Adaptation and integration of the thinking healthy programme into pregnancy schools in Istanbul, Turkey.



Boran, Perran, Dönmez, Melike, Atif, Najia, Nisar, Anum, Barış, Ezgi, Us, Mahmut Caner, Altaş, Zeynep Meva, Hıdıroğlu, Seyhan, Save, Dilşad and Rahman, Atif ORCID: 0000-0002-2066-4467
(2023) Adaptation and integration of the thinking healthy programme into pregnancy schools in Istanbul, Turkey. BMC pregnancy and childbirth, 23 (1). p. 245.

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Abstract

<h4>Background</h4>Perinatal mental health is a major public health concern. In Turkey, public hospitals operate pregnancy schools which provides an opportunity to integrate an evidence-based Thinking Healthy Programme (THP) for perinatal depression. The aim of this study is to adapt the THP for universal use in the group setting and to understand its acceptability and feasibility for integration into the existing antenatal care programme for both face-to-face and online delivery.<h4>Methods</h4>Following an expert-led adaptation process using the Bernal Framework, field testing was conducted on a group of women and facilitators followed by in-depth interviews (n:8) and group discussions (n = 13). Data were analysed using Thematic Framework Analysis.<h4>Results</h4>Minor but significant adaptations were made to the individually delivered THP for use in the universal group pregnancy schools. Initial findings indicate that the THP-group version was acceptable to its target population and could be integrated into the antenatal care plan for delivery during face-to-face and online group classes.<h4>Conclusion</h4>THP is transferable to the Turkish cultural and healthcare context. The THP-group version has the potential to add value to Turkey's existing perinatal healthcare programme.

Item Type: Article
Uncontrolled Keywords: Perinatal depression, Maternal mental health, Psychosocial intervention, Thinking Healthy Programme, Qualitative analysis
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 19 Apr 2023 08:48
Last Modified: 31 May 2023 17:42
DOI: 10.1186/s12884-023-05572-y
Open Access URL: https://bmcpregnancychildbirth.biomedcentral.com/a...
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3169725