TY - JOUR
T1 - Translation, cultural adaptation and field-testing of the thinking healthy program for Vietnam
AU - Fisher, Jane
AU - Nguyen, Hau
AU - Mannava, Priya
AU - Tran, Ha
AU - Dam, Thao
AU - Tran, Huong
AU - Tran, Thach
AU - Durrant, Kelly
AU - Rahman, Atif
AU - Luchters, Stanley
N1 - Funding Information:
This work was funded by the Australian Government through Compass: Women’s and Children’s Health Knowledge Hub. Compass is a partnership between the Burnet Institute, Menzies School of Health Research and the Centre for International Child Health, University of Melbourne. The views represented here are not necessarily those of the Australian Government. The authors acknowledge with appreciation the contribution to this work of the Victorian Operational Infrastructure Support Program received by the Burnet Institute. The support of the Research and Training Centre for Community Development, Ha Nam Provincial Health Department, Ha Nam Women’s Union, Vietnamese adaptation subgroup, Human Development Research Foundation and all participants in contributing to this project is acknowledged with gratitude. Funding for this publication was supported by the SPARC fund, University of the Witwatersrand, South Africa.
PY - 2014/5/15
Y1 - 2014/5/15
N2 - 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.
AB - 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.
KW - Cultural adaptation
KW - Field testing
KW - Maternal and child health
KW - Thinking healthy program
KW - Vietnam
UR - http://www.scopus.com/inward/record.url?scp=84901412747&partnerID=8YFLogxK
U2 - 10.1186/1744-8603-10-37
DO - 10.1186/1744-8603-10-37
M3 - Article
C2 - 24886165
AN - SCOPUS:84901412747
SN - 1744-8603
VL - 10
JO - Globalization and Health
JF - Globalization and Health
IS - 1
M1 - 37
ER -
