Thinking local, thinking healthy: Cultural and contextual adaptation of the Thinking Healthy Programme in Nepal.

ABSTRACT: Background: The thinking healthy program (THP) is an evidence-based psychological intervention for perinatal depression designed for delivery by nonspecialist health workers. To ensure its relevance in Nepal, we adapted THP using the mental health Cultural Adaptation and Contextualization for Implementation (mhCACI) framework. Methods: Using mhCACI's 10-step process, we applied a participatory approach involving a multidisciplinary team to adapt both content and implementation strategies. A qualitative study nested within a pilot trial was conducted to assess feasibility and acceptability of adapted THP through in-depth interviews with perinatal women (n = 20), family members (n = 11) and focus group discussions with Female Community Health Volunteers (FCHVs) (n = 16). Res

SUBMITTER: Subba P 

PROVIDER: S-EPMC12835954 | biostudies-literature | 2026

REPOSITORIES: biostudies-literature