Scaling up care for depression in mothers before and after giving birth to improve the health of mother and child
- Conditions
- Mental and Behavioural DisordersPerinatal depression
- Registration Number
- ISRCTN94230307
- Lead Sponsor
- niversity of Ibadan
- Brief Summary
2021 Protocol article in https://pubmed.ncbi.nlm.nih.gov/34544456/ (added 15/08/2022) 2023 Results article in https://pubmed.ncbi.nlm.nih.gov/37986025/ (added 21/11/2023) 2024 Results article in https://doi.org/10.1007/s00127-024-02611-7 (added 09/02/2024)
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 898
Current inclusion criteria as of 12/08/2020:
Trainers of trainers:
1. Psychiatrists experienced (Master Trainers) with experience in the training of providers in the use of mhGAP-IG and perinatal mental health
Trainers:
1. Supervisory physicians
2. Senior nurses
3. Senior community health officers
Perinatal women:
1. Consecutive women making their first antenatal visit
2. Consent to participate in trial
3. Score 10 or more on the Edinburgh Postnatal Depression Scale (EPDS)
4. Female
5. Adult aged between 18 and 65 years
Previous inclusion criteria:
Trainers of trainers:
1. Psychiatrists experienced (Master Trainers) with experience in the training of providers in the use of mhGAP-IG and perinatal mental health
2. Male and female
3. Adult aged between 18 and 65 years
Trainers:
1. Supervisory physicians
2. Senior nurses
3. Senior community health officers
4. Currently working in maternal clinics where the study is being conducted
5. Male and female
6. Adult aged between 18 and 65 years
Perinatal women:
1. Consecutive women making their first antenatal visit
2. Consent to participate in trial
3. Score 10 or more on the Edinburgh Postnatal Depression Scale (EPDS)
4. Female
5. Adult aged between 18 and 65 years
Current exclusion criteria as of 12/08/2020:
Perinatal women:
1. Suicidality
2. Patient too ill to cope with interview
Previous exclusion criteria:
Perinatal women:
1. Severe depression (EPDS score 18 or more)
2. Suicidality
3. Patient too ill to cope with interview
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Current primary outcome measures as of 12/08/2020:<br>Primary implementation outcome:<br>Perinatal depression identified using Edinburgh Postnatal Depression Scale before and after cascade training<br> <br>Primary effectiveness outcome:<br>Remission rates from depression defined as an EPDS score of 5 or less at 6 months postpartum<br><br>Previous primary outcome measures:<br>Depression measured using the Edinburgh Postnatal Depression Scale at baseline and 3 months
- Secondary Outcome Measures
Name Time Method