- Maternal Mental Health During Pregnancy and Postpartum
- Child and Adolescent Psychosocial and Emotional Development
- Maternal and Perinatal Health Interventions
- Infant Development and Preterm Care
- Breastfeeding Practices and Influences
- Family Caregiving in Mental Illness
- Global Maternal and Child Health
- Mental Health Treatment and Access
- Health disparities and outcomes
- Attachment and Relationship Dynamics
- Global Health Workforce Issues
- Cancer Research and Treatments
- Advanced biosensing and bioanalysis techniques
- Migration, Health and Trauma
- Intergenerational Family Dynamics and Caregiving
- Health, psychology, and well-being
- Child and Adolescent Health
- Reproductive Health and Contraception
- Resilience and Mental Health
- RNA Interference and Gene Delivery
- Community Health and Development
- Grief, Bereavement, and Mental Health
- Mental Health Research Topics
- Dental Erosion and Treatment
University of Liverpool
2024-2025
Human Development Research Foundation
2014-2025
Xi'an Jiaotong University
2019-2024
Tata Memorial Hospital
2024
The Thinking Healthy Programme (THP) is an evidence-based psychological intervention endorsed by the World Health Organization, tailored for non-specialist health workers in low- and middle-income countries. However, training supervision of large numbers a major challenge scale-up THP. We developed 'Technology-Assisted Cascaded Training Supervision system' (TACTS) THP consisting application cascaded delivered from distance.A single-blind, non-inferiority, randomized controlled trial was...
Perinatal depression is highly prevalent in South Asia. Although effective and culturally feasible interventions exist, a key bottleneck for scaled-up delivery lack of trained human resource. The aim this study was to adapt an evidence-based intervention so that local women from the community (peers) could be deliver it, test adapted feasibility India Pakistan.The conducted Rawalpindi, Pakistan Goa, India. To inform adaptation process, qualitative data collected through 7 focus groups (four...
Women with perinatal depression and their children are at increased risk of poor health outcomes. Integrating evidence based non-stigmatizing interventions within existing systems is crucial to reducing psychosocial distress during pregnancy preventing depression. This study aimed evaluate the feasibility World Health Organization (WHO) endorsed cognitive-behavior therapy-based Thinking Healthy Programme (THP), delivered by antenatal nurses in China. A two-arm pilot randomized controlled...
Over 90% women with perinatal depression in low and middle-income countries do not receive treatment. Scale-up of evidence-based psychosocial interventions is a key challenge. We developed the Thinking Healthy Programme (THP), intervention that can be delivered by non-specialist providers such as community health workers primary secondary care settings. Our research showed three out 4 who received programme recovered, there were beneficial effects on infant outcomes. In over decade since...
Background: The Thinking Healthy Programme (THP), endorsed by WHO, is an evidence-based intervention for perinatal depression. We adapted THP delivery volunteer peers (THPP) - lay women from the community and assessed its effectiveness cost-effectiveness in Rawalpindi, Pakistan.
There is a scarcity of specialist trainers and supervisors for psychosocial interventions in low- middle-income countries. A cascaded model training supervision was developed to sustain delivery an evidence-based peer-delivered intervention perinatal depression (the Thinking Healthy Programme) rural Pakistan. The study aimed evaluate the model.Mixed methods were employed as part randomised controlled trial intervention. Quantitative data consisted peers' competencies assessed during field...
Abstract Background Maternal depression affects one in five women low-and middle income countries (LMIC) and has significant economic social impacts. Evidence-based psychosocial interventions delivered by non-specialist health workers are recommended as first-line management of the condition, recent studies on such from LMIC show promising results. However, lack human resource to deliver is a major bottle-neck scale-up, much research attention been devoted ‘task-sharing’ initiatives. A peer...
Abstract Background Primiparous mothers who lack of experience and knowledge child caring, are usually overwhelmed by multifarious stressors challenges. Although professional support is needed for primiparas, there a gap between the necessary high-quality services currently provided poor services. This study aimed to explore Chinese primiparous mothers’ views on services, identify barriers utilizing support, further understand expectations preferences delivery Method A descriptive...
Background In Pakistan, the mental health care for persons living with disabilities is insufficient, lacking a holistic approach to address their needs. This research evaluates adapted PM+’s (IA-PM+) initial efficacy and acceptability in improving among disabilities, contributing integration of services within primary settings Pakistan. Methods study employed two-arm, single-blind cluster randomized controlled trial community setting Union Council Kuri Dolal, Tehsil Gujjar Khan, District...
<title>Abstract</title> <italic>Background:</italic> Postpartum distress is more prevalent than postpartum depression (PPD) and poses a significant risk for the development of depressive symptoms in women. However, existing research has predominantly focused on universal while overlooking potential mental health factors within specific cultural contexts. This study aims to explore barriers associated experienced by primiparas during their first year identify influencing context Chinese...
Abstract Background Women with perinatal depression and their children are at increased risk of poor health outcomes. There is a need to implement non-stigmatizing interventions into existing systems which reduce psychosocial distress during pregnancy prevent depression. We adapted the WHO-endorsed Thinking Healthy Programme (THP) be delivered universally all women attending routine online schools in Istanbul, Turkey. This study aimed evaluate feasibility acceptability this intervention....
Abstract Background The prevalence of perinatal depression in China ranges from 15 to 20% and the vast majority prenatally depressed women do not receive intervention they require. Recent research evidence shows that based, culturally–adapted psychosocial interventions are effective reducing mental health problems. World Health Organization (WHO) has endorsed Thinking Healthy Programme (THP), which is an based can be delivered by non-mental specialists. aim this study was translate adapt THP...
Common perinatal mental disorders such as anxiety and depression are a public health concern in low- middle-income countries. Several tools exist for screening monitoring treatment responses, which have frequently been tested globally clinical research settings. However, these relatively long not practical integration into routine data systems most This study aims to address this gap by considering three short tools: The Community Informant Detection Tool (CIDT) the identification of women...
Abstract Background The study examined the effects of Happy Mother—Healthy Baby (HMHB), a cognitive-behavioural therapy (CBT) intervention on breastfeeding outcomes for Pakistani women with prenatal anxiety. Methods Breastfeeding practices were evaluated in randomized controlled trial between 2019 and 2022 public hospital Pakistan. group was to receive six HMHB sessions targeted towards anxiety (with discussed final session), while both groups also received enhanced usual care. defined four...
To cluster prenatal psychological symptoms into different profiles and investigate symptoms' sociodemographic, health-related pregnancy-related factors. Furthermore, quality of life was compared across symptom profiles.
Background: Rates of perinatal depression in China are high. The Thinking Healthy Programme is a WHO-endorsed, evidence-based psychosocial intervention for depression, requiring five days face-to-face training by specialist trainer. Given the paucity trainers and logistical challenges, standardized large numbers nurses major challenge scaling up. We developed an electronic programme (e-training) which eliminates need specialist-led, training. aim this study was to evaluate effectiveness...
Abstract Background Perinatal mental health is a major public concern. In Turkey, hospitals operate pregnancy schools which provides an opportunity to integrate evidence-based Thinking Healthy Programme (THP) for perinatal depression. The aim of this study adapt the THP universal use in group setting and understand its acceptability feasibility integration into existing antenatal care programme both face-to-face online delivery. Methods Following expert-led adaptation process using Bernal...