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Review
. 2020 Oct 1;17(10-12):17-23.
eCollection 2020 Oct-Dec.

Pilot Mental Health Survey, Nepal: Lessons Learned for Survey Design and Instrumentation

Sushma Dahal  1   2   3   4   5 , Meghnath Dhimal  1   2   3   4   5 , Sagun Ballav Pant  1   2   3   4   5 , Pawan Sharma  1   2   3   4   5 , Kedar Marahatta  1   2   3   4   5 , Nagendra Luitel  1   2   3   4   5 , Suraj Shakya  1   2   3   4   5 , Sweta Labh  1   2   3   4   5 , Saroj Prasad Ojha  1   2   3   4   5 , Anjani Kumar Jha  1   2   3   4   5 , David V Sheehan  1   2   3   4   5
Affiliations
Review

Pilot Mental Health Survey, Nepal: Lessons Learned for Survey Design and Instrumentation

Sushma Dahal et al. Innov Clin Neurosci. .

Abstract

Objective: Learning from pilot studies is crucial for the successful implementation of large-scale surveys. In this manuscript, we present the lessons learned for instrumentation and survey methods from a pilot national mental health survey conducted in Nepal. Design: We conducted a cross-sectional study among 1,647 participants aged 13 years and older in three districts of Nepal. We used the Nepali translated standard adult and adolescent versions of the Mini International Neuropsychiatric Interview (MINI) 7.0.2 for Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) to do face-to-face structured diagnostic interviews. In addition, we included questionnaires on help-seeking behavior and barriers in accessing care. Results: We used a six-step procedure to translate and fit the tools in the context of Nepal. We conducted pretesting to evaluate the Nepali translated tools and adaptations, such as the addition of bridging sentences at the start of different modules. We identified different challenges during the tools administration and the ways to minimize reporting bias during data collection. Conclusion: The pilot survey identified the areas for improvement in survey tools, techniques, and methodology. The lessons learned from the pilot survey and the resulting corrective recommendations helped in more successful implementation of the Nepal national mental health survey.

Keywords: Diagnostic interview; Epidemiology; Lessons learned; Mental health survey; Nepal; Pilot survey; Study instruments.

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Conflict of interest statement

FUNDING:This study was funded by the Government of Nepal and the World Health Organization Country Office for Nepal. DISCLOSURES:David V Sheehan is the author and copyright holder of the MINI tool used in this survey. He receives royalties through multiple tiers for its licensing and use. Dr. Sheehan did not receive any revenue for this study. All the authors declare no conflict of interest.

Figures

FIGURE 1.
FIGURE 1.
Steps of Mini International Psychiatric Interview (MINI) tool translation
See this image and copyright information in PMC

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