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. 2023 Apr 12;23(1):245.
doi: 10.1186/s12884-023-05572-y.

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

Perran Boran  1 , Melike Dönmez  2 , Najia Atif  3 , Anum Nisar  4 , Ezgi Barış  5 , Mahmut Caner Us  5 , Zeynep Meva Altaş  6 , Seyhan Hıdıroğlu  6 , Dilşad Save  6 , Atif Rahman  7   8
Affiliations

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

Perran Boran et al. BMC Pregnancy Childbirth. .

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.

Keywords: Maternal mental health; Perinatal depression; Psychosocial intervention; Qualitative analysis; Thinking Healthy Programme.

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Conflict of interest statement

All authors have participated in conception and design, or analysis and interpretation of the data; drafting the article or revising it critically for important intellectual content; and approval of the final version. This manuscript has not been submitted to, nor is under review at, another journal or other publishing venue. The authors have no affiliation with any organization with a direct or indirect financial interest in the subject matter discussed in the manuscript.

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