title: Group psychological intervention for postnatal depression: a nested qualitative study with British South Asian women.
abstract: BACKGROUND
  Postnatal depression affects 10-15 % of all mothers in Western societies and remains a major public health concern for women from diverse cultures. British Pakistani and Indian women have a higher prevalence of depression in comparison to their white counterparts. Research has shown that culturally adapted interventions using Cognitive Behavioural Therapy (CBT) may be acceptable and may help to address the needs of this population. The aim of this study was to assess the acceptability and overall experience of the Positive Health Programme by British South Asian mothers.
  
  
  METHODS
  This was a nested qualitative study, part of an exploratory randomized controlled trial (RCT) conducted to test the feasibility and acceptability of a culturally-adapted intervention (Positive Health Programme or PHP) for postnatal depression in British South Asian women. In-depth interviews (N = 17) were conducted to determine the views of the participants on the feasibility and acceptability of the intervention.
  
  
  RESULTS
  The participants found the intervention acceptable and experienced an overall positive change in their attitudes, behaviour, and increased self-confidence.
  
  
  CONCLUSIONS
  The findings suggest that the culturally adapted Positive Health Programme is acceptable to British South Asian women. These results support that culturally sensitive interventions may lead to better health outcomes and overall satisfaction.
  
  
  BACKGROUND
  Protocol registered on Clinicaltrials.gov NCT01838889.
authors.affiliation: Cumbria Partnership Foundation Trust, Garburn House, Westmoreland General Hospital, Burton Road, Kendal, LA97RG, UK. Yumna.masood@cumbria.nhs.uk.
authors.forename: Yumna
authors.initials: Y
authors.lastname: Masood
authors.affiliation: The School of Nursing, Midwifery and Social Work, The University of Manchester, Jean McFarlane Building, University Place, Oxford Road, Manchester, M13 9PL, UK. Karina.Lovell@manchester.ac.uk.
authors.forename: Karina
authors.initials: K
authors.lastname: Lovell
authors.affiliation: Lancashire Care NHS Foundation Trust, Whalley Road, Accrington, BB5 5AD, UK. Farah.lunat@manchester.ac.uk.
authors.forename: Farah
authors.initials: F
authors.lastname: Lunat
authors.affiliation: The School of Nursing, Midwifery and Social Work, The University of Manchester, Jean McFarlane Building, University Place, Oxford Road, Manchester, M13 9PL, UK. najiaatif@hotmail.co.uk.
authors.forename: Najia
authors.initials: N
authors.lastname: Atif
authors.affiliation: Centre for Primary Care, Academic Health Sciences Centre, University of Manchester, Oxford Road, Manchester, M13 9PL, UK. Waquas.waheed@manchester.ac.uk.
authors.forename: Waquas
authors.initials: W
authors.lastname: Waheed
authors.affiliation: Institute of Psychology, Health & Society, University of Liverpool, The Waterhouse Building, Dover Street, Liverpool, Merseyside, L3 5DA, UK. Atif.Rahman@liverpool.ac.uk.|Child Mental Health Unit, Alder Hey Children's NHS Foundation Trust, Mulberry House, Eaton Road, Liverpool, L12 2AP, UK. Atif.Rahman@liverpool.ac.uk.
authors.forename: Atif
authors.initials: A
authors.lastname: Rahman
authors.affiliation: Centre for Primary Care, Academic Health Sciences Centre, University of Manchester, Oxford Road, Manchester, M13 9PL, UK. R.mossabir@lancaster.ac.uk.
authors.forename: Rahena
authors.initials: R
authors.lastname: Mossabir
authors.affiliation: Institute of Brain, Behaviour, and Mental Health, University of Manchester, Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK. Nasim.chaudhry@manchester.ac.uk.
authors.forename: Nasim
authors.initials: N
authors.lastname: Chaudhry
authors.affiliation: Lancashire Care NHS Foundation Trust, Whalley Road, Accrington, BB5 5AD, UK. Nusrat.husain@manchester.ac.uk.|Institute of Brain, Behaviour, and Mental Health, University of Manchester, Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK. Nusrat.husain@manchester.ac.uk.
authors.forename: Nusrat
authors.initials: N
authors.lastname: Husain
mesh_terms: D000328:Adult; D044466:Asian People / Q000523:psychology*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D019052:Depression, Postpartum / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D009035:Mothers / Q000523:psychology; D036301:Qualitative Research; D016896:Treatment Outcome; D006113:United Kingdom / Q000208:ethnology