TY - JOUR
AU - J. Miah
AU - P. E. Bee
AU - F. Lunat
AU - R. McPhillips
AU - A. K. Taylor
AU - S. Aseem
AU - D. Sharma
AU - N. Husain
AU - C. Chew-Graham
A1 - 
AB - OBJECTIVES: To explore the views and perspectives of British South Asian (BSA) women and Positive Health Programme (PHP) facilitators on the usefulness and experiences of the PHP intervention for managing postnatal depression (PND) in primary care settings. DESIGN: Qualitative study with semi-structured interviews to explore perceptions of acceptability and implementation. A patient and public involvement group provided their insights and feedback on study topic guides, analysis and outcomes. SETTING AND PARTICIPANTS: We sampled trial participants from the PHP intervention database to ensure variation in geographic setting, age, socioeconomic status and ethnicity. PHP facilitators involved in the trial were also invited to participate in an interview.Interviews with study participants were conducted at participants' homes, and community centres, or via phone. Interviews with PHP facilitators were conducted via phone or online. Interview recordings were transcribed verbatim and analysed using thematic analysis and subsequently the Theoretical Framework of Acceptability (TFA) was applied. Recruitment took place between February 2017 and March 2020. RESULTS: Thirty interviews were conducted-19 trial participants and 11 PHP facilitators. The PHP intervention was viewed positively, with appreciation of its therapeutic content and components such as childcare and refreshments that facilitated engagement. Participants reported improved confidence and well-being and supported their needs. Participants understood the intervention's purpose. Both intervention participants and facilitators noted strengthened self-efficacy.Some participants experienced difficulties balancing childcare and attendance, implying a need for logistical assistance. Stigma about mental health in the BSA community was viewed as persistent, recommending future programmes efforts on strategies to reduce stigma and develop supportive environment. CONCLUSION: This study demonstrates the possibility of PHP intervention being integrated into routine care by providing culturally tailored support for BSA women with PND, primarily through family engagement and facilitator support. Future research on scalability, alongside community engagement efforts, will strengthen its acceptability and broader applicability. TRIAL REGISTRATION NUMBER: ISRCTN10697380.
AD - School of Biology, Medicine and Health, University of Manchester, Manchester, UK jahanara.miah@manchester.ac.uk.; School of Nursing, Midwifery and Social work, University of Manchester, Manchester, UK.; Research and Development, Lancashire and South Cumbria NHS Foundation Trust, Preston, UK.; Social Care and Society, The University of Manchester, Manchester, UK.; Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.; Division of Psychology and Mental Health, The University of Manchester, Manchester, UK.; The University of Manchester, Manchester, UK.; Mental Health Services Oldham, Pennine Care NHS Foundation Trust, Oldham, UK.; School of Biology, Medicine and Health, The University of Manchester, Manchester, UK.; University of Keele, Keele, UK.
AN - 41360447
BT - BMJ Open
C5 - Healthcare Disparities
CP - 12
DA - Dec 7
DO - 10.1136/bmjopen-2024-096828
DP - NLM
ET - 20251207
IS - 12
JF - BMJ Open
LA - eng
N2 - OBJECTIVES: To explore the views and perspectives of British South Asian (BSA) women and Positive Health Programme (PHP) facilitators on the usefulness and experiences of the PHP intervention for managing postnatal depression (PND) in primary care settings. DESIGN: Qualitative study with semi-structured interviews to explore perceptions of acceptability and implementation. A patient and public involvement group provided their insights and feedback on study topic guides, analysis and outcomes. SETTING AND PARTICIPANTS: We sampled trial participants from the PHP intervention database to ensure variation in geographic setting, age, socioeconomic status and ethnicity. PHP facilitators involved in the trial were also invited to participate in an interview.Interviews with study participants were conducted at participants' homes, and community centres, or via phone. Interviews with PHP facilitators were conducted via phone or online. Interview recordings were transcribed verbatim and analysed using thematic analysis and subsequently the Theoretical Framework of Acceptability (TFA) was applied. Recruitment took place between February 2017 and March 2020. RESULTS: Thirty interviews were conducted-19 trial participants and 11 PHP facilitators. The PHP intervention was viewed positively, with appreciation of its therapeutic content and components such as childcare and refreshments that facilitated engagement. Participants reported improved confidence and well-being and supported their needs. Participants understood the intervention's purpose. Both intervention participants and facilitators noted strengthened self-efficacy.Some participants experienced difficulties balancing childcare and attendance, implying a need for logistical assistance. Stigma about mental health in the BSA community was viewed as persistent, recommending future programmes efforts on strategies to reduce stigma and develop supportive environment. CONCLUSION: This study demonstrates the possibility of PHP intervention being integrated into routine care by providing culturally tailored support for BSA women with PND, primarily through family engagement and facilitator support. Future research on scalability, alongside community engagement efforts, will strengthen its acceptability and broader applicability. TRIAL REGISTRATION NUMBER: ISRCTN10697380.
PY - 2025
SN - 2044-6055
SP - e096828
ST - Positive health programme for British South Asian women with postnatal depression: a multiperspective qualitative study
T1 - Positive health programme for British South Asian women with postnatal depression: a multiperspective qualitative study
T2 - BMJ Open
TI - Positive health programme for British South Asian women with postnatal depression: a multiperspective qualitative study
U1 - Healthcare Disparities
U3 - 10.1136/bmjopen-2024-096828
VL - 15
VO - 2044-6055
Y1 - 2025
ER -