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Delivering the thinking healthy programme as a universal group intervention integrated into routine antenatal care: a randomized-controlled pilot study

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dc.contributor.authorBORAN, PERRAN
dc.contributor.authorDÖNMEZ, MELİKE
dc.contributor.authorBARIŞ, HATİCE EZGİ
dc.contributor.authorALTAŞ, ZEYNEP MEVA
dc.contributor.authorHIDIROĞLU, SEYHAN
dc.contributor.authorSAVE, DİLŞAD
dc.contributor.authorsBORAN P., DÖNMEZ M., Barış E., Us M. C., ALTAŞ Z. M., Nisar A., Atif N., Sikander S., HIDIROĞLU S., SAVE D., et al.
dc.date.accessioned2023-01-16T10:28:41Z
dc.date.available2023-01-16T10:28:41Z
dc.date.issued2023-12-01
dc.description.abstract© 2023, The Author(s).Background: Women with perinatal depression and their children are at increased risk of poor health outcomes. There is a need to implement non-stigmatizing interventions into existing health systems which reduce psychosocial distress during pregnancy and prevent perinatal depression. We adapted the WHO-endorsed Thinking Healthy Programme (THP) to be delivered universally to all women attending routine online pregnancy schools in Istanbul, Turkey. This study aimed to evaluate the feasibility and acceptability of this intervention. Methods: This mixed-methods study incorporated a two-arm pilot randomized controlled trial and qualitative evaluation of the feasibility and acceptability of the adapted THP – Brief Group version (THP-BGV) to a range of stakeholders. We recruited pregnant women at 12-30 weeks’ gestation through pregnancy schools within the University Hospital’s catchment area. Women in the intervention arm received five online sessions of the THP-BGV delivered by antenatal nurses. The intervention employed principles of cognitive behaviour therapy to provide psychoeducation, behaviour activation, problem-solving strategies and group support to participants. In the control arm, women received usual care consisting of routine online educational pregnancy classes aided by the antenatal nurses. The women were assessed for depressive symptoms with the Edinburgh Postnatal Depression Scale at baseline and 4-6 weeks post-intervention and also evaluated for anxiety, perceived social support, partner relationship, level of disability and sleep quality. In-depth interviews were conducted with women and other key stakeholders. Results: Of the 99 consecutive women referred to the pregnancy schools, 91 (91.9%) were eligible and 88 (88.8%) consented to participate in the study and were randomized. Eighty-two (83%) completed the final assessments. Our main findings were that this preventive group intervention was feasible to be integrated into routine antenatal educational classes and it was valued by the women and delivery-agents. While the study was not powered to detect differences between intervention and control conditions, we found small trends towards reduction in anxiety and depressive symptoms favoring the intervention arm. No serious adverse events were reported. Conclusions: Given the paucity of preventive interventions for perinatal depression in low and middle-income countries, a fully powered definitive randomized controlled trial of this feasible and acceptable intervention should be conducted. Trial registration: The study was registered at Clinical Trails.gov (NCT04819711) (Registration Date: 29/03/2021).
dc.identifier.citationBORAN P., DÖNMEZ M., Barış E., Us M. C., ALTAŞ Z. M., Nisar A., Atif N., Sikander S., HIDIROĞLU S., SAVE D., et al., "Delivering the Thinking Healthy Programme as a universal group intervention integrated into routine antenatal care: a randomized-controlled pilot study", BMC Psychiatry, cilt.23, sa.1, 2023
dc.identifier.doi10.1186/s12888-022-04499-6
dc.identifier.endpage16
dc.identifier.issn1471-244X
dc.identifier.issue1
dc.identifier.startpage1
dc.identifier.urihttps://avesis.marmara.edu.tr/api/publication/6b967290-1b8b-4cb3-a640-1b304fbfb565/file
dc.identifier.urihttps://hdl.handle.net/11424/285348
dc.identifier.volume23
dc.language.isoeng
dc.relation.ispartofBMC Psychiatry
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSağlık Bilimleri
dc.subjectHealth Sciences
dc.subjectKlinik Tıp (MED)
dc.subjectPsikiyatri
dc.subjectClinical Medicine (MED)
dc.subjectPSYCHIATRY
dc.subjectPsikiyatri ve Ruh Sağlığı
dc.subjectPsychiatry and Mental Health
dc.subjectPerinatal depression
dc.subjectPsychological interventions
dc.subjectThinking healthy program
dc.titleDelivering the thinking healthy programme as a universal group intervention integrated into routine antenatal care: a randomized-controlled pilot study
dc.typearticle
dspace.entity.typePublication
local.avesis.id6b967290-1b8b-4cb3-a640-1b304fbfb565
local.indexed.atPUBMED
local.indexed.atSCOPUS
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