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Adapting culturally appropriate mental health screening tools for use among conflict-affected and other vulnerable adolescents in Nigeria

dc.contributor.author Kohrt, Brandon
dc.contributor.author Kaiser, BN
dc.contributor.author Ticao, C
dc.contributor.author Anoje, C
dc.contributor.author Minto, J
dc.contributor.author Boglosa, J
dc.date.accessioned 2019-07-02T12:47:29Z
dc.date.available 2019-07-02T12:47:29Z
dc.date.issued 2019
dc.identifier.issn 2054-4251
dc.identifier.issn 2054-4251
dc.identifier.uri https://hdl.handle.net/10161/19066
dc.description.abstract <jats:sec id="S2054425119000086_sec_a1"><jats:title>Background</jats:title><jats:p>The Boko Haram insurgency has brought turmoil and instability to Nigeria, generating a large number of internally displaced people and adding to the country's 17.5 million orphans and vulnerable children. Recently, steps have been taken to improve the mental healthcare infrastructure in Nigeria, including revamping national policies and initiating training of primary care providers in mental healthcare. In order for these efforts to succeed, they require means for community-based detection and linkage to care. A major gap preventing such efforts is the shortage of culturally appropriate, valid screening tools for identifying emotional and behavioral disorders among adolescents. In particular, studies have not conducted simultaneous validation of screening tools in multiple languages, to support screening and detection efforts in linguistically diverse populations. We aim to culturally adapt screening tools for emotional and behavioral disorders for use among adolescents in Nigeria, in order to facilitate future validation studies.</jats:p></jats:sec><jats:sec id="S2054425119000086_sec_a2" sec-type="methods"><jats:title>Methods</jats:title><jats:p>We used a rigorous mixed-method process to culturally adapt the Depression Self Rating Scale, Child PTSD Symptom Scale, and Disruptive Behavior Disorders Rating Scale. We employed expert translations, focus group discussions (<jats:italic>N</jats:italic> = 24), and piloting with cognitive interviewing (<jats:italic>N</jats:italic> = 24) to achieve semantic, content, technical, and criterion equivalence of screening tool items.</jats:p></jats:sec><jats:sec id="S2054425119000086_sec_a3" sec-type="results"><jats:title>Results</jats:title><jats:p>We identified and adapted items that were conceptually difficult for adolescents to understand, conceptually non-equivalent across languages, considered unacceptable to discuss, or stigmatizing. Findings regarding problematic items largely align with existing literature regarding cross-cultural adaptation.</jats:p></jats:sec><jats:sec id="S2054425119000086_sec_a4" sec-type="conclusion"><jats:title>Conclusions</jats:title><jats:p>Culturally adapting screening tools represents a vital first step toward improving community case detection.</jats:p></jats:sec>
dc.language en
dc.publisher Cambridge University Press (CUP)
dc.relation.ispartof Global Mental Health
dc.relation.isversionof 10.1017/gmh.2019.8
dc.subject Science & Technology
dc.subject Life Sciences & Biomedicine
dc.subject Psychiatry
dc.subject Behavioral disorders
dc.subject cultural adaptation
dc.subject depression
dc.subject PTSD
dc.subject Nigeria
dc.subject SELF-REPORTING QUESTIONNAIRE
dc.subject PRIMARY-CARE SERVICE
dc.subject PSYCHIATRIC MORBIDITY
dc.subject RATING SCALE
dc.subject DEPRESSION
dc.subject CHILD
dc.subject DISORDERS
dc.subject VALIDATION
dc.subject SYMPTOMS
dc.subject VALIDITY
dc.title Adapting culturally appropriate mental health screening tools for use among conflict-affected and other vulnerable adolescents in Nigeria
dc.type Journal article
dc.date.updated 2019-07-02T12:47:29Z
pubs.organisational-group School of Medicine
pubs.organisational-group Duke
pubs.organisational-group Psychiatry & Behavioral Sciences, Social and Community Psychiatry
pubs.organisational-group Psychiatry & Behavioral Sciences
pubs.organisational-group Clinical Science Departments
pubs.publication-status Published
pubs.volume 6


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