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

15 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",

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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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