Barriers and facilitators to identifying depression in adolescents: a cross-cultural qualitative study in Brazil, Nepal, and Nigeria

Scott A. Collins; Katherine Ottman; Jyoti Bohara; Vibha Neupane; Anna Viduani; Silvia Benetti; Thais Martini; Claudia Buchweitz; Olufisayo Momodu; Abiodun O Adewuya; Kamal Gautam; Helen Fisher; Christian Kieling; Valeria Mondelli; Brandon A Kohrt; Syed Shabab  Wahid

doi:10.1371/journal.pmen.0000209

Barriers and facilitators to identifying depression in adolescents: a cross-cultural qualitative study in Brazil, Nepal, and Nigeria

Scott A. Collins, Katherine Ottman, Jyoti Bohara, Vibha Neupane, Anna Viduani, Silvia Benetti, Thais Martini, Claudia Buchweitz, Olufisayo Momodu, Abiodun O Adewuya, Kamal Gautam, Helen Fisher, Christian Kieling, Valeria Mondelli, Brandon A Kohrt, Syed Shabab Wahid

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Abstract

Purpose: There is growing global interest in early detection and engagement with care for adolescents experiencing depression. However, there is limited information on perceived barriers and facilitators to engagement with adolescent mental health care in low- and middle-income countries. The purpose of this study was to examine perceived barriers and facilitators to the identification of depression in adolescents in Brazil, Nepal, and Nigeria.

Methods: The study used key informant interviews (KIIs; n = 153) and focus group discussions (FGDs; n = 31) in three disparate cultural settings: Brazil, Nepal, and Nigeria. Participants including adolescents, parents, health care workers, social workers, teachers, and other stakeholders were asked to describe perceived barriers to identifying depression in adolescents. This study employed a deductive theory-informed codebook enhanced with inductive codes and analyzed using constant comparison by a team of 8 researchers with inter-rater reliability (Cohen’s Kappa = 0.

Original language	English
Journal	PLOS Mental Health
Early online date	23 Dec 2024
DOIs	https://doi.org/10.1371/journal.pmen.0000209
Publication status	E-pub ahead of print - 23 Dec 2024

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10.1371/journal.pmen.0000209Licence: CC BY

Collins et al AAM 10DEC2024Accepted author manuscript, 206 KBLicence: CC BY

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Collins, S. A., Ottman, K., Bohara, J., Neupane, V., Viduani, A., Benetti, S., Martini, T., Buchweitz, C., Momodu, O., Adewuya, A. O., Gautam, K., Fisher, H., Kieling, C., Mondelli, V., Kohrt, B. A., & Wahid, S. S. (2024). Barriers and facilitators to identifying depression in adolescents: a cross-cultural qualitative study in Brazil, Nepal, and Nigeria. PLOS Mental Health. Advance online publication. https://doi.org/10.1371/journal.pmen.0000209

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title = "Barriers and facilitators to identifying depression in adolescents: a cross-cultural qualitative study in Brazil, Nepal, and Nigeria",

abstract = "Purpose: There is growing global interest in early detection and engagement with care for adolescents experiencing depression. However, there is limited information on perceived barriers and facilitators to engagement with adolescent mental health care in low- and middle-income countries. The purpose of this study was to examine perceived barriers and facilitators to the identification of depression in adolescents in Brazil, Nepal, and Nigeria.Methods: The study used key informant interviews (KIIs; n = 153) and focus group discussions (FGDs; n = 31) in three disparate cultural settings: Brazil, Nepal, and Nigeria. Participants including adolescents, parents, health care workers, social workers, teachers, and other stakeholders were asked to describe perceived barriers to identifying depression in adolescents. This study employed a deductive theory-informed codebook enhanced with inductive codes and analyzed using constant comparison by a team of 8 researchers with inter-rater reliability (Cohen{\textquoteright}s Kappa = 0.",

author = "Collins, {Scott A.} and Katherine Ottman and Jyoti Bohara and Vibha Neupane and Anna Viduani and Silvia Benetti and Thais Martini and Claudia Buchweitz and Olufisayo Momodu and Adewuya, {Abiodun O} and Kamal Gautam and Helen Fisher and Christian Kieling and Valeria Mondelli and Kohrt, {Brandon A} and Wahid, {Syed Shabab}",

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Collins, SA, Ottman, K, Bohara, J, Neupane, V, Viduani, A, Benetti, S, Martini, T, Buchweitz, C, Momodu, O, Adewuya, AO, Gautam, K, Fisher, H, Kieling, C, Mondelli, V, Kohrt, BA & Wahid, SS 2024, 'Barriers and facilitators to identifying depression in adolescents: a cross-cultural qualitative study in Brazil, Nepal, and Nigeria', PLOS Mental Health. https://doi.org/10.1371/journal.pmen.0000209

TY - JOUR

T1 - Barriers and facilitators to identifying depression in adolescents: a cross-cultural qualitative study in Brazil, Nepal, and Nigeria

AU - Collins, Scott A.

AU - Ottman, Katherine

AU - Bohara, Jyoti

AU - Neupane, Vibha

AU - Viduani, Anna

AU - Benetti, Silvia

AU - Martini, Thais

AU - Buchweitz, Claudia

AU - Momodu, Olufisayo

AU - Adewuya, Abiodun O

AU - Gautam, Kamal

AU - Fisher, Helen

AU - Kieling, Christian

AU - Mondelli, Valeria

AU - Kohrt, Brandon A

AU - Wahid, Syed Shabab

PY - 2024/12/23

Y1 - 2024/12/23

N2 - Purpose: There is growing global interest in early detection and engagement with care for adolescents experiencing depression. However, there is limited information on perceived barriers and facilitators to engagement with adolescent mental health care in low- and middle-income countries. The purpose of this study was to examine perceived barriers and facilitators to the identification of depression in adolescents in Brazil, Nepal, and Nigeria.Methods: The study used key informant interviews (KIIs; n = 153) and focus group discussions (FGDs; n = 31) in three disparate cultural settings: Brazil, Nepal, and Nigeria. Participants including adolescents, parents, health care workers, social workers, teachers, and other stakeholders were asked to describe perceived barriers to identifying depression in adolescents. This study employed a deductive theory-informed codebook enhanced with inductive codes and analyzed using constant comparison by a team of 8 researchers with inter-rater reliability (Cohen’s Kappa = 0.

AB - Purpose: There is growing global interest in early detection and engagement with care for adolescents experiencing depression. However, there is limited information on perceived barriers and facilitators to engagement with adolescent mental health care in low- and middle-income countries. The purpose of this study was to examine perceived barriers and facilitators to the identification of depression in adolescents in Brazil, Nepal, and Nigeria.Methods: The study used key informant interviews (KIIs; n = 153) and focus group discussions (FGDs; n = 31) in three disparate cultural settings: Brazil, Nepal, and Nigeria. Participants including adolescents, parents, health care workers, social workers, teachers, and other stakeholders were asked to describe perceived barriers to identifying depression in adolescents. This study employed a deductive theory-informed codebook enhanced with inductive codes and analyzed using constant comparison by a team of 8 researchers with inter-rater reliability (Cohen’s Kappa = 0.

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DO - 10.1371/journal.pmen.0000209

M3 - Article

SN - 2837-8156

JO - PLOS Mental Health

JF - PLOS Mental Health

ER -

Barriers and facilitators to identifying depression in adolescents: a cross-cultural qualitative study in Brazil, Nepal, and Nigeria

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