Postnatal Depression
Conditions
Brief summary
By 2030, depression will be the leading global disease burden. Postnatal depression due to childbirth/parenting leads to long-term negative consequences for mothers, their children and their families. The British African/Caribbean communities are worse hit by the unprecedented impact of post-Covid-19-syndromes, leading to an exponential increase in postnatal depression. Yet, the uptake of mental healthcare by British mothers of African and Caribbean origin is low due to limited access to culturally appropriate care. Theories of attachment and cognitivism were innovatively integrated to examine Learning-Through-Play plus (LTP+) intervention for postnatal depression using a pilot randomised controlled trial. The proposed LTP+ is co-developed and ecologically friendly because it is manualised and can be delivered by non-mental health specialists such as trained community health workers who are more culturally knowledgeable. Findings will be disseminated through academic publications/presentations, policy briefs, original animated videos and podcast series laying the foundations for a psychosocial approach to tackling postnatal depression
Interventions
BEHAVIORALLearning Through Play plus (LTP+)
Group-1: Experimental (n=40 participants) will receive the LTP+ which consist of a total of 12-group integrated treatment sessions lasting approximately 60-90 minutes per session every fortnight with 10 mother/child pair per sub-group.
BEHAVIORALPsychoeducation
Group-2: Controlled (n=40 participants) will receive 'psychoeducation' which consist of a total of 12-group sessions lasting approximately 60-90 minutes per session every fortnight with 10 mother-child pair per sub-group.
Sponsors
Nottingham Trent University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
Only British mothers of African and Caribbean heritage: * experiencing emotional distress due to childbirth or parenting and scored 5 or above on the patient health questionnaire (PHQ-9) * who have children age 0-3 years * residents of designated communities and available for follow-up * are 18 years and above * able to give informed consent.
Exclusion criteria
Are mothers: * with a medical condition that would prevent their participation such as active suicidal ideation, tuberculosis, or heart failure * temporary residents are unlikely to be available for follow up * who are less than 18 years * unable to provide consent. * with non-British African and Caribbean heritage.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in postnatal depression is being assessed | Change is being assessed at baseline, at 12 weeks 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 postnatal anxiety is being assessed | Change is being assessed at baseline, at 12 weeks 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 social support is being assessed | Change is being assessed at baseline, at 12 weeks 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 at baseline, at 12 weeks 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 12 weeks end of 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 at baseline, at 12 weeks 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 at baseline, at 12 weeks end of intervention, at 3-months, and at 6-months post-intervention | Outcome measure would be assessed using Learning Through Play Knowledge, Attitude and Practices (KAP) Questionnaire |
Outcome results
None listed