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Online LTP+CaCBT for Treating Depression in British Mothers of African/Caribbean Heritage

Not Applicable
Conditions
Postnatal Depression
Interventions
Behavioral: LTP
Behavioral: Psychoeducation
Behavioral: CaCBT
Registration Number
NCT04820920
Lead Sponsor
Nottingham Trent University
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.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
120
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
LTP+CaCBTCaCBTThe LTP+CaCBT intervention will consist of 10 (mother-child pairs) participants per sub-group in online group sessions (approx. 60 minutes each) and will deliver one session every fortnight for 12 sessions.
LTP+CaCBTLTPThe LTP+CaCBT intervention will consist of 10 (mother-child pairs) participants per sub-group in online group sessions (approx. 60 minutes each) and will deliver one session every fortnight for 12 sessions.
PsychoeducationPsychoeducationThis is a form of psychoeducation involving basic discussions around mother-child relationships, childcare, child nursing related activities and general maternal discussions. The psychoeducation would last approximately 60 minutes each for 12 sessions (10 participants per sub-group). One session would be delivered every fortnight for 12 sessions.
Primary Outcome Measures
NameTimeMethod
Change in postnatal depression is being assessedChange 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 assessedChange 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 assessedChange 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 assessedChange 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 assessedChange 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 assessedChange 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 assessedChange 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 assessedChange 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

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Nottingham Trent University

🇬🇧

Nottingham, England, United Kingdom

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