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

Abstract Background 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 un...

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Main Authors: Perran Boran, Melike Dönmez, Najia Atif, Anum Nisar, Ezgi Barış, Mahmut Caner Us, Zeynep Meva Altaş, Seyhan Hıdıroğlu, Dilşad Save, Atif Rahman
Format: Article
Language:English
Published: BMC 2023-04-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-023-05572-y
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author Perran Boran
Melike Dönmez
Najia Atif
Anum Nisar
Ezgi Barış
Mahmut Caner Us
Zeynep Meva Altaş
Seyhan Hıdıroğlu
Dilşad Save
Atif Rahman
author_facet Perran Boran
Melike Dönmez
Najia Atif
Anum Nisar
Ezgi Barış
Mahmut Caner Us
Zeynep Meva Altaş
Seyhan Hıdıroğlu
Dilşad Save
Atif Rahman
author_sort Perran Boran
collection DOAJ
description Abstract Background 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. Methods 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. Results 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. Conclusion 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.
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spelling doaj.art-be1a3f43dea74810b05e989ef8b7c8c72023-04-16T11:27:34ZengBMCBMC Pregnancy and Childbirth1471-23932023-04-012311810.1186/s12884-023-05572-yAdaptation and integration of the thinking healthy programme into pregnancy schools in Istanbul, TurkeyPerran Boran0Melike Dönmez1Najia Atif2Anum Nisar3Ezgi Barış4Mahmut Caner Us5Zeynep Meva Altaş6Seyhan Hıdıroğlu7Dilşad Save8Atif Rahman9School of Medicine, Division of Social Pediatrics, Marmara UniversitySchool of Medicine, Department of Psychiatry, Marmara UniversityHuman Development Research FoundationSchool of Public Health, Xi’an Jiaotong UniversityInstitute of Health Sciences, Social Pediatrics Doctorate Program, Marmara UniversityInstitute of Health Sciences, Social Pediatrics Doctorate Program, Marmara UniversitySchool of Medicine, Department of Public Health, Marmara UniversitySchool of Medicine, Department of Public Health, Marmara UniversitySchool of Medicine, Department of Public Health, Marmara UniversityInstitute of Psychology, Health & Society, University of LiverpoolAbstract Background 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. Methods 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. Results 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. Conclusion 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.https://doi.org/10.1186/s12884-023-05572-yPerinatal depressionMaternal mental healthPsychosocial interventionThinking Healthy ProgrammeQualitative analysis
spellingShingle Perran Boran
Melike Dönmez
Najia Atif
Anum Nisar
Ezgi Barış
Mahmut Caner Us
Zeynep Meva Altaş
Seyhan Hıdıroğlu
Dilşad Save
Atif Rahman
Adaptation and integration of the thinking healthy programme into pregnancy schools in Istanbul, Turkey
BMC Pregnancy and Childbirth
Perinatal depression
Maternal mental health
Psychosocial intervention
Thinking Healthy Programme
Qualitative analysis
title Adaptation and integration of the thinking healthy programme into pregnancy schools in Istanbul, Turkey
title_full Adaptation and integration of the thinking healthy programme into pregnancy schools in Istanbul, Turkey
title_fullStr Adaptation and integration of the thinking healthy programme into pregnancy schools in Istanbul, Turkey
title_full_unstemmed Adaptation and integration of the thinking healthy programme into pregnancy schools in Istanbul, Turkey
title_short Adaptation and integration of the thinking healthy programme into pregnancy schools in Istanbul, Turkey
title_sort adaptation and integration of the thinking healthy programme into pregnancy schools in istanbul turkey
topic Perinatal depression
Maternal mental health
Psychosocial intervention
Thinking Healthy Programme
Qualitative analysis
url https://doi.org/10.1186/s12884-023-05572-y
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