Mental health, health literacy and social capital Mental and Behavioural Disorders Mental health, health literacy and social capital
Conditions
Interventions
Participants recruited from the Camberwell and Walworth will be allocated to receive the intervention which is comprised of two components:
1. The social support network will comprise
Sponsors
King's College London
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Pregnant women between 21-26 weeks gestation 2. Attending midwifery clinics in Camberwell, Walworth and Bermondsey areas of Lambeth and Southwark 3. The infants cared for by these women 4. Aged 19 or over
Exclusion criteria
Exclusion criteria: 1. Suitable for referral to specialist services according to current guidance, e.g. below 19 years old, referred to local Family Nurse Partnership, history of or current depression to specialist mental health 2. Living in postcodes that will be invited to take part in Lambeth Early Action Partnership (LEAP is a Big Lottery funded initiative nearby)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Maternal mental health: 1.1. Symptoms of anxiety, measured using the Generalised Anxiety Disorder Assessment (GAD7) at baseline, 6 months after birth, 12 months after birth 1.2. Symptoms of depression, measured using the Patient Health Questionnaire (PHQ9) at baseline, 6 months after birth, 12 months after birth 1.3. Frequency of positive thinking, measured using the Automatic Thoughts Questionnaire Revised (ATQR) at baseline 2. Health literacy, measured at baseline and 6 months after birth: 2.1. Self-reported difficulties in accessing, understanding, appraising and applying information in tasks concerning decisions making in healthcare, disease prevention, and health promotion, measured using the European Health Literacy Survey Questionnaire (HLSEQQ47) 2.2. Health literacy, literacy and numeracy skills, measured using the Newest Vital Sign (NVSUK) 3. Social capital, measured using the Social Capital Integrated Questionnaire – short version (SCIQ) at baseline, 6 months after birth, 12 months after birth 4. Infant development, measured at 12 months after birth using: 4.1. The Infant-Toddler Social and Emotional Assessment (ITSEA) 4.2. Infant birth weight and weight trajectory, measured from routine data sets collected at birth and by health visitors | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Parenting, measured at baseline, 6 months after birth: 1.1. Stress in the parent-child system, measured using the Parenting Stress Index – 4th Edition (PSI-4) Short Format at 6 months after birth 1.2. Maternal attachment and bonding, measured using the Maternal Antenatal Attachment Scale (MAAS) at baseline 1.3. Post-birth maternal attachment and bonding, measured using the Maternal Postnatal Attachment Scale (MPAS) at 6 months after birth 2. Financial literacy, measured using the Financial Literacy Survey Questionnaire at baseline 3. Maternal general health behaviour, such as smoking and alcohol consumption during pregnancy, diet and initiation and duration of breastfeeding, routinely assessed by maternity services 4. Routine outcome measures, such as gestation length, mode of birth, breastfeeding data and condition at birth, measured using routine datasets collected in maternity care 5. User satisfaction, measured using the Social Support Programme Acceptability Rating Scale at 6 months and 12 months after birth 6. Total cost and the cost per participant, calculated looking at service use in the 6 and 12 months after birth 7. Service use, measured using the Strengthening Babies Future Adult Service Use Schedule (SBF ADSUS) at 6 months after birth | — |
Countries
United Kingdom
Contacts
Public ContactDerek Bolton
Outcome results
None listed