. Good practice qualitative case studies involving multiple stakeholders will identify existing approaches to amplifying these resilience factors. Our particular focus is on urban environments in Latin America - the most urbanised region in the world, where youth make up a quarter of the population. Identifying resilience factors in this population is crucial for developing new approaches to reduce the burden of common mental disorders. The knowledge generated has the potential to generalise to other Latin American countries and LMICs with rapid urbanisation.

Planned Impact

Depression and anxiety are leading causes of disability worldwide particularly during adolescence where prevalence rapidly increases. This risk may be even greater where individuals are exposed to multiple stressors such as armed conflict, poverty, social isolation, trauma, displacement and violence. Adolescents and young people in urban environments may be more likely to experience these stress factors. Yet, despite the impact of depression and anxiety, many adolescents and young adults do not develop either condition, and up to 50% of young people recover from a single episode within a year. This raises the question of what factors protect and prevent individuals from developing these disorders, and which factors promote recovery should individuals experience either condition.

This project aims to identify resilience factors that are associated with the prevention of depression and anxiety and with recovery if, and when individuals experience either condition. Our focus is on adolescents and young adults, who represent a quarter of the population in Latin America - the most urbanised region of the world. The programme will focus on resilience factors that are amenable to intervention and change, and will be conducted in Argentina, Colombia and Peru. The programme has the potential to lead to the development of new approaches to reduce the burden of depression and anxiety for adolescents in Latin America and beyond. The main impact of the project will be:
1)Identification of resilience factors for preventing and promoting recovery from depression and anxiety in adolescents and young people,
2)Developing appropriate methods for assessing resilience factors in adolescents and young people from urban environments in Latin America,
3)Identifying case-studies of existing good practice which amplify and strengthen the identified resilience factors,
4) Engaging adolescents and young-people in participatory arts-based projects to give voice to their experience of depression and anxiety,
5)Building capacity of researchers, policy-makers and mental health services.

The following groups will immediately benefit:
a)Adolescents and young people who live in urban environments including those who experience multiple stressors due to urban living. The primary aim is to identify resilience factors for prevention and recovery from depression and anxiety that are amenable to intervention. This will generate new knowledge that can be used by individuals, communities and societies to strength resilience.

b)Healthcare professionals, youth workers and educators will benefit from a new understanding of resilience factors. This will include both personal and social resilience factors. Within the programme, we will identify case-studies of good practice that currently exist within each country. Within these case-studies, there will be a focus on upscale. By identifying existing approaches, sustainability will be prioritised.

c)Government organisations, charities and NGOs will gain a better understanding of the challenges faced by individuals with depression and anxiety, and the resources they use to overcome these. This will be highlighted in participatory project resulting in a short film and photography exhibition.

d)Academics: the project relies on close collaboration between academic institutions in the UK and Latin America. Through knowledge exchange visits and capacity building workshops, research and leadership capacity will be increased.

e)Members of the public: depression is a leading cause of disability for adolescents and young people, with many experiencing recurrent episodes into adulthood. Reducing such mental disorders will have wide societal and economic benefits, potentially for decades if young people at risk of or recovering from mental disorders find resources to avoid them in the future.
 
Title CVLP TWIC video 
Description Video documenting the creative workshops as part of the TWIC study. 
Type Of Art Film/Video/Animation 
Year Produced 2022 
Impact None yet - video not yet shared 
 
Title ESM Study Video 
Description A 3 min video about the ESM study that is part of the OLA research project. It is used as part of the training of participants before they complete the assessment and as part of the app (eMoodie) that hosts the assessments and is used for data collection. 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact The video has been shown to every participant of the ESM study (around 150 people) and has helped with participants' understanding of the study and the app used for data collection. It has fostered good cooperation between the researchers and study participants. 
 
Title Three poems resulting from Crear Vale la Pena arts workshops (WP1) 
Description As part of the arts workshops, participants (aged 16-25) created poems collectively, that reflected their feelings and thoughts towards mental distress, the pandemic, and their hopes for the future. 
Type Of Art Creative Writing 
Year Produced 2020 
Impact The outputs from arts workshops, including the poems, were part of a content analysis performed by researchers. The openness and willingness young people demonstrated towards the use of creative methods was considered in the development of activities in other research projects. 
 
Title Two short videos inviting to arts workshops in Argentina 
Description Two short videos inviting young people to join a series of arts workshops organised by arts partner Crear Vale la Pena in Buenos Aires, Argentina. 
Type Of Art Film/Video/Animation 
Year Produced 2020 
Impact A high number of young people were interested in taking part in the arts workshops. 
 
Title eMoodie tutorials (ESM Study) 
Description 5 min videos giving a tutorial of the app (eMoodie) used for data collection of the ESM Study (one for Android phones and one for iOS phones). 
Type Of Art Film/Video/Animation 
Year Produced 2021 
Impact The videos have been shown to ESM study participants (around 150 people) to help them download the app used for data collection and navigate through it. It has fostered good cooperation between the researchers and study participants. 
 
Description Brazil Accelerator Fund
Amount £7,300 (GBP)
Organisation Queen Mary University of London 
Sector Academic/University
Country United Kingdom
Start 03/2020 
End 03/2021
 
Description ESRC LISS-DTP programme (London Interdisciplinary Social Science - Doctoral Training Programme)
Amount £85,000 (GBP)
Organisation Economic and Social Research Council 
Sector Public
Country United Kingdom
Start 10/2020 
End 10/2023
 
Description Far Apart UK: Looking beyond lockdown to understand how UK arts organisations can continue to support young people's wellbeing during COVID-19
Amount £286,180 (GBP)
Funding ID AH/V015613/1 
Organisation Arts & Humanities Research Council (AHRC) 
Sector Public
Country United Kingdom
Start 12/2020 
End 12/2021
 
Description Far apart but close at heart: How do arts organisations in Latin America support the mental health of young people online during a global pandemic?
Amount £123,428 (GBP)
Funding ID AH/V006517/1 
Organisation Arts & Humanities Research Council (AHRC) 
Sector Public
Country United Kingdom
Start 09/2020 
End 07/2021
 
Description Heartbeat / Creating recovery: a case-study of how autistic people, families, health professionals & artists in Peru can build inclusivelearning through COVID-19
Amount £99,816 (GBP)
Funding ID AH/V013688/1 
Organisation Arts & Humanities Research Council (AHRC) 
Sector Public
Country United Kingdom
Start 02/2021 
End 08/2021
 
Description KEEP ON KEEPING ON: Follow-On to Building Resilience by developing arts-based resources to reduce young people's depression and anxiety (MR/S03580X/1)
Amount £80,623 (GBP)
Funding ID AH/X004708/1 
Organisation Arts & Humanities Research Council (AHRC) 
Sector Public
Country United Kingdom
Start 01/2023 
End 10/2023
 
Description NIHR Global Health Research Centres: Strengthening community care for Non-communicable diseases in Latin America, exploring the use of resource-oriented interventions in the community-based treatment of non-communicable diseases, with partners in Bolivia,
Amount £6,992,043 (GBP)
Funding ID NIHR203266 
Organisation National Institute for Health Research 
Sector Public
Country United Kingdom
Start 10/2022 
End 10/2027
 
Description Queen Mary University of London Humanities and Social Sciences (HSS) Collaboration Fund
Amount £10,000 (GBP)
Organisation Queen Mary University of London 
Sector Academic/University
Country United Kingdom
Start 01/2020 
End 07/2020
 
Title ESM Assessment to determine personal and social resources for short-term recovery of anxiety/depression 
Description This is a set of questions about participants' current affect, arousal state, location, company and activity on multiple occasions as they go about their daily activities each day for a specific time period, for example, over 7 days. It is a detailed assessment of the interaction between real-world context and phenomena that is unaffected by issues of recall. Data is collected using a mobile phone app called eMoodie. Short-term recovery of anxiety/depression means any recovery within the 7-day assessment period, whether it is within hours or over the full 7 days. 
Type Of Material Physiological assessment or outcome measure 
Year Produced 2021 
Provided To Others? Yes  
Impact Inclusion of experience sampling methodology (ESM) enables exploration of resource use in short-term recovery (within hours/days) and comparison with long-term recovery (over 1 year) of anxiety and depression, and it is unaffected by issues of recall. The initial version published in the protocol paper was piloted and as a result the questions have been slightly ammended - the latest version of the ESM assessment has not yet been published. 
URL https://bmjopen.bmj.com/content/11/9/e052339
 
Title Exit questionnaires for TWIC and Creative workshops 
Description A small number of brief open questions to understand participants experiences of taking part in a creative workshop 
Type Of Material Physiological assessment or outcome measure 
Year Produced 2022 
Provided To Others? No  
Impact We have an increase understanding of participants' experiences of the creative workshops, which will help to shape subsequent research and improvements to the creative workshops. 
 
Title OLA Model for assessing resilience and resources 
Description Model that defines resilience and describes the concepts underlying the assessment of resources. 
Type Of Material Model of mechanisms or symptoms - human 
Year Produced 2019 
Provided To Others? No  
Impact No notable impact yet 
 
Title Sports Activity Questionnaire and Arts Activity Questionnaire 
Description These two questionnaires have been developed to assess sports and arts activities in adolescents and young people. It aims to assess, what, if any sports/arts activities are conducted, how often, whether they are conducted individually and/or as part of an organised group/organisation, reasons for taking part in these activities, and barriers to taking part in these activities. 
Type Of Material Physiological assessment or outcome measure 
Year Produced 2020 
Provided To Others? No  
Impact No notable impact yet 
 
Title WP4 topic guide 
Description Topic guide to facilitate WP4 in depth interviews 
Type Of Material Physiological assessment or outcome measure 
Year Produced 2022 
Provided To Others? No  
Impact None yet - interviews still being conducted in all partner countries. 
 
Title OLA ESM baseline dataset 
Description Baseline outcomes for ESM study 
Type Of Material Database/Collection of data 
Year Produced 2023 
Provided To Others? No  
Impact No notable impacts yet, dataset only recently cleaned and we have started our analyses as planned. 
 
Title OLA cross-sectional study dataset 
Description Outcome measures of participants aged 15-16 years old and 20-24 years old, with and without symptoms of depression from Colombia, Argentina and Peru. 
Type Of Material Database/Collection of data 
Year Produced 2023 
Provided To Others? No  
Impact None yet, database only just ready and we have begun our data analyses as planned. 
 
Description OLA Collaboration with arts partners 
Organisation Fundacion Batuta
Country Colombia 
Sector Charity/Non Profit 
PI Contribution The arts lead and research team have established good working relationships with each of the arts partners. We are bringing academic/scientific expertise regarding mental distress (depression and anxiety) in adolescents and young adults, as well as expertise and knowledge of the processes required for conducting high quality research. The research team will provide training and support in research methodologies and processes where needed. The research team also provides regular face-to-face and teleconference contact with the arts partners.
Collaborator Contribution The arts partners bring expertise, experience and knowledge in working with young people and their particular art form. They are skilled in working with young people through the arts to explore and express difficulties that young people might experience.The arts partners will combine their expertise with that of the local academic research team to use arts-based methods to conduct research activities with adolescents and young people. They will be instrumental in organising and recruiting young people to these research activities and the Lived Experience Advisory Panel (LEAP), and some of the research activities will take place in venues that are already known to them.
Impact This collaboration brings together the following disciplines: arts, psychiatry, psychology, epidemiology, medical statistics and public heath. Each arts organisation has run a series of arts-based workshops with young people aged 15-24 years old. These used arts-based methods and activities to explore young people's experiences of mental distress and of overcoming episodes of mental distress, not just through arts and creative activities, but all sorts of resource-use. These workshops resulted in a range of creative outputs, as well as recordings of structured discussions, which will be analysed and disseminated through upcoming publications.
Start Year 2019
 
Description OLA Collaboration with arts partners 
Organisation La Familia Ayara Foundation
Country Colombia 
Sector Charity/Non Profit 
PI Contribution The arts lead and research team have established good working relationships with each of the arts partners. We are bringing academic/scientific expertise regarding mental distress (depression and anxiety) in adolescents and young adults, as well as expertise and knowledge of the processes required for conducting high quality research. The research team will provide training and support in research methodologies and processes where needed. The research team also provides regular face-to-face and teleconference contact with the arts partners.
Collaborator Contribution The arts partners bring expertise, experience and knowledge in working with young people and their particular art form. They are skilled in working with young people through the arts to explore and express difficulties that young people might experience.The arts partners will combine their expertise with that of the local academic research team to use arts-based methods to conduct research activities with adolescents and young people. They will be instrumental in organising and recruiting young people to these research activities and the Lived Experience Advisory Panel (LEAP), and some of the research activities will take place in venues that are already known to them.
Impact This collaboration brings together the following disciplines: arts, psychiatry, psychology, epidemiology, medical statistics and public heath. Each arts organisation has run a series of arts-based workshops with young people aged 15-24 years old. These used arts-based methods and activities to explore young people's experiences of mental distress and of overcoming episodes of mental distress, not just through arts and creative activities, but all sorts of resource-use. These workshops resulted in a range of creative outputs, as well as recordings of structured discussions, which will be analysed and disseminated through upcoming publications.
Start Year 2019
 
Description OLA Collaboration with arts partners 
Organisation La Plaza Theater
Country Peru 
Sector Private 
PI Contribution The arts lead and research team have established good working relationships with each of the arts partners. We are bringing academic/scientific expertise regarding mental distress (depression and anxiety) in adolescents and young adults, as well as expertise and knowledge of the processes required for conducting high quality research. The research team will provide training and support in research methodologies and processes where needed. The research team also provides regular face-to-face and teleconference contact with the arts partners.
Collaborator Contribution The arts partners bring expertise, experience and knowledge in working with young people and their particular art form. They are skilled in working with young people through the arts to explore and express difficulties that young people might experience.The arts partners will combine their expertise with that of the local academic research team to use arts-based methods to conduct research activities with adolescents and young people. They will be instrumental in organising and recruiting young people to these research activities and the Lived Experience Advisory Panel (LEAP), and some of the research activities will take place in venues that are already known to them.
Impact This collaboration brings together the following disciplines: arts, psychiatry, psychology, epidemiology, medical statistics and public heath. Each arts organisation has run a series of arts-based workshops with young people aged 15-24 years old. These used arts-based methods and activities to explore young people's experiences of mental distress and of overcoming episodes of mental distress, not just through arts and creative activities, but all sorts of resource-use. These workshops resulted in a range of creative outputs, as well as recordings of structured discussions, which will be analysed and disseminated through upcoming publications.
Start Year 2019
 
Description OLA Collaboration with arts partners 
Organisation To Create is Worth it
Country Argentina 
Sector Charity/Non Profit 
PI Contribution The arts lead and research team have established good working relationships with each of the arts partners. We are bringing academic/scientific expertise regarding mental distress (depression and anxiety) in adolescents and young adults, as well as expertise and knowledge of the processes required for conducting high quality research. The research team will provide training and support in research methodologies and processes where needed. The research team also provides regular face-to-face and teleconference contact with the arts partners.
Collaborator Contribution The arts partners bring expertise, experience and knowledge in working with young people and their particular art form. They are skilled in working with young people through the arts to explore and express difficulties that young people might experience.The arts partners will combine their expertise with that of the local academic research team to use arts-based methods to conduct research activities with adolescents and young people. They will be instrumental in organising and recruiting young people to these research activities and the Lived Experience Advisory Panel (LEAP), and some of the research activities will take place in venues that are already known to them.
Impact This collaboration brings together the following disciplines: arts, psychiatry, psychology, epidemiology, medical statistics and public heath. Each arts organisation has run a series of arts-based workshops with young people aged 15-24 years old. These used arts-based methods and activities to explore young people's experiences of mental distress and of overcoming episodes of mental distress, not just through arts and creative activities, but all sorts of resource-use. These workshops resulted in a range of creative outputs, as well as recordings of structured discussions, which will be analysed and disseminated through upcoming publications.
Start Year 2019
 
Description OLA: Collaboration with research partners 
Organisation Cayetano Heredia University
Country Peru 
Sector Academic/University 
PI Contribution The contributions made by Prof. Priebe and the research team include expertise, guidance and support in setting up research teams to conduct research projects of various study designs to a high standard. This expertise, guidance and support has been given in the form of lectures to research team members and wider faculty members, training (face-to-face or over video conference), regular meetings and training events, and regular communications (by email, teleconference and video conference). Building research capacity is a key part of this collaboration. As part of this, the team has hosted researchers from partner institutions on longer residential stays in the research unit, allowing visiting researchers to attend training on different aspects of research, and to shadow clinicians in local mental health teams to learn about mental health services in the UK. This collaboration, which started as part of an NIHR Global Health Research Group, has resulted in further awards lead by Prof Priebe and Prof Bird.
Collaborator Contribution Our partners have set up research teams to conduct the research activities, working closely with the UK team to set up and conduct research studies of various study designs in their local context. This has required the expertise of the local principal investigators and senior researchers and also intellectual input of researchers to attend training as required. Our partners have brought in expertise as required, for example, experts to train local researchers to use Redcap for data collection, experts in qualitative research. They have hosted the UK team and partners for meetings as required, which included use of university facilities and visits to local mental health services and participating centres.
Impact This collaboration involves the following disciplines: psychiatry, psychology, epidemiology, trial methodology, public health, geography, arts. Outputs: https://doi.org/10.1186/s12888-019-2148-x doi: 10.1186/s12888-019-2381-3 Spanish language option for DIALOG+ app Brief Psychiatric Rating Scale training videos in English and Spanish DIALOG+ training videos in English and Spanish
Start Year 2017
 
Description OLA: Collaboration with research partners 
Organisation Pontifical Xavierian University
Department Faculty of Medicine
Country Colombia 
Sector Academic/University 
PI Contribution The contributions made by Prof. Priebe and the research team include expertise, guidance and support in setting up research teams to conduct research projects of various study designs to a high standard. This expertise, guidance and support has been given in the form of lectures to research team members and wider faculty members, training (face-to-face or over video conference), regular meetings and training events, and regular communications (by email, teleconference and video conference). Building research capacity is a key part of this collaboration. As part of this, the team has hosted researchers from partner institutions on longer residential stays in the research unit, allowing visiting researchers to attend training on different aspects of research, and to shadow clinicians in local mental health teams to learn about mental health services in the UK. This collaboration, which started as part of an NIHR Global Health Research Group, has resulted in further awards lead by Prof Priebe and Prof Bird.
Collaborator Contribution Our partners have set up research teams to conduct the research activities, working closely with the UK team to set up and conduct research studies of various study designs in their local context. This has required the expertise of the local principal investigators and senior researchers and also intellectual input of researchers to attend training as required. Our partners have brought in expertise as required, for example, experts to train local researchers to use Redcap for data collection, experts in qualitative research. They have hosted the UK team and partners for meetings as required, which included use of university facilities and visits to local mental health services and participating centres.
Impact This collaboration involves the following disciplines: psychiatry, psychology, epidemiology, trial methodology, public health, geography, arts. Outputs: https://doi.org/10.1186/s12888-019-2148-x doi: 10.1186/s12888-019-2381-3 Spanish language option for DIALOG+ app Brief Psychiatric Rating Scale training videos in English and Spanish DIALOG+ training videos in English and Spanish
Start Year 2017
 
Description OLA: Collaboration with research partners 
Organisation University of Buenos Aires
Department Faculty of Medicine
Country Argentina 
Sector Academic/University 
PI Contribution The contributions made by Prof. Priebe and the research team include expertise, guidance and support in setting up research teams to conduct research projects of various study designs to a high standard. This expertise, guidance and support has been given in the form of lectures to research team members and wider faculty members, training (face-to-face or over video conference), regular meetings and training events, and regular communications (by email, teleconference and video conference). Building research capacity is a key part of this collaboration. As part of this, the team has hosted researchers from partner institutions on longer residential stays in the research unit, allowing visiting researchers to attend training on different aspects of research, and to shadow clinicians in local mental health teams to learn about mental health services in the UK. This collaboration, which started as part of an NIHR Global Health Research Group, has resulted in further awards lead by Prof Priebe and Prof Bird.
Collaborator Contribution Our partners have set up research teams to conduct the research activities, working closely with the UK team to set up and conduct research studies of various study designs in their local context. This has required the expertise of the local principal investigators and senior researchers and also intellectual input of researchers to attend training as required. Our partners have brought in expertise as required, for example, experts to train local researchers to use Redcap for data collection, experts in qualitative research. They have hosted the UK team and partners for meetings as required, which included use of university facilities and visits to local mental health services and participating centres.
Impact This collaboration involves the following disciplines: psychiatry, psychology, epidemiology, trial methodology, public health, geography, arts. Outputs: https://doi.org/10.1186/s12888-019-2148-x doi: 10.1186/s12888-019-2381-3 Spanish language option for DIALOG+ app Brief Psychiatric Rating Scale training videos in English and Spanish DIALOG+ training videos in English and Spanish
Start Year 2017
 
Description Partnership with 5 arts organisations based in the UK, studying the impact of a shift to the digital on arts workers and young people. 
Organisation Battersea Arts Centre
Country United Kingdom 
Sector Multiple 
PI Contribution The arts lead and research team have established good working relationships with each of the arts partners. Academic team brought academic/scientific expertise regarding research methods (qualitative and quantitative), mental distress (depression and anxiety) in adolescents and young adults, as well as expertise and knowledge of the processes required for conducting high quality research. The research team will provide training and support in research methodologies and processes where needed. The research team also provides regular face-to-face and teleconference contact with the arts partners
Collaborator Contribution The arts partners bring expertise, experience and knowledge in working with young people and their particular art form. They are skilled in working with young people through the arts to explore and express difficulties that young people might experience.The arts partners will combine their expertise with that of the local academic research team to use arts-based methods to conduct research activities with adolescents and young people. They will be instrumental in organising and recruiting young people to these research activities, and some of the research activities will take place in venues that are already known to them.
Impact - 5 creative sessions workshops held with 8 young people engaged with arts partner, discussing experiences around the arts and mental health during the pandemic - development of 3 audio pieces created collaboratively with young people on their experience with mental health and the arts during the pandemic. - Dataset from quantitative survey applied on young people engaged with the arts partner - Dataset from qualitative interviews with key stakeholders, young people and staff members from partnering organisation - Policy recommendations about the experience of adapting arts organisations work with young people during the pandemic
Start Year 2021
 
Description Partnership with 5 arts organisations based in the UK, studying the impact of a shift to the digital on arts workers and young people. 
Organisation Contact Theatre
Country United Kingdom 
Sector Private 
PI Contribution The arts lead and research team have established good working relationships with each of the arts partners. Academic team brought academic/scientific expertise regarding research methods (qualitative and quantitative), mental distress (depression and anxiety) in adolescents and young adults, as well as expertise and knowledge of the processes required for conducting high quality research. The research team will provide training and support in research methodologies and processes where needed. The research team also provides regular face-to-face and teleconference contact with the arts partners
Collaborator Contribution The arts partners bring expertise, experience and knowledge in working with young people and their particular art form. They are skilled in working with young people through the arts to explore and express difficulties that young people might experience.The arts partners will combine their expertise with that of the local academic research team to use arts-based methods to conduct research activities with adolescents and young people. They will be instrumental in organising and recruiting young people to these research activities, and some of the research activities will take place in venues that are already known to them.
Impact - 5 creative sessions workshops held with 8 young people engaged with arts partner, discussing experiences around the arts and mental health during the pandemic - development of 3 audio pieces created collaboratively with young people on their experience with mental health and the arts during the pandemic. - Dataset from quantitative survey applied on young people engaged with the arts partner - Dataset from qualitative interviews with key stakeholders, young people and staff members from partnering organisation - Policy recommendations about the experience of adapting arts organisations work with young people during the pandemic
Start Year 2021
 
Description Partnership with 5 arts organisations based in the UK, studying the impact of a shift to the digital on arts workers and young people. 
Organisation National Theatre Wales
Country United Kingdom 
Sector Charity/Non Profit 
PI Contribution The arts lead and research team have established good working relationships with each of the arts partners. Academic team brought academic/scientific expertise regarding research methods (qualitative and quantitative), mental distress (depression and anxiety) in adolescents and young adults, as well as expertise and knowledge of the processes required for conducting high quality research. The research team will provide training and support in research methodologies and processes where needed. The research team also provides regular face-to-face and teleconference contact with the arts partners
Collaborator Contribution The arts partners bring expertise, experience and knowledge in working with young people and their particular art form. They are skilled in working with young people through the arts to explore and express difficulties that young people might experience.The arts partners will combine their expertise with that of the local academic research team to use arts-based methods to conduct research activities with adolescents and young people. They will be instrumental in organising and recruiting young people to these research activities, and some of the research activities will take place in venues that are already known to them.
Impact - 5 creative sessions workshops held with 8 young people engaged with arts partner, discussing experiences around the arts and mental health during the pandemic - development of 3 audio pieces created collaboratively with young people on their experience with mental health and the arts during the pandemic. - Dataset from quantitative survey applied on young people engaged with the arts partner - Dataset from qualitative interviews with key stakeholders, young people and staff members from partnering organisation - Policy recommendations about the experience of adapting arts organisations work with young people during the pandemic
Start Year 2021
 
Description Partnership with 5 arts organisations based in the UK, studying the impact of a shift to the digital on arts workers and young people. 
Organisation Theatre Royal Stratford East
Country United Kingdom 
Sector Private 
PI Contribution The arts lead and research team have established good working relationships with each of the arts partners. Academic team brought academic/scientific expertise regarding research methods (qualitative and quantitative), mental distress (depression and anxiety) in adolescents and young adults, as well as expertise and knowledge of the processes required for conducting high quality research. The research team will provide training and support in research methodologies and processes where needed. The research team also provides regular face-to-face and teleconference contact with the arts partners
Collaborator Contribution The arts partners bring expertise, experience and knowledge in working with young people and their particular art form. They are skilled in working with young people through the arts to explore and express difficulties that young people might experience.The arts partners will combine their expertise with that of the local academic research team to use arts-based methods to conduct research activities with adolescents and young people. They will be instrumental in organising and recruiting young people to these research activities, and some of the research activities will take place in venues that are already known to them.
Impact - 5 creative sessions workshops held with 8 young people engaged with arts partner, discussing experiences around the arts and mental health during the pandemic - development of 3 audio pieces created collaboratively with young people on their experience with mental health and the arts during the pandemic. - Dataset from quantitative survey applied on young people engaged with the arts partner - Dataset from qualitative interviews with key stakeholders, young people and staff members from partnering organisation - Policy recommendations about the experience of adapting arts organisations work with young people during the pandemic
Start Year 2021
 
Title Experiences and outcomes of creative workshops 
Description The theme of the creative workshops will be "Travellers of the Future" in which young people will use games and artistic dynamics (theatre, poetry and painting) to express how they imagine the future based on their own experiences and dreams. The workshops will follow a guide developed and facilitated by Teatro La Plaza (Lima) and Crear Vale La Pena (Argentina). 
Type Therapeutic Intervention - Psychological/Behavioural
Current Stage Of Development Initial development
Year Development Stage Completed 2023
Development Status Under active development/distribution
Impact None yet, impact to be assessed in the upcoming study. 
 
Title Feasibility, effectiveness and experiences of creativity workshops for young adults with anxiety and depression in Buenos Aires (Argentina) and Lima (Peru) 
Description The creativity workshops will follow a programme developed and practiced by Crear Vale La Pena and Teatro La Plaza. They will draw from different artistic disciplines and methodologies such as theatre, poetry, movement, visual arts and music. The creativity workshops will take place in Buenos Aires (Argentina) and Lima (Peru) during April 2022 - June 2022, with a total of three in-person sessions (approx. 2-3 hours per session), on a weekend for each workshop with youg adults who have symptoms of anxiety and/or depression. The workshop sessions will be led by facilitators from Crear Vale La Pena and Teatro La Plaza who have extensive previous experience of working with young people, including individuals with mental distress. 
Type Therapeutic Intervention - Psychological/Behavioural
Current Stage Of Development Initial development
Year Development Stage Completed 2021
Development Status Under active development/distribution
Impact Depression and anxiety are leading causes of youth disability worldwide. The OLA project will incorporate a randomized controlled trial within its longitudinal cohort that will aim to provide evidence on whether arts activities in the community reduce symptoms of anxiety and/or depression in young adults in Buenos Aires (Argentina) and Lima (Peru). The trial will be conducted in 2022. The creativity workshops are supposed to be more appealing to adolescents as compared to formal therapies, do not come with an implicit message that there is something wrong with the adolescents that requires professional help, are more flexible in their format, are lower cost and can be provided by a wider range of musical facilitators. They also have the advantage of teaching dancing and performing skills which can build self-esteem and be beneficial in future life. 
 
Title Feasibility, effectiveness and experiences of music workshops for adolescents with anxiety and depression in Bogota (Colombia) 
Description The music workshop will follow a programme developed and practiced by Fundación Batuta, offering an opportunity for adolescents to learn, practice and enjoy music using simple musical repertoires that will allow them to develop listening, rhythmic and singing skills, and the creative ability to make their own musical piece. The music workshop will take place in Bogota during March/April 2022 - May/June 2022, with a total of five sessions (approx. 90 minutes per session), once per week after school with adolescents who have symptoms of anxiety and/or depression. Each workshop will be led by a music teacher and a logistics support staff, from Fundación Batuta. 
Type Therapeutic Intervention - Psychological/Behavioural
Current Stage Of Development Initial development
Year Development Stage Completed 2021
Development Status Under active development/distribution
Impact Depression and anxiety are leading causes of youth disability worldwide. The OLA project will incorporate a randomized controlled trial within its longitudinal cohort that will aim to provide evidence on whether arts activities in the community reduce symptoms of anxiety and/or depression in adolescents in Bogota (Colombia). The trial will be conducted in 2022. The music workshops are supposed to be more appealing to adolescents, do not come with an implicit message that there is something wrong with the adolescents that requires professional help, are more flexible in their format, are lower cost and can be provided by a wider range of musical facilitators. They also have the advantage of teaching musical skills which can build self-esteem and be beneficial in future life. 
 
Description @StudyOla Twitter account 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact The OLA Twitter account provides programme updates to a wider audience. It is also used to disseminate study outputs and findings, as well as to publicise any study-related events.
Year(s) Of Engagement Activity 2020,2021,2022
URL https://twitter.com/StudyOla
 
Description @TheOLAStudy Instragram account 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact The OLA Instragram account provides programme updates to a wider audience. It is also used to disseminate study outputs and findings, as well as publicise any study-related events.
Year(s) Of Engagement Activity 2021,2022
URL https://www.instagram.com/theolastudy/
 
Description Adolescent mental health during the COVID-19 pandemic 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Schools
Results and Impact Presentations conducted as part of the OLA project recruitment process in schools in Lima, Peru. The aim was to generate interest in the adolescents and invite them to become participants of the study. After the presentation, information about the study was provided and they were invited to sign up.
Year(s) Of Engagement Activity 2021
 
Description Bouncing Back: What Factors Contribute to Youth Resilience and How Can We Boost These? 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Prof Victoria Bird presented the OLA project during the Online Barts Academic Afternoon - "Bouncing Back: What Factors Contribute to Youth Resilience and How Can We Boost These?" on 9th February 2022 hosted by the Medical Education Team at East London NHS Foundation Trust. The event included presentations from two other projects on a similar topic and fostered an interesting discussion about youth resilience.
Year(s) Of Engagement Activity 2021
 
Description Editorial in an important Colombian newspaper about the effects of quarantine on mental health 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact Highlight effects of quarantine on mental health in young people and how this issue must be faced without stigma.It quotes findings from an online survey conducted by Javeriana University in the context of OLA study. Editorial article in one of Colombia's most important newspapers.
Year(s) Of Engagement Activity 2020
URL https://www.eltiempo.com/opinion/editorial/turno-para-la-salud-mental-editorial-de-el-tiempo-527222?...
 
Description Engagement focused website, blog or social media channel - @Ola Study Facebook account 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Other audiences
Results and Impact A Facebook account was created to reach a wider audience with our study updates. Facebook is very commonly used in Colombia, one of our partner countries so the aim was to increase reach particularly here.
Year(s) Of Engagement Activity 2022
URL https://www.facebook.com/profile.php?id=100084379928547
 
Description Findings from arts-based workshops in three Latin American countries 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact This was a poster presentation at The International Association of Adolescent Health (IAAH) World Congress 2021 to share findings from arts-based workshops in three Latin American countries carried out as part of the OLA project. The findings demonstrated how the arts help young people from urban neighbourhoods to build resilience and resources to reduce anxiety and depression.
Year(s) Of Engagement Activity 2021
URL https://iaah.org/events-conferences/iaah-world-congress/
 
Description IPHS online seminar: Beyond the barricades: Building mental health resilience and wellbeing through the arts (Presenter: Paul Heritage) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Talk by Prof. Paul Heritage for online seminar organised by Institution of Population Health Sciences (QMUL), addressing new forms of knowledge production and mobilisation through the co-creation of research between social scientists, psychiatrists, and artists.
Year(s) Of Engagement Activity 2020
 
Description International Teaching Artists Collaborative (ITAC) event: "Building Mental Health Resilience and Recovery through Art" 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Third sector organisations
Results and Impact Think Tank bilingual event. Stefan Priebe and Paul Heritage talked about 'Arts and Social Transformation in Latin America: Building Mental Health Resilience and Recovery Through Art', followed by more open discussions.
Year(s) Of Engagement Activity 2020
 
Description Interpersonal Violence and Violence Reduction Engagement Symposium - Resilience and recovery after mental distress 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Barts and The London School of Medicine and Dentistry and Queen Mary Crisis Network hosted their first focused engagement symposium on Interpersonal Violence and Violence Reduction with the aim to connect researchers from across all schools and faculties in Queen Mary University who have an active academic interest in this area, and to explore new directions and collaborations for future research, education and engagement. Prof Victoria Bird and Prof Paul Heritage spoke about resilience and recovery after mental distress during the in-person symposium to an audience of about 60 researchers and academics.
Year(s) Of Engagement Activity 2021
URL https://www.eventbrite.co.uk/e/interpersonal-violence-violence-reduction-engagement-symposium-ticket...
 
Description Lived Experience Advisory Panels (LEAPs) in Bogota, Lima and Buenos Aires 
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 The purpose of the LEAPs is to engage young people aged 15-24 years with lived experience of depression and/or anxiety over the duration of the OLA programme. At meetings, panel members are given information and updates about the study's progress, and they are consulted on various aspects of the research on which they can provide their expert opinion. This might include wording of consent forms, procedures for approaching young people about the study, materials used to approach young people about the study, wording and layout of our assessment battery etc. Young people's feedback and suggestions might lead to changes in the materials and procedures used in the research and dissemination activities.
Year(s) Of Engagement Activity 2020,2021
 
Description Newspaper interview in Colombia 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Media (as a channel to the public)
Results and Impact Increase awareness of the high levels of depression in young people during the pandemic, highlight online survey that has been conducted from Javeriana University and link to OLA project. This is one of the most important newspapers in Colombia.
Year(s) Of Engagement Activity 2020
URL https://www.elespectador.com/noticias/salud/los-jovenes-se-estan-refugiando-en-rutinas-que-los-lleva...
 
Description OLA Advisory Group 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact The Advisory Group is comprised of individuals who are independent of the organisations involved in the OLA programme and have knowledge and experience of mental health care, expertise in research methodology and implementation of study designs in communities. The Advisory Group meets approximately once or twice per year. The roles of the Advisory Group are:
- To provide expert advice on the strategy and conduct of the OLA research and supervise the overall activity of the programme;
- To monitor progress against the OLA programme timelines, and adherence to the agreed programme and protocols.
- To advise on proposed changes to the OLA programme's plans in light of new evidence of other unanticipated development and provide written statements to support any requests for additional funding or time extension.
- To encourage appropriate efforts to disseminate the programme's findings.
Year(s) Of Engagement Activity 2020,2021,2022
 
Description OLA Study Newsletter 
Form Of Engagement Activity A magazine, newsletter or online publication
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact Seven newsletters have been published thus far on a bi-montly bases, in English and Spanish. They are shared on the study's website and social media channels, as well on all other associated websites/social media platforms. Its purpose is to inform the general public about the study, its progress, its partners (for e.g. the arts partners), and highlight individual team members by conducting a short interview.
Year(s) Of Engagement Activity 2021,2022
URL https://theolastudy.com/news/
 
Description OLA Study Website 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Public/other audiences
Results and Impact The OLA website aims to provide all-encompasing information about the programme and the people involved to a wider audience. It is also used to disseminate any outputs and study findings, as well as publicise any study-related events.
Year(s) Of Engagement Activity 2021,2022
URL https://theolastudy.com
 
Description Talk to the GCRF research cross disciplinary network (a resource orientated approach to mental health care - our GCRF journey) - Victoria Bird 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The event was aimed at Cross disciplinary working and to learn from current experience with GCRF grants.
Year(s) Of Engagement Activity 2020
 
Description William Harvey Day 2021 - Re-building resilience during and after crisis: interdisciplinary reflections 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact William Harvey Day is the annual research conference for Barts and The London School of Medicine and Dentistry, part of Queen Mary University of London. The event showcased some of the best cutting edge research at Queen Mary Univeristy. Prof Victoria Bird presented the OLA research project to an audience 101-500 people, followed by a Q & A session.
Year(s) Of Engagement Activity 2021
URL https://www.qmul.ac.uk/william-harvey-day/event-programme/