Prevention of parental distress, mental health problems, and improvements in parent-child bonding and sensitivity Mental and Behavioural Disorders
Conditions
Interventions
Participants in Baby Steps enrol before they are 24 weeks pregnant, and involvement with the service begins around the 26th to the 30th week of pregnancy.
Baby Steps is a ‘relationship-based’ antena
Sponsors
Bradford Teaching Hospitals NHS Foundation Trust
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: The participants in this study are pregnant mothers, where data are collected at the level of the parent. The participant’s allocation to the intervention and matched comparison group is via self-selection (i.e. not randomisation). Eligibility for the intervention group: 1. Currently pregnant and have not exceeded 24 weeks gestation 2. Live in the Better Start Bradford areas 3. Have consented to a referral to Baby Steps Eligibility for the matched comparison group: 1. Have a child aged between 0 and 3 months at any time in the duration of service delivery (to ensure that matched cases are comparable) 2. Not currently receiving and have not already received Baby Steps in the Better Start programme at any time 3. Provided data in the BiBBS additional sweep at any time in the duration of service delivery
Exclusion criteria
Exclusion criteria: Participant is not currently enrolled in BiBBS cohort study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Parent sensitivity is measured using the Mothers Object Relations Scale - Short Format (MORS-SF) at 6-10 weeks after childbirth | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Parent mental health is measured using the Patient Health Questionnaire - 9 (PHQ-9) and Generalised Anxiety Disorder assessment (GAD-7) at 6-10 weeks after childbirth 2. Perinatal mental health will also be explored through routine data linkage. Identification and prevalence of poor perinatal mental health will be assessed through the Whooley questions asked by the health visiting service at 6 to 8 weeks after delivery, and other indicators obtained through routine data. 3. Birth outcomes will be explored through routine data linkage and will be described. The outcomes are delivery method (vaginal vs caesarean), gestation period, and reduced rates of low birthweight (<2500 g; any gestational age). Birth outcomes are collected immediately post-birth. It is unknown how feasible it is to conduct an economic evaluation through routine data. This study will therefore collate information on the cost of the intervention and routine data on health-related resource use data to inform future economic evaluations. This level of description is not possible for the economic analysis as this will relate to the feasibility of exploring outcomes for an economic analysis, and the outcomes are therefore unknown. | — |
Countries
England, United Kingdom
Contacts
Public ContactKate Mooney
Outcome results
None listed