Background
Postnatal depression is more common among British South Asian women than white women in the UK. Cognitive-behavioral therapy is known to be effective, but there is limited evidence on its use in different ethnic groups.
Objectives
The study aimed to evaluate the effectiveness and cost of a culturally adapted group therapy called the Positive Health Programme for British South Asian women with postnatal depression, compared to standard treatment.
Study Details
The research was conducted in general practices and children’s centers across various regions in the UK. It involved British South Asian women aged 16 and older, with infants up to 12 months, who met the criteria for depression.
Intervention
The Positive Health Programme consisted of 12 sessions of group therapy based on cognitive-behavioral principles, led by trained facilitators.
Results
Out of 732 participants, nearly half in the Positive Health Programme group recovered from depression after 4 months, compared to 37% in the standard treatment group. By 12 months, recovery rates were similar in both groups, indicating a need for ongoing support.
Qualitative Feedback
Participants found the Positive Health Programme to be acceptable and beneficial, reporting improved emotional support and well-being.
Cost-Effectiveness
The average cost of the Positive Health Programme was £408 per participant. It was considered cost-effective, especially for those who attended more sessions, costing £9,040 per quality-adjusted life year.
Limitations
The study’s findings may not apply to other ethnic groups, and the cost analysis did not account for potential biases.
Conclusions
The culturally adapted therapy was effective and well-received by South Asian women experiencing postnatal depression.
Future Work
Further development and evaluation of the Positive Health Programme are needed, including longer follow-ups and exploring remote delivery options.
Next Steps for Clinics and Patients
Define measurable outcomes and set clear goals for implementing the Positive Health Programme in clinical settings. Consider using AI tools to enhance patient management and track results effectively.
Contact Us
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