A Group Parenting Intervention for Depressed Fathers (LTP + Dads): A Feasibility Study from Pakistan

Muhammad I. Husain; Imran B. Chaudhry; Ameer B. Khoso; Ming W. Wan; Tayyeba Kiran; Tinevimbo Shiri; Nasim Chaudhry; Nasir Mehmood; Syed F. Jafri; Farooq Naeem; Nusrat Husain

doi:10.3390/children8010026

A Group Parenting Intervention for Depressed Fathers (LTP + Dads): A Feasibility Study from Pakistan

Muhammad I. Husain, Imran B. Chaudhry, Ameer B. Khoso, Ming W. Wan, Tayyeba Kiran, Tinevimbo Shiri, Nasim Chaudhry, Nasir Mehmood, Syed F. Jafri, Farooq Naeem, Nusrat Husain

International Public Health

Research output: Contribution to journal › Article › peer-review

14 Citations (Scopus)

Abstract

Introduction: In this study, we feasibility tested Learning Through Play Plus Dads (LTP+ Dads), a group parenting psychoeducation program adapted for depressed Pakistani fathers of children under three years of age.

Methods: A total of 18 fathers with depression were recruited in Karachi, Pakistan for a pre-post feasibility study. Ten sessions of group LTP+ Dads were offered over three months. Clinical assessments were administered at baseline, 3 and 6 months and included the Edinburgh Postnatal Depression Scale, 17-item Hamilton Depression Rating Scale, Brief Disability Questionnaire, Multidimensional Scale of Perceived Social Support, Euro-Qol-5 Dimensions, Rosenberg Self-esteem Scale, Parenting Stress Index, and Knowledge, Attitude and Practices questionnaire.

Results: The intervention was feasible to implement and acceptable based on a recruitment rate of 100% of eligible participants and a 100% attendance rate for 5 of the 10 sessions. Within this preliminary sample, fathers showed, on average, a reduction in depressive symptoms, an increase in most areas of fathers’ knowledge and positive attitudes about child development. Perceived social support, self-esteem and functioning scores also increased.

Limitations: The small sample size and lack of control group are limitations of this study.

Conclusions: In this first study of paternal depression in Pakistan, a low cost culturally adapted group intervention was found to be feasible and acceptable. Changes in depression, parenting-related and other outcomes are promising and inform a future larger trial.

Keywords: Paternal depression, Cultural Adaptation, CBT, Parenting, Low and middle income country

Original language	English
Article number	26
Pages (from-to)	26
Journal	Children
Volume	8
Issue number	1
DOIs	https://doi.org/10.3390/children8010026
Publication status	Published - 6 Jan 2021

Keywords

Cognitive behavior therapy
Cultural adaptation
Lowand middle-income country
Parenting
Paternal depression

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/children8010026Licence: CC BY

ChildrenAccepted author manuscript, 129 KBLicence: CC BY
Children-08-00026-v2Final published version, 769 KBLicence: CC BY

Cite this

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title = "A Group Parenting Intervention for Depressed Fathers (LTP + Dads): A Feasibility Study from Pakistan",

abstract = "Introduction: In this study, we feasibility tested Learning Through Play Plus Dads (LTP+ Dads), a group parenting psychoeducation program adapted for depressed Pakistani fathers of children under three years of age. Methods: A total of 18 fathers with depression were recruited in Karachi, Pakistan for a pre-post feasibility study. Ten sessions of group LTP+ Dads were offered over three months. Clinical assessments were administered at baseline, 3 and 6 months and included the Edinburgh Postnatal Depression Scale, 17-item Hamilton Depression Rating Scale, Brief Disability Questionnaire, Multidimensional Scale of Perceived Social Support, Euro-Qol-5 Dimensions, Rosenberg Self-esteem Scale, Parenting Stress Index, and Knowledge, Attitude and Practices questionnaire. Results: The intervention was feasible to implement and acceptable based on a recruitment rate of 100\% of eligible participants and a 100\% attendance rate for 5 of the 10 sessions. Within this preliminary sample, fathers showed, on average, a reduction in depressive symptoms, an increase in most areas of fathers{\textquoteright} knowledge and positive attitudes about child development. Perceived social support, self-esteem and functioning scores also increased. Limitations: The small sample size and lack of control group are limitations of this study.Conclusions: In this first study of paternal depression in Pakistan, a low cost culturally adapted group intervention was found to be feasible and acceptable. Changes in depression, parenting-related and other outcomes are promising and inform a future larger trial.Keywords: Paternal depression, Cultural Adaptation, CBT, Parenting, Low and middle income country",

keywords = "Cognitive behavior therapy, Cultural adaptation, Lowand middle-income country, Parenting, Paternal depression",

author = "Husain, \{Muhammad I.\} and Chaudhry, \{Imran B.\} and Khoso, \{Ameer B.\} and Wan, \{Ming W.\} and Tayyeba Kiran and Tinevimbo Shiri and Nasim Chaudhry and Nasir Mehmood and Jafri, \{Syed F.\} and Farooq Naeem and Nusrat Husain",

year = "2021",

month = jan,

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doi = "10.3390/children8010026",

language = "English",

volume = "8",

pages = "26",

journal = "Children",

issn = "2227-9067",

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TY - JOUR

T1 - A Group Parenting Intervention for Depressed Fathers (LTP + Dads): A Feasibility Study from Pakistan

AU - Husain, Muhammad I.

AU - Chaudhry, Imran B.

AU - Khoso, Ameer B.

AU - Wan, Ming W.

AU - Kiran, Tayyeba

AU - Shiri, Tinevimbo

AU - Chaudhry, Nasim

AU - Mehmood, Nasir

AU - Jafri, Syed F.

AU - Naeem, Farooq

AU - Husain, Nusrat

PY - 2021/1/6

Y1 - 2021/1/6

N2 - Introduction: In this study, we feasibility tested Learning Through Play Plus Dads (LTP+ Dads), a group parenting psychoeducation program adapted for depressed Pakistani fathers of children under three years of age. Methods: A total of 18 fathers with depression were recruited in Karachi, Pakistan for a pre-post feasibility study. Ten sessions of group LTP+ Dads were offered over three months. Clinical assessments were administered at baseline, 3 and 6 months and included the Edinburgh Postnatal Depression Scale, 17-item Hamilton Depression Rating Scale, Brief Disability Questionnaire, Multidimensional Scale of Perceived Social Support, Euro-Qol-5 Dimensions, Rosenberg Self-esteem Scale, Parenting Stress Index, and Knowledge, Attitude and Practices questionnaire. Results: The intervention was feasible to implement and acceptable based on a recruitment rate of 100% of eligible participants and a 100% attendance rate for 5 of the 10 sessions. Within this preliminary sample, fathers showed, on average, a reduction in depressive symptoms, an increase in most areas of fathers’ knowledge and positive attitudes about child development. Perceived social support, self-esteem and functioning scores also increased. Limitations: The small sample size and lack of control group are limitations of this study.Conclusions: In this first study of paternal depression in Pakistan, a low cost culturally adapted group intervention was found to be feasible and acceptable. Changes in depression, parenting-related and other outcomes are promising and inform a future larger trial.Keywords: Paternal depression, Cultural Adaptation, CBT, Parenting, Low and middle income country

AB - Introduction: In this study, we feasibility tested Learning Through Play Plus Dads (LTP+ Dads), a group parenting psychoeducation program adapted for depressed Pakistani fathers of children under three years of age. Methods: A total of 18 fathers with depression were recruited in Karachi, Pakistan for a pre-post feasibility study. Ten sessions of group LTP+ Dads were offered over three months. Clinical assessments were administered at baseline, 3 and 6 months and included the Edinburgh Postnatal Depression Scale, 17-item Hamilton Depression Rating Scale, Brief Disability Questionnaire, Multidimensional Scale of Perceived Social Support, Euro-Qol-5 Dimensions, Rosenberg Self-esteem Scale, Parenting Stress Index, and Knowledge, Attitude and Practices questionnaire. Results: The intervention was feasible to implement and acceptable based on a recruitment rate of 100% of eligible participants and a 100% attendance rate for 5 of the 10 sessions. Within this preliminary sample, fathers showed, on average, a reduction in depressive symptoms, an increase in most areas of fathers’ knowledge and positive attitudes about child development. Perceived social support, self-esteem and functioning scores also increased. Limitations: The small sample size and lack of control group are limitations of this study.Conclusions: In this first study of paternal depression in Pakistan, a low cost culturally adapted group intervention was found to be feasible and acceptable. Changes in depression, parenting-related and other outcomes are promising and inform a future larger trial.Keywords: Paternal depression, Cultural Adaptation, CBT, Parenting, Low and middle income country

KW - Cognitive behavior therapy

KW - Cultural adaptation

KW - Lowand middle-income country

KW - Parenting

KW - Paternal depression

U2 - 10.3390/children8010026

DO - 10.3390/children8010026

M3 - Article

SN - 2227-9067

VL - 8

SP - 26

JO - Children

JF - Children

IS - 1

M1 - 26

ER -

A Group Parenting Intervention for Depressed Fathers (LTP + Dads): A Feasibility Study from Pakistan

Abstract

Keywords

UN SDGs

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