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Community perspectives on the implementation of a group psychological intervention for adolescents with depression: A qualitative study in rural Nepal

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Eliz Hassan, Prakash Bk, Jananee Magar, Nagendra Luitel, Brandon A Kohrt, Mark Jordans, Kelly Rose-Clarke

Original languageEnglish
Article number949251
Pages (from-to)949251
JournalFrontiers in Psychiatry
Volume13
DOIs
Accepted/In press5 Aug 2022
Published21 Oct 2022

Bibliographical note

Funding Information: The study was co-funded by the UK Medical Research Council, the National Institute for Health Research and the Department for International Development (study reference: MR/R020434/1). The funders had no role in the collection, analysis, and interpretation of data; in the writing of the articles; and in the decision to submit it for publication. Publisher Copyright: Copyright © 2022 Hassan, BK, Magar, Luitel, Kohrt, Jordans and Rose-Clarke.

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Abstract

Group-based psychological interventions could help to close the treatment gap for depression in low-resource settings, but implementation barriers exist. In Nepal we sought community members' perspectives on how to implement group interpersonal therapy for adolescents. We conducted qualitative interviews with 25 adolescents with depression (aged 13-18) and seven health and non-governmental organization workers, and four focus groups with non-depressed adolescents, four with parents/guardians, and two with teachers (126 participants total). Data were analyzed using the Framework Method. Participants recommended same-sex groups. School was the preferred location because it is accessible for adolescents and acceptable to parents. Adolescents wanted facilitators from their own community with good communication skills. They did not want parents or teachers to participate in groups but emphasized the need to inform parents and obtain their permission. Community members supported group psychological intervention. School-based psychological interventions facilitated by local people could be an acceptable option in rural Nepal.

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