scholarly journals Multicentre randomised controlled trial of a group psychological intervention for postnatal depression in British mothers of South Asian origin (ROSHNI-2): study protocol

BJPsych Open ◽  
2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Nusrat Husain ◽  
Karina Lovell ◽  
Carolyn A. Chew-Graham ◽  
Farah Lunat ◽  
Rebecca McPhillips ◽  
...  
Keyword(s):  
South Asian ◽  
Postnatal Depression ◽  
Controlled Trial ◽  
Asian Women ◽  
South Asian Women ◽  
Positive Health ◽  
Treatment As Usual ◽  
Randomised Controlled ◽  
The Uk ◽  
Health Programme

Background In the UK, postnatal depression is more common in British South Asian women than White Caucasion women. Cognitive–behavioural therapy (CBT) is recommended as a first-line treatment, but there is little evidence for the adaptation of CBT for postnatal depression to ensure its applicability to different ethnic groups. Aims To evaluate the clinical and cost-effectiveness of a CBT-based positive health programme group intervention in British South Asian women with postnatal depression. Method We have designed a multicentre, two-arm, partially nested, randomised controlled trial with 4- and 12-month follow-up, comparing a 12-session group CBT-based intervention (positive health programme) plus treatment as usual with treatment as usual alone, for British South Asian women with postnatal depression. Participants will be recruited from primary care and appropriate community venues in areas of high South Asian density across the UK. It has been estimated that randomising 720 participants (360 into each group) will be sufficient to detect a clinically important difference between a 55% recovery rate in the intervention group and a 40% recovery rate in the treatment-as-usual group. An economic analysis will estimate the cost-effectiveness of the positive health programme. A qualitative process evaluation will explore barriers and enablers to study participation and examine the acceptability and impact of the programme from the perspective of British South Asian women and other key stakeholders.

Exploratory randomized controlled trial of a group psychological intervention for postnatal depression in British mothers of South Asian origin

2016 ◽  
Vol 33 (S1) ◽  
pp. s279-s279
Author(s):  
N. Husain ◽  
K. Lovell ◽  
F. lunat ◽  
N. Atif ◽  
A. Bhokari ◽  
...  
Keyword(s):  
South Asian ◽  
Postnatal Depression ◽  
Health Care Services ◽  
Psychological Intervention ◽  
Controlled Trial ◽  
Control Group ◽  
Negative Consequences ◽  
Positive Health ◽  
Treatment As Usual ◽  
Culturally Adapted

IntroductionThe rates of postnatal depression (PND) in British South Asian (BSA) women are higher than the general population. PND is known to cause disability and suffering in women and negative consequences for their infants and their family with huge costs to society. Due to linguistic and cultural barriers, BSA women do not access health care services.ObjectivesTo conduct an exploratory trial to test the feasibility and acceptability of a culturally adapted group Cognitive Behavioural Therapy (CBT) intervention (Positive Health Programme (PHP).AimWe aimed to determine if depressed BSA women receiving the PHP intervention will show significant improvements in terms of severity of depression, marital support, and social support as compared to the control group.MethodsWe used a two-arm pragmatic single-blind randomised controlled design. Women meeting the inclusion criteria were randomised either to the experimental group receiving PHP or treatment as usual (TAU) that is standard care usually provided by the GP.ResultsA total of 615 mothers were screened for participation in the trial, of these 137 were assessed further to determine eligibility. Eighty-three mothers were randomized to receive either PHP (n = 42) or treatment as usual (TAU) (n = 41). Mothers found the intervention to be acceptable and felt an overall positive change in their attitudes, behaviour and confidence level.ConclusionThe recruitment and retention figures (70%) highlight the ability of the research team to engage with the population. The findings suggest the acceptability of the culturally adapted PHP intervention for British South Asian women with postnatal depression.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Group psychological intervention for postnatal depression: a nested qualitative study with British South Asian women

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Yumna Masood ◽  
Karina Lovell ◽  
Farah Lunat ◽  
Najia Atif ◽  
Waquas Waheed ◽  
...  
Keyword(s):  
Qualitative Study ◽  
South Asian ◽  
Postnatal Depression ◽  
Psychological Intervention ◽  
Asian Women ◽  
South Asian Women

scholarly journals Cultural aspects of weaning practice in South Asian women in the UK

2008 ◽  
Vol 67 (OCE9) ◽  
Author(s):  
A. Skinner ◽  
S. Smailes ◽  
P. Raynor ◽  
N. A. Small ◽  
F. C. Dykes ◽  
...  
Keyword(s):  
South Asian ◽  
Asian Women ◽  
South Asian Women ◽  
Cultural Aspects ◽  
The Uk

Life events and difficulties and their association with antenatal distress in White and South Asian women in the UK

2012 ◽  
Vol 48 (5) ◽  
pp. 725-734 ◽  
Author(s):  
Gemma D. Traviss ◽  
Shaista Meer ◽  
Robert M. West ◽  
Allan O. House
Keyword(s):  
Life Events ◽  
South Asian ◽  
Asian Women ◽  
South Asian Women ◽  
The Uk

Internet and Face-to-Face Cognitive Behavioural Therapy for Postnatal Depression Compared to Treatment-As-Usual: A Randomised Controlled Trial of MumMoodBooster (Preprint)

2020 ◽  
Author(s):  
Jeannette Milgrom ◽  
Brian G. Danaher ◽  
John R. Seeley ◽  
Christopher J. Holt ◽  
Charlene Holt ◽  
...  
Keyword(s):  
Postnatal Depression ◽  
Controlled Trial ◽  
Behavioural Therapy ◽  
Treatment As Usual ◽  
Face To Face ◽  
Cognitive Behavioural ◽  
Postnatal Women ◽  
Dsm Iv ◽  
Randomised Controlled

BACKGROUND Previous research confirms that symptoms of postnatal depression (PND) can be ameliorated through internet-delivered psychological interventions. To date, no research has examined the efficacy of such interventions compared directly to face-to-face (FTF) treatment in women clinically diagnosed with PND. OBJECTIVE We aimed to compare the efficacy of one of the first Web-based cognitive behavioural therapy (internet CBT + coach calls) interventions for PND (MumMoodBooster: MMB) with FTF-CBT in a randomised controlled trial (RCT). METHODS One hundred and sixteen postnatal women with a DSM-IV diagnosis of major or minor depression were randomised to either MMB (n = 39), FTF-CBT (n = 39) or a treatment as usual control condition (TAU, n = 38). Diagnostic status was determined at baseline and at a 21-week follow-up using the Structured Clinical Interview for the DSM-IV (SCID-IV). Severity of anxious and depressive symptoms were evaluated with the Depression Anxiety Stress Scales (DASS-21) and the Beck Depression Inventory – Revised (BDI-II) at baseline, 12 weeks (post-treatment) and at 21 weeks follow-up. RESULTS Ninety two percent of participants had a diagnosis of major depression at baseline. Rates of remission from the major or minor depressive episode at 21 weeks in both the FTF-CBT and the MMB groups were superior to TAU (Relative Risk = 0.59 and 0.68 respectively) and they were not significantly different from each other. Whilst remission rates differed between TAU and FTF-CBT, growth models showed that, in terms of symptom reduction across time, the FTF-CBT treatment was not significantly better than TAU. By comparison, MMB was statistically superior to both TAU and FTF-CBT in reducing symptoms of depression, anxiety and stress from baseline to 21 weeks follow-up (large and moderate effect sizes). Thus, after 21 weeks, symptom scores for depression and anxiety in women receiving MMB were approximately 50% lower than the average scores in both TAU and FTF-CBT. CONCLUSIONS In this RCT, MMB was at least as effective as FTF-CBT in achieving remission from a diagnosed postnatal depressive episode. MMB was superior to both TAU and FTF-CBT in encouraging and maintaining reduction of symptom severity over 21 weeks follow-up for depressed postnatal women. These findings replicate results of prior studies of MMB that showed clinically significant improvements in depressive symptoms and they provide direct empirical support that internet delivered treatment for depressed postnatal women is a viable alternative to face-to-face treatment. Advantages of internet treatment include anonymity, convenience and catering for women who would prefer not to, or cannot, access face-to-face treatments. The generalisability of results needs to be examined by future research since RCTs of internet-based versus face-to-face treatments necessarily involve a subset of people who are willing to undertake either modality of treatment. CLINICALTRIAL The protocol for this trial was registered prospectively on the Australia and New Zealand Clinical Trials Registry (trial id ACTRN12613000881730); https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364683&isReview=true.

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