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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
120
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.
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.
Nottingham Trent University
Nottingham, England, United Kingdom
RECRUITINGChange in postnatal depression is being assessed
Primary outcome measure would be assessed using the Edinburgh Postnatal Depression Scale
Time frame: Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention
Change in postnatal anxiety is being assessed
Primary outcome measure would be assessed using the Generalised Anxiety Disorder (GAD7) scale
Time frame: Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention
Change in health is being assessed
Primary outcome measure would be assessed using the Patient Health Questionnaire (PHQ-9)
Time frame: Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention
Change in social support is being assessed
Primary outcome measures would be assessed using the Oslo Social Support Scale
Time frame: Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention
Change in health-related quality of life is being assessed
Outcome measure would be assessed using the Health-related Quality of Life scale (EuroQoL-5 Dimensions)
Time frame: Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention
Change in service satisfaction is being assessed
Outcome measure would be assessed using the brief Verona Service Satisfaction Scale
Time frame: Change is being assessed at end of intervention, at 3-months and at 6-months post-intervention
Change in child physio-emotional development is being assessed
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This is a form of psychoeducation involving basic discussions around mother-child relationships, childcare, child nursing related activities and general maternal discussions.
Outcome measure would be assessed using the Ages and Stages Social-Emotional Questionnaire
Time frame: Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention
Change in parenting knowledge of child development is being assessed
Outcome measure would be assessed using the Learning through Play (LTP) Knowledge, Attitude and Practices (KAP) Questionnaire
Time frame: Change is being assessed from baseline, end of intervention, at 3-months and at 6-months post-intervention