Evidence map›Paper›PMID 30691431›Full record

ArticleBMC women's health2019

Culturally-adapted cognitive behavioural therapy based intervention for maternal depression: a mixed-methods feasibility study.

Sobia Khan, Karina Lovell, Farah Lunat, Yumna Masood, Sadia Shah, Barbara Tomenson, Nusrat Husain

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Sobia KhanThe University of Manchester, 3rd Floor (East), Jean McFarlane Building, University Place, Oxford Road, Manchester, M13 9PL, UK.
Karina LovellDivision of Nursing, Midwifery and Social Work, The University of Manchester, Room 6.322a, Jean McFarlane Building, University Place, Oxford Road, Manchester, M13 9PL, UK.
Farah LunatLancashire Care NHS Foundation Trust, The Mount, Whalley Road, Accrington, BB5 5AD, UK.
Yumna MasoodCumbria Partnership Foundation Trust, Garburn House, Westmoreland General Hospital, Burton Road, Kendal, LA97RG, UK.
Sadia ShahLancashire Care NHS Foundation Trust, The Mount, Whalley Road, Accrington, BB5 5AD, UK.
Barbara TomensonCentre for Biostatistics, School of Health Sciences, The University of Manchester, Manchester Academic Health Science Centre, Manchester, M13 9PL, UK.
Nusrat HusainLancashire Care NHS Foundation Trust, The University of Manchester, 3rd Floor (East), Jean McFarlane Building, University Place, Oxford Road, Manchester, M13 9PL, UK. nusrat.husain@manchester.ac.uk.ORCID 0000-0002-9493-0721
University of Manchester · GBLancashire Care NHS Foundation Trust · GBManchester Academic Health Science Centre · GB

Funding

Department of Health PB-PG-1208-18087
6 · The paper itself

Abstract

backgroundBritish Pakistanis are one of the largest ethnic minority groups living in the UK, with high rates of maternal depression being reported in this population. Evidence suggests that culturally-adapted Cognitive Behavioural Therapy (CBT)-based interventions for depression, may improve clinical outcomes and patient satisfaction. This study was conducted to develop and test the feasibility and acceptability of a culturally-adapted, CBT-based, manual-assisted intervention in British Pakistani mothers experiencing maternal depression.

methodsA mixed-method feasibility study that included qualitative interviews followed by the development of a CBT-based intervention for mothers with mild to moderate depression. Following the qualitative interviews, a CBT-based intervention called the Positive Health Program (PHP) was developed and delivered consisting of 12-weekly sessions. A before and after design was used to explore the feasibility and acceptability of the Positive Health Programme.

resultsA culturally-adapted CBT-based group intervention (PHP) was acceptable to this group and improvements were reported in depression and health-related quality of life. The women's understanding of 'depression' as a general consensus was in physical terms, but with an onset triggered by psychosocial causes. The most commonly reported factors contributing to depression were marital disharmony, lack of social support, and financial difficulties. Past help offered was primarily antidepressants, which were not welcomed by most of the women. A lack of availability of culturally sensitive interventions and the limited cultural sensitivity of NHS staff was also reported.

conclusionThis study provides preliminary evidence for the feasibility and acceptability of a CBT-based culturally-adapted group psychological intervention for British Pakistani mothers.

trial registrationStudy ethics registration number: 10/H1005/62 (University of Manchester).

Indexed as

AdultCognitive Behavioral TherapyCultural CharacteristicsDepression, PostpartumFeasibility StudiesFemaleHealth PromotionHumansMothersPakistanPatient SatisfactionPsychotherapy, GroupQuality of LifeUnited KingdomBritish Pakistani womenCognitive Behavioural therapyCultural adaptationGroup psychological interventionMaternal depression

Identifiers

PMID30691431
PMCPMC6350293
OpenAlexW2922283145

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.