ArticleBMC pregnancy and childbirth2020
Making therapies culturally relevant: translation, cultural adaptation and field-testing of the Thinking Healthy Programme for perinatal depression in China.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Comparative analysis of burden of topmost disorders requiring rehabilitation services: a systematic review and meta-analysis.Journal of translational medicine · 2025Pooled it
- Standardising Training of Nurses in an Evidence-Based Psychosocial Intervention for Perinatal Depression: Randomized Trial of Electronic vs. Face-to-Face Training in China.International journal of environmental research and public health · 2022Trial
- Identification, Prevention, and Treatment of Perinatal Depression in Low- and Middle-Income Countries: A Narrative Review.Biological psychiatry · 2026Review
- Preferences of Chinese Women for Perinatal Depression Screening: A Discrete Choice Experiment.Patient preference and adherence · 2026Article
- Community Nurses as Gender-Responsive Social Prescribing Facilitators for Women's Psychosocial Health and Well-Being in China: A Qualitative Thematic Study.International journal of women's health · 2026Article
- Strategies for spreading, scaling and sustaining perinatal mental health interventions in low- and middle-income countries (LMICs): A scoping review and thematic synthesis.Global mental health (Cambridge, England) · 2026Review
- Thinking local, thinking healthy: Cultural and contextual adaptation of the Thinking Healthy Programme in Nepal.Global mental health (Cambridge, England) · 2026Article
- Cultural Adaptation and One-Year Follow-Up of the Mom-to-Mom Program Among Minority Arab Bedouin Women: Addressing Postpartum Depression.Journal of clinical medicine · 2025Article
- Global, regional, and national burden and trends of depressive disorders among women of childbearing age from 1990 to 2021: insights from GBD 2021.Frontiers in psychology · 2025Article
- Feasibility and acceptability of community-based psychosocial interventions delivered by nonspecialists for perinatal common mental disorders: A systematic review using an implementation science framework.Global mental health (Cambridge, England) · 2025Review
- Integrating WHO thinking healthy programme for maternal mental health into routine antenatal care in China: a randomized-controlled pilot trial.Frontiers in global women's health · 2024Article
- Article
- Adaptation and integration of the thinking healthy programme into pregnancy schools in Istanbul, Turkey.BMC pregnancy and childbirth · 2023Article
- Scaling up community-delivered mental health support and care: A landscape analysis.Frontiers in public health · 2022Review
- Contemporary management of unipolar depression in the perinatal period.Expert review of neurotherapeutics · 2021Article
- Development of the mental health cultural adaptation and contextualization for implementation (mhCACI) procedure: a systematic framework to prepare evidence-based psychological interventions for scaling.Global mental health (Cambridge, England) · 2021Article
- Translation and Cross-Cultural Adaptation of the World Health Organization's Thinking Healthy Program into Persian for Implementation by Community Health Volunteers (Peers) in Iran's Health System.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundThe prevalence of perinatal depression in China ranges from 15 to 20% and the vast majority of prenatally depressed women do not receive the intervention they require. Recent research evidence shows that evidence based, culturally-adapted psychosocial interventions are effective in reducing mental health problems. The World Health Organization (WHO) has endorsed the Thinking Healthy Programme (THP), which is an evidence based psychosocial intervention that can be delivered by non-mental health specialists. The aim of this study was to translate and adapt THP for the Chinese population and to establish its acceptability when delivered by non-specialists to a group of mothers with perinatal depression.
methodsThe study was conducted in two phases. The THP manual, handbook, and health calendar was translated and adapted based on 8 domains of the Bernal framework (language, metaphors, content, concepts, goals, context, people and methods). Pre-testing was done using cognitive interviewing in the first phase. In second phase of field-testing, THP sessions were delivered to the depressed women by local THP trained nurses. Post intervention, programme survey was used for evaluation.
resultsThis study showed that the core structure, process and techniques of the THP were culturally compatible with the target Chinese population and did not require major changes. It was found that the adapted version of THP manual, handbook, and health calendar were acceptable, understandable, and culturally relevant to the Chinese women and their family members. Nurses were found as a suitable delivery agent by the mothers and their families.
conclusionThe Thinking Healthy Programme is acceptable and transferable to the Chinese cultural and healthcare context and nurses are a suitable delivery agent. The translated and adapted version of THP can be used for further implementation and evaluation studies in the Chinese context. Further evaluation can help establish the effectiveness of the programme and barriers to scale-up in China.
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