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Partner inclusive parenting intervention: Evidence of a culturally adapted low-cost group psychosocial intervention for depressed fathers

Published online by Cambridge University Press:  19 July 2023

M. I. Husain
Affiliation:
The Centre for Addiction and Mental Health, Ontario University of Toronto, Toronto, Canada
A. B. Khoso
Affiliation:
Pakistan Institute of Living and Learning, Karachi, Pakistan
T. Kiran
Affiliation:
Pakistan Institute of Living and Learning, Karachi, Pakistan
M. W. Wan
Affiliation:
University of Manchester
Z. Zadeh
Affiliation:
Pakistan Institute of Living and Learning, Karachi, Pakistan
R. Sattar
Affiliation:
Pakistan Institute of Living and Learning, Karachi, Pakistan
N. Khan
Affiliation:
Pakistan Institute of Living and Learning, Karachi, Pakistan
I. B. Chaudhry
Affiliation:
Pakistan Institute of Living and Learning, Karachi, Pakistan University of Manchester
R. Memon
Affiliation:
Manchester Global Foundation, Manchester, United Kingdom
S. F. Jafri
Affiliation:
Karachi Medical and Dental College, Karachi, Pakistan
Z. H. Suhag
Affiliation:
Pakistan Institute of Living and Learning, Karachi, Pakistan
K. Lovell
Affiliation:
University of Manchester
N. Husain*
Affiliation:
University of Manchester
N. Chaudhry
Affiliation:
Pakistan Institute of Living and Learning, Karachi, Pakistan
*
*Corresponding author.

Abstract

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Introduction

Depression is the leading cause of disability worldwide and low and middle-income countries (LMICs) carry over 80% of this disease burden. Attempts have been made to address depression in LMICs, with improvements in the home environment and maternal knowledge. However paternal depression is a neglected and under-researched area. Since maternal depression is associated with depression in fathers there is a need for partner inclusive parenting programs to address parental mental health and improve child outcomes.

Objectives

To evaluate the clinical and cost effectiveness of partner inclusive Learning through play plus (LTP+) intervention in reducing depression in fathers and mothers.

To evaluate the effectiveness of LTP + intervention in improving child outcomes.

To conduct process evaluation and identify challenges in transition to scale up of the intervention across Karachi, Pakistan from the perspective of fathers, mothers, and other stakeholders.

Methods

This is a cluster randomised controlled (cRCT) trial of partner inclusive group parenting program called (Learning Through Play (LTP+) across 18 towns in the city of Karachi. Over 5000 parents (fathers and partners) will participate in the study with a capacity building component of training 4000 Community Health Workers across Pakistan.

Results

This large cRCT will confirm the clinical and cost-effectiveness of LTP+ in reducing depression in parents and improving child outcomes along with the barriers and facilitators to implement the LTP+ group parenting program and the possibilities to roll out the innovation at national level through engagement with policy makers.

Conclusions

Addressing depression in parents is hugely important because of its adverse effects both for child and parents. This low-cost group parenting program will help in scaling up the innovation across health services in Pakistan and other LMICs.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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