Antenatal depression and anxiety Mental and Behavioural Disorders Antenatal depression and anxiety
Conditions
Interventions
Current interventions, as of 24/03/2021:
The design of the intervention is outlined in a Process Map (available on request) and consists of five areas of intervention, namely: training, awareness, d
Sponsors
King's College London
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 24/03/2021: Professional staff involved in delivering the antenatal care in participating MOUs such as antenatal care nurses, facility managers, sub-structure and NGO trainers, outreach team nurse supervisors, and community health workers Patient cohort: 1. Pregnant 2. Attending antenatal clinics participating in the study 3. Score of =13 on the EPDS or, a randomly selected 30% of participants (per site) who score <13 on the EPDS Previous inclusion criteria: Training intervention: Professional staff involved in delivering the antenatal care in participating MOUs such as antenatal care nurses, facility managers, sub-structure and NGO trainers, outreach team nurse supervisors, and community health workers Patient cohort: 1. Pregnant 2. Attending antenatal clinics participating in the study 3. Score of =13 on the EPDS or, a randomly selected 20% of participants (per site) who score <13 on the EPDS
Exclusion criteria
Exclusion criteria: Patient cohort: 1. Lack capacity to consent 2. Diagnosis of severe mental illness 3. =36 weeks gestation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 24/03/2021: Depression and anxiety symptoms, measured using the Edinburgh Postnatal Depression rating scale (EPDS) at baseline and 4-6 weeks after delivery of the infant Previous primary outcome measure: A 50% reduction in depression and anxiety symptoms, measured using the Edinburgh Postnatal Depression rating scale (EPDS) at 4-6 weeks after delivery of the infant | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 24/03/2021: 1. Knowledge and attitudes of health workers measured using a pre- and post- knowledge test, Mental illness Clinicians' Attitudes Scale (MICA-4), Professional Quality of Life Scale (PROQOL) version 5, Effort-Reward Imbalance (ERI) scale, Enhancing Assessment of Common Therapeutic Factors (ENACT) tool administered before and after training and Training satisfaction survey following completion of training 2. Ability to detect and refer distressed perinatal women assessed using patient folder reviews and referral forms in the facilities collected monthly over 6 months 3. Enhanced counselling skills of lay health workers measured using Enhancing Assessment of Common Therapeutic Factors (ENACT) tool administered before and after training 4. Level of job satisfaction, stress and burnout in health workers involved in the intervention measured through qualitative semi-structured interviews, Professional Quality of Life Scale (PROQOL) version 5, and Effort-Reward Imbalance (ERI) scale administered before and after training 5. Knowledge, attitudes and health-seeking behaviour of perinatal women, their partners and family members measured using knowledge, attitudes and health-seeking behaviour surveys, administered before and after morning talks in intervention facilities, and in routine queues in control facilities 6. Detection rates of distressed perinatal women assessed using patient folder reviews collected monthly over 6 months 7. Referral rates of distressed perinatal women assessed using patient folder reviews collected monthly over 6 months 8. Proportion of distressed perinatal women who receive treatment, assessed using referral forms and patient folders, assessed monthly over 6 months 9. Improvement on clinical, functioning and social outcomes, assessed using the Edinburgh Postnatal Depression rating scale (EPDS) and the World Health Organisation Assessment Schedule 2.0 (WHODAS 2.0) at baseline (18-30 weeks gest | — |
Countries
South Africa
Contacts
Public ContactCrick Lund
Outcome results
None listed