School of Medicine, Division of Social Pediatrics, Marmara University, Istanbul, Turkey.
School of Medicine, Department of Psychiatry, Marmara University, Istanbul, Turkey.
BMC Pregnancy Childbirth. 2023 Apr 12;23(1):245. doi: 10.1186/s12884-023-05572-y.
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.
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.
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.
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.
围产期心理健康是一个主要的公共卫生关注点。在土耳其，公立医院开办妊娠学校，这为整合基于证据的思维健康计划（THP）以预防围产期抑郁提供了机会。本研究旨在调整 THP 以在群体环境中普遍使用，并了解其在面对面和在线交付的现有产前保健计划中整合的可接受性和可行性。
采用伯纳尔框架进行专家主导的适应性调整后，对一组女性和讲师进行了现场测试，随后进行了深入访谈（n=8）和小组讨论（n=13）。使用主题框架分析对数据进行分析。
为在通用群体妊娠学校中使用，对单独提供的 THP 进行了轻微但重要的调整。初步结果表明，THP-群体版本对其目标人群是可接受的，并且可以整合到面对面和在线群体课程的产前保健计划中。
THP 可转移到土耳其的文化和医疗保健背景。THP-群体版本有可能为土耳其现有的围产期医疗保健计划增添价值。
