Adaptation and integration of the Thinking Healthy Programme into pregnancy schools in Istanbul, Turkey

Abstract

Abstract Background Perinatal mental health is a major public health concern. In Turkey, the 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 (n=21) followed by in-depth interviews and group discussions. 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 relatable and acceptable to its target population and could be integrated into the antenatal care plan for delivery during face-to-face and on-line 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.