To gather the perspectives of the adolescents regarding their understanding of emotional regulation, to understand the perspectives of adolescents concerning the value of learning emotional regulation strategies, and; to explore how activities to enhance emotional regulation can be implemented and evaluated in their specific settings. Four interactive focus groups with adolescents living in South Africa and Nepal will be held. In South Africa, this will be at the Masiphuhlisane Community Research Centre in Khayelitsha, and in Nepal prime Nepal in Chitwan . Prime Nepal conducted Four Focused Group discussion with the Adolescent ( 10-19) Age group in two Schools of Chitwan district i,e Orbit english boarding School and Sharadpur School.
Founded by City, University of London
Specific Objective
1) To adapt participatory research methods through co-designing an alcohol intervention with local communities.
2) To assess feasibility of recruitment and engaging local communities in alcohol research.
3) To co-design alcohol intervention ready for feasibility testing and piloting.
4) To inform future trial design to assess the effectiveness of the alcohol intervention.
City Lead: Professor Jacqueline Sin, Professor Mental Health Nursing, School of Health Sciences.
Co-Lead: Dr Ranjita Dhital, Lecture in Pharmacy Practice, School of Pharmacy, University of Reading.
STAGE 1: Preparation and study set up (Dec 2020 - Jan 2021)
i. Obtain research ethics (City, University of London, and Nepal Health Research Council (NHRC)) and other approvals required by the local ethics and regulatory procedures in Nepal. Our partners at TPO and PRIME-Nepal will start work to obtain local approval right away. We expect to be able to apply for City Research Ethics with the local approval obtained by late December2020 this end. The City Research Ethics online system usually takes two weeks to review such applications. Hence we anticipate that all research approval required at City and locally to be ready by mid January 2021.
ii. Identify study locations within Chitwan, where PRIME was implemented, and establish local research team and collaborators.
iii. Scope the breadth of community assets/activities available to communities in Chitwan and their relationship with alcohol.
Stage 2 Photovoice study (Feb -march 2021)
Explore lived and professional experiences of participants who are higher risk drinkers and health workers involved in supporting those to reduce harm (6) through.
I. One week photography activity, preferably participants from prime study with:
  a. 12 purposively sampled higher risk drinkers, identified using Alcohol Use Disorder Identification Text (AUDIT) and a Nepali validation study (ADDIT score >= 8-19 higher risk) [8,9]. Dependent drinks
(AUDIT>=20) will be excluded referred for further support and
  b. 6 purposively sampled local mental health trained health workers from research site.
II. Semi structured individuals interviews with the same 12 higher risk drinkers and 65 health workers
(approx.30 minutes) using their photos to explore health and training needs and how to incorporate various community assets to support sustainable alcohol harm reduction strategies.
Stage 3. Co designing alcohol intervention (MAY-June 2021)
Codesigning process will involve two half day workshop accommodating all participants (audio-visual/videos recorded), facilitated by PRIME and TOP-Nepal researchers and the UK leads (virtually). The same participants involved in stage 2 (approximately 9(50%) expected from the Photovoice study) will be invited to discuss themes identified from the Photovoice study with SBK (a collaborator with experiential expertise in living well following alcohol recovery), and health workers from Government Organizations (approximately 6). Participants will view study photos, provided with props to communicate their ideas, feelings and needs about the optimal intervention-design [6]. The workshop will conclude with one or more intervention proposal (s) of how community assets/activities could be harnessed to prevent and reduce alcohol harm.
Stage 4.Dissemination and launch (July 2021)
Online dissemination event (approx.20, including research participants, Government organizations and study team) will be held to
Launch and publicize the final co-design intervention
To inform future feasibility, piloting and large-scale effectiveness trial design.
This activity will also strengthen the alcohol and mental health research collaboration between Nepal and Uk.
Conducting Qualitative Data Collection to explore factors associated with Post-Traumatic Growth (PTG) after Disaster Experiences in Nepal In collaboration with Prime Nepal and Nagasaki University –Japan.
This Study is about exploring the experiences of people who have family members that work abroad. Two Main aims of this research are to 1) examine the experiences of among female caretakers and youth in particular, and 2) to identify resilience actors and Coping methods of Family members in Response to experience of Family separation. Funded by JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH.
This study is how separation due to migration is experienced by Migrants and their family left behind is required to evaluate whether and how separation in this context may constitute and adverse experience for Children left behind. Furthermore, identifying contextual facilitators and barriers that help or hinder left-behind children will aid plans for future interventions to prevent potential negative consequences of parental separation due to migration. The objective of this study is to examine the individual characteristics that shape how left –behind children and adolescents experience their parent’s migrations, Explore the interpersonal care giving dynamics between left-Behind Children and Adolescents and their Migrants parents and alternative primary caretakers.