Translation, cultural adaptation and field-testing of the Thinking Healthy Program for Vietnam

Globalization and Health

Stanley Luchters²  Atif Rahman⁴  Kelly Durrant⁵  Thach Tran³  Huong Tran³  Thao Dam³  Ha Tran³  Priya Mannava⁵  Hau Nguyen¹  Jane Fisher¹ 

[1] Jean Hailes Research Unit, School of Public Health & Preventive Medicine, Monash University, Melbourne, VIC, Australia;International Centre for Reproductive Health, Department of Obstetrics and Gynaecology, Ghent University, Ghent, Belgium;Research and Training Centre for Community Development, Hanoi, Vietnam;Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK;Centre for International Health, Burnet Institute, Melbourne, VIC, Australia

关键词: Vietnam;    Maternal and child health;    Thinking Healthy Program;    Field testing;    Cultural adaptation;   

Others  :  802310
DOI  :  10.1186/1744-8603-10-37

 received in 2014-02-03, accepted in 2014-04-28,  发布年份 2014

【 摘 要 】

Background

Depression and anxiety are prevalent among women in low- and lower-middle income countries who are pregnant or have recently given birth. There is promising evidence that culturally-adapted, evidence-informed, perinatal psycho-educational programs implemented in local communities are effective in reducing mental health problems. The Thinking Healthy Program (THP) has proved effective in Pakistan. The aims were to adapt the THP for rural Vietnam; establish the program’s comprehensibility, acceptability and salience for universal use, and investigate whether administration to small groups of women might be of equivalent effectiveness to administration in home visits to individual women.

Methods

The THP Handbook and Calendar were made available in English by the program developers and translated into Vietnamese. Cultural adaptation and field-testing were undertaken using WHO guidance. Field-testing of the four sessions of THP Module One was undertaken in weekly sessions with a small group in a rural commune and evaluated using baseline, process and endline surveys.

Results

The adapted Vietnamese version of the Thinking Healthy Program (THP-V) was found to be understandable, meaningful and relevant to pregnant women, and commune health centre and Women’s Union representatives in a rural district. It was delivered effectively by trained local facilitators. Role-play, brainstorming and small-group discussions to find shared solutions to common problems were appraised as helpful learning opportunities.

Conclusions

The THP-V is safe and comprehensible, acceptable and salient to pregnant women without mental health problems in rural Vietnam. Delivery in facilitated small groups provided valued opportunities for role-play rehearsal and shared problem solving. Local observers found the content and approach highly relevant to local needs and endorsed the approach as a mental health promotion strategy with potential for integration into local universal maternal and child health services. These preliminary data indicate that the impact of the THP-V should be tested in its complete form in a large scale trial.

【 授权许可】

   
2014 Fisher et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

【 参考文献 】

• [1]Fisher J, Cabral de Mello M, Patel V, Rahman A, Tran T, Holton S, Holmes W: Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bull World Health Organ 2012, 90(2):139G-149G.
• [2]Fisher J, Tran T, La BT, Kriitmaa K, Rosenthal D, Tuan T: Common perinatal mental disorders in northern Viet Nam: community prevalence and health care use. Bull World Health Organ 2010, 88(10):737-745.
• [3]Tran TD, Biggs BA, Tran T, Casey GJ, Hanieh S, Simpson JA, Dwyer T, Fisher J: Psychological and social factors associated with late pregnancy iron deficiency anaemia in rural Viet Nam: a population-based prospective study. PLoS One 2013, 8(10):e78162.
• [4]Adewuya AO, Ola BO, Aloba OO, Mapayi BM, Okeniyi JA: Impact of postnatal depression on infants’ growth in Nigeria. J Affect Disord 2008, 108(1–2):191-193.
• [5]Tran TD, Biggs B-A, Tran T, Simpson JA, Hanieh S, Dwyer T, Fisher J: Impact on Infants’ Cognitive Development of Antenatal Exposure to Iron Deficiency Disorder and Common Mental Disorders. PLoS One 2013, 8(9):e74876.
• [6]Patel V, Desouza N, Rodrigues M: Postnatal depression and infant growth and development in low income countries: a cohort study from Goa, India. Arch Dis Child 2003, 88(1):34-37.
• [7]Tran TD, Tran T, Simpson JA, Tran HT, Nguyen TT, Hanieh S, Dwyer T, Biggs BA, Fisher J: Infant motor development in rural Vietnam and intrauterine exposures to anaemia, iron deficiency and common mental disorders: a prospective community-based study. BMC Pregnancy Childbirth 2014, 14:8. BioMed Central Full Text
• [8]Rahman A, Iqbal Z, Bunn J, Lovel H, Harrington R: Impact of maternal depression on infant nutritional status and illness: a cohort study. Arch Gen Psychiatry 2004, 61(9):946-952.
• [9]Tran TD, Biggs B-A, Tran T, Simpson JA, de Mello MC, Hanieh S, Nguyen TT, Dwyer T, Fisher J: Perinatal common mental disorders among women and the social and emotional development of their infants in rural Vietnam. J Affect Disord 2014, 160:104-112.
• [10]Walker SP, Wachs TD, Grantham-McGregor S, Black MM, Nelson CA, Huffman SL, Baker-Henningham H, Chang SM, Hamadani JD, Lozoff B, Gardner JM, Powell CA, Rahman A, Richter L: Inequality in early childhood: risk and protective factors for early child development. Lancet 2011, 378(9799):1325-1338.
• [11]WHO: Mental health global action programme (mhGAP): close the gap, dare to care. World Health Organization; 2002. http://www.who.int/mental_health/media/en/265.pdf webcite
• [12]WHO Department of Child and Adolescent Health and Development: Integrated Management of Childhood Illness Adaptation Guide. Geneva: World Health Organization; 2004.
• [13]Prince M, Patel V, Saxena S, Maj M, Maselko J, Phillips M, Rahman A: No health without mental health. Lancet 2007, 370(9590):859-877.
• [14]Chowdhary N, Jotheeswaran A, Nadkarni A, Hollon S, King M, Jordans M, Rahman A, Verdeli H, Araya R, Patel V: The methods and outcomes of cultural adaptations of psychological treatments for depressive disorders: a systematic review. Psychol Med 2013 19, 44(6):1131-1146.
• [15]Rahman A, Fisher J, Bower P, Luchters S, Tran T, Yasamy MT, Saxena S, Waheed W: Interventions for common perinatal mental disorders in women in low- and middle-income countries: a systematic review and meta-analysis. Bull World Health Organ 2013, 91(8):593-601I.
• [16]Rahman A, Malik A, Sikander S, Roberts C, Creed F: Cognitive behaviour therapy-based intervention by community health workers for mothers with depression and their infants in rural Pakistan: a cluster-randomised controlled trial. Lancet 2008, 372(9642):902-909.
• [17]Rahman A: Challenges and opportunities in developing a psychological intervention for perinatal depression in rural Pakistan - a multi method study. Arch Womens Ment Health 2007, 10:211-219.
• [18]How IMAI (and IMCI) Support National Adaptation And Implementation Of Task Shifting http://www.who.int/hiv/pub/imai/IMAI_IMCI_taskshifting_brochure.pdf webcite
• [19]Ha Nam DoS: Ha Nam Province Statistical Yearbook 2011. Phu Ly: Ha Nam Department of Statistics; 2011.
• [20]GSO: Statistical Yearbook of Vietnam. Hanoi: General Statistics Office of Vietnam (GSO); 2012.
• [21]Fisher J, Tran T, Duc Tran T, Dwyer T, Nguyen T, Casey GJ, Simpson J, Hanieh S, Biggs BA: Prevalence and risk factors for symptoms of common mental disorders in early and late pregnancy in Vietnamese women: a prospective population-based study. J Affect Disord 2013, 146(2):213-219.
• [22]Tran T, Tran T, Fisher J: Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women. BMC Psychiatry 2013, 13(1):24. BioMed Central Full Text
• [23]Prime Minister of the Government of Vietnam: Decision 1215/QD-Ttg. Community-Based Assistance and Functional Rehabilitation for Mental Ill and Mentally Disordered Project, 2011–2020. Hanoi: Government of Vietnam; 2011.