Abstract
BackgroundPostnatal depression affects 10–15 % of all mothers in Western societies and remains a major public health concern for women from diverse cultures. British Pakistani and Indian women have a higher prevalence of depression in comparison to their white counterparts. Research has shown that culturally adapted interventions using Cognitive Behavioural Therapy (CBT) may be acceptable and may help to address the needs of this population. The aim of this study was to assess the acceptability and overall experience of the Positive Health Programme by British South Asian mothers.MethodsThis was a nested qualitative study, part of an exploratory randomized controlled trial (RCT) conducted to test the feasibility and acceptability of a culturally-adapted intervention (Positive Health Programme or PHP) for postnatal depression in British South Asian women. In-depth interviews (N = 17) were conducted to determine the views of the participants on the feasibility and acceptability of the intervention.ResultsThe participants found the intervention acceptable and experienced an overall positive change in their attitudes, behaviour, and increased self-confidence.ConclusionsThe findings suggest that the culturally adapted Positive Health Programme is acceptable to British South Asian women. These results support that culturally sensitive interventions may lead to better health outcomes and overall satisfaction.Trial registrationProtocol registered on Clinicaltrials.gov NCT01838889
Highlights
Postnatal depression affects 10–15 % of all mothers in Western societies and remains a major public health concern for women from diverse cultures
This paper provides a qualitative evaluation of a psychosocial intervention called the Positive Health Programme (PHP), which was adapted for and offered to British South Asian women experiencing postnatal depression
The main trial This paper describes the results of a post-intervention qualitative study as part of an exploratory randomized controlled trial conducted to test the feasibility and acceptability of a culturally-adapted intervention (Positive Health Programme or PHP) for postnatal depression in British South Asian women
Summary
Postnatal depression affects 10–15 % of all mothers in Western societies and remains a major public health concern for women from diverse cultures. Research has shown that culturally adapted interventions using Cognitive Behavioural Therapy (CBT) may be acceptable and may help to address the needs of this population. The prevalence of perinatal depression is higher among mothers from certain ethnic minority groups [3]. This indicates ethnicity to be a significant risk factor for developing postnatal depression. Ethnicity has been reported to be linked to poor health outcomes for both ethnic minority mothers and their infants, as reflected in higher rates of Postnatal depression is a treatable disorder [5]. We know from our earlier work [10, 11] that several barriers prevent
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