Adapting brief problem-solving therapy for pregnant women experiencing depressive symptoms and intimate partner violence in rural Ethiopia.
To adapt an evidence-based psychological intervention for pregnant women experiencing depressive symptoms and intimate partner violence (IPV) in rural Ethiopia. We conducted a desk review of contextual factors in Sodo, Ethiopia, followed by qualitative interviews with 16 pregnant women and 12 antena...
| Publicado en: | Psychotherapy Research Vol. 34; no. 4; pp. 538 - 555 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Taylor & Francis Ltd
Apr2024
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=176146700&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 176146700 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10503307 10T jtl: Psychotherapy Research issn: 10503307 maglogo: N pubinfo: dt: Apr2024 vid: 34 iid: 4 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 176146700 10.1080/10503307.2023.2222899 ppf: 538 ppct: 17 formats: tig: atl: Adapting brief problem-solving therapy for pregnant women experiencing depressive symptoms and intimate partner violence in rural Ethiopia. aug: au: Keynejad, Roxanne C. Bitew, Tesera Sorsdahl, Katherine Myers, Bronwyn Honikman, Simone Mulushoa, Adiyam Demissie, Mekdes Deyessa, Negussie Howard, Louise M. Hanlon, Charlotte affil: Section of Women's Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom Department of Psychiatry, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia Department of Psychology, College of Education and Behavioural Sciences, Injibara University Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa Division of Addiction Psychiatry, Department of Psychiatry and Mental health, University of Cape Town, South Africa Curtin enAble Institute, Curtin University, Bentley, Western Australia Mental health, Alcohol, Substance Use and Tobacco Research Unit, South African Medical Research Council, Tygerberg, South Africa Perinatal Mental Health Project, Department of Psychiatry and Mental Health, University of Cape Town, Rondebosch, Cape Town, South Africa Centre for Innovative Drug Development and Therapeutic Trials for Africa (CDT-Africa), College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia Centre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom su: Ethiopia South Africa Intimate partner violence Abused women Pregnant women Psychotherapy Problem-solving therapy Depression in women sug: subj: Intimate partner violence Abused women Pregnant women Psychotherapy Ethiopia South Africa Problem-solving therapy Depression in women keyword: complex interventions intervention adaptation intimate partner violence low and middle-income countries perinatal mental health problem-solving therapy theory of change women's mental health complex interventions intervention adaptation intimate partner violence low and middle-income countries perinatal mental health problem-solving therapy theory of change women's mental health ab: To adapt an evidence-based psychological intervention for pregnant women experiencing depressive symptoms and intimate partner violence (IPV) in rural Ethiopia. We conducted a desk review of contextual factors in Sodo, Ethiopia, followed by qualitative interviews with 16 pregnant women and 12 antenatal care (ANC) providers. We engaged stakeholders through participatory theory of change (ToC) workshops, to select the intervention and articulate a programme theory. We used "ADAPT" guidance to adapt the intervention to the context, before mapping potential harms in a "dark logic model". Brief problem-solving therapy developed for South Africa was the most contextually relevant model. We adapted the delivery format (participants prioritised confidentiality and brevity) and training and supervision (addressing IPV). Consensus long-term outcomes in our ToC were ANC providers skilled in detecting and responding to emotional difficulties and IPV, women receiving appropriate support, and emotional difficulties improving. Our dark logic model highlighted the risk of more severe IPV and mental health symptoms not being referred appropriately. Although intervention adaptation is recommended, the process is rarely reported in depth. We comprehensively describe how contextual considerations, stakeholder engagement, programme theory, and adaptation can tailor psychological interventions for the target population in a low-income, rural setting. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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