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Making therapies culturally relevant: translation, cultural adaptation and field testing of the Thinking Healthy Programme for perinatal depression in China

Nisar, Anum, Yin, Juan, Yiping, Nan, Lanting, Huo, Zhang, Jingjun, Wang, Duolao ORCID:, Rahman, Atif and Li, Xiaomei (2020) 'Making therapies culturally relevant: translation, cultural adaptation and field testing of the Thinking Healthy Programme for perinatal depression in China'. BMC Pregnancy and Childbirth, Vol 20, Issue 368.

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Background: The prevalence of perinatal depression in China ranges from 15 to 20% and the vast majority of prenatally depressed women do not receive the intervention they require. Recent research evidence shows that evidence based, culturally–adapted psychosocial interventions are effective in reducing mental health problems. The World Health Organization (WHO) has endorsed the Thinking Healthy Programme (THP), which is an evidence based psychosocial intervention that can be delivered by non-mental health specialists. The aim of this study was to translate and adapt THP for the Chinese population and to establish its acceptability when delivered by nonspecialists to a group of mothers with perinatal depression. Methods: The study was conducted in two phases. The THP manual, handbook, and health calendar was translated and adapted based on 8 domains of the Bernal framework (language, metaphors, content, concepts, goals, context, people and methods). Pre-testing was done using cognitive interviewing in the first phase. In second phase of field-testing, THP sessions were delivered to the depressed women by local THP trained nurses. Post intervention, programme survey was used for evaluation. Results: This study showed that the core structure, process and techniques of the THP were culturally compatible with the target Chinese population and did not require major changes. It was found that the adapted version of THP manual, handbook, and health calendar were acceptable, understandable, and culturally relevant to the Chinese women and their family members. Nurses were found as a suitable delivery agent by the mothers and their families. Conclusion: The Thinking Healthy Programme is acceptable and transferable to the Chinese cultural and healthcare context and nurses are a suitable delivery agent. The translated and adapted version of THP can be used for further implementation and evaluation studies in the Chinese context. Further evaluation can help establish the effectiveness of the programme and barriers to scale-up in China. Keywords: Cultural adaptation, Field-testing, Thinking healthy Programme, Perinatal mental health, Maternal and child health

Item Type: Article
Subjects: WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WM Psychiatry > WM 100 General works
WM Psychiatry > WM 140 Mental disorders (General)
WM Psychiatry > WM 20 Research (General)
WQ Obstetrics > WQ 500 Postnatal care
Faculty: Department: Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):
Depositing User: Claire McIntyre
Date Deposited: 02 Jul 2020 14:27
Last Modified: 03 Aug 2020 11:08


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