CHS Nurses Clinical Competence in Detecting Signs of PPD in Non-Native Speaking Immigrant Mothers'

Not Applicable

Completed

• Conditions: Depression, Postpartum
• Interventions: Other: Education in clinical competence in detecting signs of postpartum depression in immigrant mothers

• Registration Number: NCT04167709
• Lead Sponsor: Lund University

Brief Summary

The aim is to develop, test and evaluate an educational intervention with the purpose to strengthen Child Health Services (CHS) Nurses clinical competence in detecting signs of postpartum depression in non-native-speaking immigrant mothers. The pilot study has a pre-post experimental design. Data are collected before and after the intervention. The differences in the values of the collected data are used to estimate the effect of the intervention.

Detailed Description

To be eligible for the study the CHS nurse must perform screening of immigrant mothers for postpartum depression with help of an interpreter according to the Edinburgh Postnatal Depression Scale (EPDS) method more than three times a year. The EPDS is a likert form scale with ten statements and is used in combination with a Clinical interview.

Approximately 40-45 CHS nurses will be enrolled in the pilot study. The number of nurses are calculated in comparison to two other published studies within the same context. The instruments Clinical Cultural Competence Training Questionnaire (CCCTQ) and General Self-Efficacy scale (GSE) will be used as primary outcomes measures. Data are collected before the first education day and after the second education day. Secondary outcomes are also collected in connection to the educational intervention and consists of reported yearly statistics; how many mothers were are offered screening, participated in screening, number of screenings preformed with help og an interpreter and number of mothers offered follow-up after participating in screening.

Study Timeline

• Study Start: 2019-06-09
• Study First Submitted: 2019-11-04
• Study First Submitted QC: 2019-11-14
• Study First Posted: 2019-11-19
• Primary Completion: 2020-05-13
• Study Completion: 2021-03-31
• Status Verified: 2021-09
• Last Update Submitted: 2021-09-03
• Last Update Posted: 2021-09-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Nurse specialized in Primary Healthcare Nursing or Pediatric Nursing
• Employed in the Child Health Services in the County Scania in Sweden
• Performing at minimum three screenings per year for postpartum depression, according to the EPDS-method, with help of an interpreter

Exclusion Criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Allocated CHS nurses	Education in clinical competence in detecting signs of postpartum depression in immigrant mothers	Primary and secondary baseline data are collected from the allocated CHS nurses before the study starts. The CHS nurses are then given the educational intervention and afterwards primary and secondary outcomes are collected again.

Primary Outcome Measures

Name	Time	Method
Clinical Cultural Competence Training Questionnaire	the questionnaire are given before and directly after the educational intervention	measures change in the participants experienced cultural competence. Consist of 8 items. Responses are made on a 4-pointscale.The mean score is calculated by adding up the sum of all answers (range 8-32) and dividing it by 8. The higher score the better outcome.
General Self Efficacy scale	the questionnaire are given before and directly after the educational intervention	measures change in the participants confidence in their own ability. Consist of 10 items. Responses are made on a 4-pointscale.The mean score is calculated by adding up the sum of all answers (range 10-40) and dividing it by 10. The higher score the better outcome.

Secondary Outcome Measures

Name	Time	Method
mothers offered to participate in screening	before the educational intervention are given and one year after the educational intervention are given	number of mothers offered to participate in screening for postpartum depression
mothers participating in screening	before the educational intervention are given and one year after the educational intervention are given	number of mothers participating in screening for postpartum depression
screening with help of interpreter	before the educational intervention are given and one year after the educational intervention are given	number of screenings performed with help of an interpreter
mothers offered follow-up after screening	before the educational intervention are given and one year after the educational intervention are given	number of mothers offered follow-up after participating in screening for postpartum depression

Trial Locations

Locations (1)

Lund University; 🇸🇪 Lund, Scania, Sweden