Depression, Postpartum
Conditions
Keywords
postpartum depression, immigrant women, Child Health Services, nurse, Edinburgh Postnatal Depression Scale
Brief summary
The aim is to develop, test and evaluate an educational intervention with the purpose to strengthen Child Health Services (CHS) Nurses clinical competence in detecting signs of postpartum depression in non-native-speaking immigrant mothers. The pilot study has a pre-post experimental design. Data are collected before and after the intervention. The differences in the values of the collected data are used to estimate the effect of the intervention.
Detailed description
To be eligible for the study the CHS nurse must perform screening of immigrant mothers for postpartum depression with help of an interpreter according to the Edinburgh Postnatal Depression Scale (EPDS) method more than three times a year. The EPDS is a likert form scale with ten statements and is used in combination with a Clinical interview. Approximately 40-45 CHS nurses will be enrolled in the pilot study. The number of nurses are calculated in comparison to two other published studies within the same context. The instruments Clinical Cultural Competence Training Questionnaire (CCCTQ) and General Self-Efficacy scale (GSE) will be used as primary outcomes measures. Data are collected before the first education day and after the second education day. Secondary outcomes are also collected in connection to the educational intervention and consists of reported yearly statistics; how many mothers were are offered screening, participated in screening, number of screenings preformed with help og an interpreter and number of mothers offered follow-up after participating in screening.
Interventions
OTHEREducation in clinical competence in detecting signs of postpartum depression in immigrant mothers
Groupbased educational intervention aimed at nurses in the Child Health Services in strengthening clinical competence in detecting signs of postpartum depression in non-native-speaking immigrant mothers
Sponsors
Region Skane
Föreningen Mjölkdroppen Helsingborg
Lund University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
The study has a pre-post experimental design.
Eligibility
Sex/Gender
ALL
Age
25 Years to 67 Years
Healthy volunteers
No
Inclusion criteria
* Nurse specialized in Primary Healthcare Nursing or Pediatric Nursing * Employed in the Child Health Services in the County Scania in Sweden * Performing at minimum three screenings per year for postpartum depression, according to the EPDS-method, with help of an interpreter
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Cultural Competence Training Questionnaire | the questionnaire are given before and directly after the educational intervention | measures change in the participants experienced cultural competence. Consist of 8 items. Responses are made on a 4-pointscale.The mean score is calculated by adding up the sum of all answers (range 8-32) and dividing it by 8. The higher score the better outcome. |
| General Self Efficacy scale | the questionnaire are given before and directly after the educational intervention | measures change in the participants confidence in their own ability. Consist of 10 items. Responses are made on a 4-pointscale.The mean score is calculated by adding up the sum of all answers (range 10-40) and dividing it by 10. The higher score the better outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| mothers offered to participate in screening | before the educational intervention are given and one year after the educational intervention are given | number of mothers offered to participate in screening for postpartum depression |
| mothers participating in screening | before the educational intervention are given and one year after the educational intervention are given | number of mothers participating in screening for postpartum depression |
| screening with help of interpreter | before the educational intervention are given and one year after the educational intervention are given | number of screenings performed with help of an interpreter |
| mothers offered follow-up after screening | before the educational intervention are given and one year after the educational intervention are given | number of mothers offered follow-up after participating in screening for postpartum depression |
Countries
Sweden
Outcome results
None listed