Depression in parents aged 16-24 years Mental and Behavioural Disorders
Conditions
Interventions
Current interventions as of 09/01/2024:
Participants will be randomised in a 1:1 ratio to (i) AADAPT Online Intervention or (ii) AADAPT Self-Guided (waitlist control). Randomisation will be minimise
Sponsors
University of Oxford
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 09/01/2024: Adolescent Parent: 1. Aged 16-24 years 2. Child born within 12 months at the time of recruitment 3. Score 10 or above on EPDS 4. Lives in the UK 5. Able to provide free informed consent to participate 6. Sufficient understanding of English (secondary school level, age 11) reading ability as the self-help package requires participants to read and understand the documents and suggested activities _____ Previous inclusion criteria: Adolescent Parent: 1. Aged 16-24 years 2. Child born within 12 months at the time of recruitment 3. Score 10 or above on EPDS 4. Lives in the UK 5. Able to provide free informed consent to participate 6. Sufficient understanding of English (secondary school level, age 11) reading ability as the self-help package requires participants to read and understand the documents and suggested activities Peer Mentors (Parent Buddies): 1. Aged 25-35 years 2. Had first baby when they were under 25 years old 3. Have had experience of low mood (defined as feeling low, down, depressed or stressed most days for 2 or more weeks) 4. Lives in the UK 5. Able to provide free informed consent to participate 6. Sufficient understanding of English (secondary school level, age 11) reading ability as they will be helping parents navigate the self-help package
Exclusion criteria
Exclusion criteria: Current exclusion criteria as of 09/01/2024: Adolescent parents: 1. Aged under 16 or over 25 years 2. Not a parent 3. Child older than 12 months at time of recruitment 4. Co-habiting partner already randomised into the study 5. Score of less than 10 on EPDS 6. Active suicidality 7. Active symptoms of psychosis or mania as part of bi-polar disorder 8. Currently receiving psychological treatment 9. Lives outside the UK 10. Unable to consent to participate 11. Insufficient understanding of English _____ Previous exclusion criteria: Adolescent parents: 1. Aged under 16 or over 25 years 2. Not a parent 3. Child older than 12 months at time of recruitment 4. Co-habiting partner already randomised into the study 5. Score of less than 10 on EPDS 6. Active suicidality 7. Active symptoms of psychosis or mania as part of bi-polar disorder 8. Currently receiving psychological treatment 9. Lives outside the UK 10. Unable to consent to participate 11. Insufficient understanding of English Peer Mentors: 1. Aged under 25 years or over 35 years 2. Not a parent 3. Had first baby when they were aged 25 years or older 4. No experience of low mood (defined as feeling low, down, depressed or stressed most days for 2 or more weeks) 5. Lives outside of UK 6. Current mental health or emotional difficulties that preclude capacity to be an appropriate peer mentor to another person who has mental health difficulties 7. Unable to consent to participate 8. Insufficient understanding of English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current co-primary outcome measures as of 19/06/2024: 1. To assess the feasibility of recruitment and intervention methods, including the number of young parents screened, the percentage of those who were eligible at screening who were recruited, and the percentage of those recruited who completed the follow-up assessment – measure using data collected by the AADAPT online throughout the study 2. Measure treatment adherence and acceptability of AADAPT Online, including the number of young parents who completed treatment (defined as 4 out of 6 sessions) measure using data collected by the AADAPT online throughout the study Previous primary outcome measure: Parental depression is measured using parent self-report questionnaire (Edinburgh Postnatal Depression Scale, EPDS) at baseline and 12 weeks post randomisation | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 19/06/2024: 1. Parental depression measured using a parent self-report questionnaire (Edinburgh Postnatal Depression Scale, EPDS) at baseline and 12 weeks post-randomisation 2. Parent-infant interactions measured using simultaneous Headcam footage from parent and infant collected at baseline and 12 weeks post-randomisation 3. Parental stress measured using a parent self-report questionnaire (Parenting Stress Index, PSI-4-SF) at baseline and 12 weeks post-randomisation 4. Parental mental health measured using a self-reported General Health Questionnaire (GHQ-12) at baseline and 12 weeks post-randomisation 5. Perceived social support measured using parent self-report (Multiple Dimension Scale of Perceived Social Support, MSPSS) at baseline and 12 weeks post-randomisation 6. Health economic outcome measured using self-report European Quality of Life 5 Dimensions (EQ-5D-5L), Recovering Quality of Life (Re-QoL) and subsections 4.1, 4.2, 4.3 and 4.4, section 5 of Client Service Receipt Inventory (CSRI) at baseline and 12 weeks post-randomisation 7. Treatment adherence and engagement with AADAPT Online, including the number of modules viewed, the number of successful contact attempts by Parent Buddy compared to unsuccessful contact attempts, the number of times logged in, the total amount of time spent in AADAPT Online and the number of exercises completed in AADAPT Online measured using data collected by AADAPT online and study records throughout the study 8. Assessment of recruitment and retention of Parent Buddies, including the number of Parent Buddies invited for training, percentage of those who completed training, percentage of those who actively support Mentees after training, the number of Mentees supported by each Parent Buddy, length of time Parent Buddies remain with the programme measured using study records throughout the study 9. Qualitative outcomes of the AADAPT intervention, measured using data collected from sem | — |
Countries
England, United Kingdom
Outcome results
None listed