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| Name | Class |
|---|---|
| Chelsea and Westminster NHS Foundation Trust | OTHER |
| Imperial College London | OTHER |
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Post-natal depression (PND) is anticipated to affect 12.9% of new mothers with at least 75,000 cases per year in the UK alone. However, despite this, there is currently a worrying lack of support for new mothers, with data suggesting that 64% of healthcare trusts in the UK do not have a strategy for treating postnatal depression, and flaws in the current pharmacological and psychological treatment models. Consequently, research into promising psychosocial interventions such as music is critical to developing new paradigms for treating postnatal depression.
This project is an ambitious programme of research that investigates the effects of music on postnatal depression through two phases: a questionnaire study and an intervention study. This record is for the intervention study. The questionnaire study has a separate record. We are accepting host hospital sites for both.
The study tests the effectiveness of singing interventions led by the Royal College of Music at Chelsea and Westminster Hospital as a psychosocial tool to reduce the occurrence and effects of postnatal depression. It triangulates psychological, physiological, and biological data in a randomised control design to provide a comprehensive insight into the intervention's effects in comparison to a more common psychosocial intervention for new mothers (play groups) and a control group of no psychosocial interventions. The study aims to recruit 50-80 women into each of the three interventions (150-240 total).
The study will used a mixed-method methodology comprising validated psychological scales, in-depth qualitative interviews and observations and biomarker analysis. If results are promising, there are plans in place to scale the singing intervention to more hospitals and community settings.
Phase B will be open to NHS sites within the region of Chelsea and Westminster Hospital London from which women could travel to the sessions to take part.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | No Intervention | Participants continue with usual care. No planned intervention. | |
| Group play | Active Comparator | Participants take part in 10 weeks of group play activities for one hour per week with their baby in a community setting alongside any usual care they may be receiving. |
|
| Singing | Experimental | Participants take part in 10 weeks of group singing activities for one hour per week with their baby in a community setting alongside any usual care they may be receiving. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Singing | Behavioral | Sessions will be led by a professional practitioner assisted by students from the Royal College of Music. Participants will learn songs with their babies and help to create new musical material together. |
| Measure | Description | Time Frame |
|---|---|---|
| Postnatal depression | Measured with the Edinburgh Postnatal Depression Scale | Change from baseline at 6 weeks and 10 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Mental wellbeing | Measured with the short Warwick-Edinburgh Mental Wellbeing Scale | Change from baseline at 6 weeks and 10 weeks |
| Self-esteem | Measured with the Rosenberg Self-esteem scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aaron Williamon, PhD | Royal College of Music / Imperial College London | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chelsea and Westminster Hospital | London | SW10 9HS | United Kingdom | |||
| Centre for Performance Science, Royal College of Music |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31038038 | Derived | Fancourt D, Perkins R. Creative interventions for symptoms of postnatal depression: A process evaluation of implementation. Arts Health. 2019 Feb;11(1):38-53. doi: 10.1080/17533015.2017.1413398. Epub 2018 Jan 23. | |
| 30119704 | Derived | Perkins R, Yorke S, Fancourt D. How group singing facilitates recovery from the symptoms of postnatal depression: a comparative qualitative study. BMC Psychol. 2018 Aug 17;6(1):41. doi: 10.1186/s40359-018-0253-0. |
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| ID | Term |
|---|---|
| D019052 | Depression, Postpartum |
| ID | Term |
|---|---|
| D011644 | Puerperal Disorders |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D063346 | Singing |
| ID | Term |
|---|---|
| D010699 | Phonation |
| D012143 | Respiratory Physiological Phenomena |
| D002943 | Circulatory and Respiratory Physiological Phenomena |
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| Group play | Behavioral | Sessions will be led by a professional practitioner assisted by students from the Royal College of Music. Participants will take part in group play activities. |
|
| Change from baseline at 6 weeks and 10 weeks |
| Social functioning | Measured with the Social Provisions Scale | Change from baseline at 6 weeks and 10 weeks |
| Inflammatory immune response | Measured with saliva samples to test for cortisol and cytokine activity | Change from baseline at 6 weeks and 10 weeks |
| London |
| SW7 2BS |
| United Kingdom |
| 29436333 | Derived | Fancourt D, Perkins R. Effect of singing interventions on symptoms of postnatal depression: three-arm randomised controlled trial. Br J Psychiatry. 2018 Feb;212(2):119-121. doi: 10.1192/bjp.2017.29. |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |