INFORMED CONSENT FORM FOR ADULTS ABOVE 18 YEARS OF AGE Title of the proposed study: Aitururu (Sadness): Variation of Idioms of Distress among the Iteso Principle Investigator: Akoit Emuria Ojikan Sam, +256 782 429 753 Master of Science in Clinical Psychology Student, School of Psychology, Makerere University Study sponsor: Self sponsored Background and rationale for the study: Sadness is a common Problem, particularly for those suffering from depression, which affects an estimated 300 million people worldwide. It represents the second leading cause of disability, with an estimated global point prevalence of 4.7 percent, and is the eleventh largest contributor to the global burden of disease. The diagnostic categories of depression and its screening and measurement tools have been developed in high resource, Western cultural contexts; which means that most assessment for depression follows a totally foreign form resulting in unclear or misleading observations or conclusions regarding diagnosis. Little has been done in Uganda to research on the use of local idioms of distress in health in the expression of distress. Because of this knowledge gap, Many Ugandans in psychological distress do not obtain formal care; they instead find solace in social or religious help from within their communities. This research aims to improve mental health, healthseeking, and therapy, by helping to ensure that remedies are customised to the local context through proper understing of aitururu (sadness) and other idioms of distress used in expression of suffering among the iteso Purpose: To explore variation in the use of sadness (aitururu) as an idiom of distress among the Iteso and its influence on mental health seeking behavior. Procedures: The researcher will use in-depth interviews to collect information from the respondents after obtaining consent from them. Focus group discussions will mainly be used to obtain and collective view points on aitururu(sadness), the sessions will be guided by a semi structured interview guide and the interviews and focus group discussions will be audio recorded, transcribed by an experienced Ateso speaker, who will translate it to English for reporting purposes. Both NVivo 10 qualitative data analysis software from QSR International and manual methods will be used to conduct the analyses. Table format will be used to describe the primary ideas that emerge. Benefits of the research study: This will give opportunity to the participants to express their understanding of aitururu (sadness) and its role in expressing distress as well as decrease language hurdles that could lead to misinterpretation; and give a better comprehension of discomfort and, as a result, improve health-seeking behavior, because a better understanding and expression of suffering leads to a desire to intervene, may be incorporated in other publications in terms of reference, updating, and providing international understanding, as well as highlighting the utilization of aitururu in the daily life of Ateso speakers. This will go a long way toward enriching the Ateso language in terms of expressing distress and contextualizing interventions. Government, through its policymakers and implementers, can use this data to navigate program interventions, track program progress, and inform management of health – related issues that may develop in the near future. Compensation for participation in the study: All participants will not be compensated however, you will be provided a refreshment (drink; water or soda) and a snack. Questions about the study: Any other concerns and study related questions can reach the investigator; Akoit Emuria Ojikan Sam on 0782429753, emuria.sam@gmail.com Questions about participants rights: Participants who have questions regarding their welfare and rights as research participants can have their questions addressed by the MakSHSIRB Ag. Chairperson Dr.Kalidi Rajab on telephone number +256 776798978 or +256 0200903786) The study only serves academic objectives and satisfies a portion of the requirements for the Science in Clinical Psychology degree. The department will get a written dissertation. MAKSHSREC/IRB should get study input, and participants should receive a copy of the report and where possible will be published in journals. Statement of voluntariness: Participants may choose whether or not to participate in the proposed study at their own free will and are free to leave the research at any time without being penalized. Ethical approval of the research study: The Makerere University School of Health Sciences Research and Ethics Committee/IRB, an accredited Research and Ethics Committee/IRB with a base in Uganda, will approve the project. Confidentiality: In accordance with national and international ethical standards governing research involving humans as research participants, the data that will be gathered will be kept private and anonymous. My name will not be mentioned anywhere on the information's coded formats, and my identity will be kept a secret. Only the study team will have access to the data that has been gathered. The Uganda National Council for Science and Technology (UNSCT) and the School of Health Sciences Research and Ethics Committee, however, may have access to private data and, when applicable, specifically names research participants. STATEMENT OF CONSENT In regards to this study, ........................................................................... has explained to me what would be done, the dangers, the advantages, and my rights. I've been made aware of the study in which I freely want to participate. My identify will remain hidden while this data is used. I am conscious of my right to withdraw at any time. I am aware that signing this form just signifies that I have been told about the research project in which I voluntarily accept to participate. I do not, therefore, surrender any of my legal rights in doing so. I will receive a copy of this form. Research participant's name (Institution)……………………………………………………………….. Signature Date (DD/MM/YY)……………………… Name of researcher ……………………………………………………………….. Signature…………………………………. Date (DD/MM/YY)………………………