Postnatal Depression
Conditions
Brief summary
The pilot trial aims to test the feasibility, acceptability and cultural appropriateness of online LTP+CaCBT for treating postnatal depression and to improve the mental health and wellbeing of mothers and their children in the UK.
Detailed description
Participants who scored 5 or above on Patient Health Questionnaire (PHQ-9) will be would be recruited and randomly assigned into one of two groups (experimental or controlled). Experimental groups will receive the online LTP+CaCBT treatment - the intervention will consist of a total of 12 group training sessions (approx. 60 minutes each). The controlled groups will receive 'placebo effects' in the form of psychoeducation involving basic discussions around mother-child relationships, childcare, child nursing related activities and general maternal discussions. Each of the two groups (both experimental and controlled) will be comprised of approximately 10 mother-child pairs per sub-group.
Interventions
BEHAVIORALLTP
LTP is a low-literacy, sustainable programme that will provide depressed mothers with valuable skills on parenting, improve mother-child relation and mental health self-care. This is a research-based activity that enhances postnatal mental health while simultaneously promoting attachment security through building parents' ability to monitor and be sensitive to their children's cues, and thereby, actively involves in their children's mental and physical development.
BEHAVIORALCaCBT
CaCBT adopts 'here and now' problem-solving approach, which involves collaborating with families, active listening techniques, changing negative thinking, and depressive symptoms associated with postnatal depression and other forms of parenting distress.
BEHAVIORALPsychoeducation
This is a form of psychoeducation involving basic discussions around mother-child relationships, childcare, child nursing related activities and general maternal discussions.
Sponsors
University of Manchester
Teesside University
Sheffield Hallam University
Nottingham Trent University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* 18 years and above * A mother with a child (0-3 years) from the African and/or Caribbean heritage * Able to provide full consent for their participation * A resident of the UK * Able to complete a baseline assessment * Score 5 or above on Patient Health Questionnaire (PHQ-9)
Exclusion criteria
* Less than 18 years * Medical disorder that would prevent participation in a clinical trial such as Tuberculosis or heart failure * Temporary residents are unlikely to be available for follow up * Active suicidal ideation or any other severe mental disorder * Non-residents of the UK * Unable to consent * Patients currently undergoing severe mental health treatment * Unable to speak the English language fluently * Other significant physical or learning disability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in postnatal depression is being assessed | Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention | Primary outcome measure would be assessed using the Edinburgh Postnatal Depression Scale |
| Change in postnatal anxiety is being assessed | Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention | Primary outcome measure would be assessed using the Generalised Anxiety Disorder (GAD7) scale |
| Change in health is being assessed | Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention | Primary outcome measure would be assessed using the Patient Health Questionnaire (PHQ-9) |
| Change in social support is being assessed | Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention | Primary outcome measures would be assessed using the Oslo Social Support Scale |
| Change in health-related quality of life is being assessed | Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention | Outcome measure would be assessed using the Health-related Quality of Life scale (EuroQoL-5 Dimensions) |
| Change in service satisfaction is being assessed | Change is being assessed at end of intervention, at 3-months and at 6-months post-intervention | Outcome measure would be assessed using the brief Verona Service Satisfaction Scale |
| Change in child physio-emotional development is being assessed | Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention | Outcome measure would be assessed using the Ages and Stages Social-Emotional Questionnaire |
| Change in parenting knowledge of child development is being assessed | Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention | Outcome measure would be assessed using the Learning through Play (LTP) Knowledge, Attitude and Practices (KAP) Questionnaire |
Countries
United Kingdom
Contacts
Primary ContactDung Jidong, PhD
Outcome results
None listed