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| Name | Class |
|---|---|
| Region Skane | OTHER |
| Föreningen Mjölkdroppen Helsingborg | OTHER |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Allocated CHS nurses | Experimental | 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Education in clinical competence in detecting signs of postpartum depression in immigrant mothers | Other | Groupbased educational intervention aimed at nurses in the Child Health Services in strengthening clinical competence in detecting signs of postpartum depression in non-native-speaking immigrant mothers |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Cultural Competence Training Questionnaire | 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. | the questionnaire are given before and directly after the educational intervention |
| General Self Efficacy scale | 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. | the questionnaire are given before and directly after the educational intervention |
| Measure | Description | Time Frame |
|---|---|---|
| mothers offered to participate in screening | number of mothers offered to participate in screening for postpartum depression | before the educational intervention are given and one year after the educational intervention are given |
| mothers participating in screening |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Inger Kristensson Hallström, professor | Lund University, Faculty of Medicine, Department of Health Sciences | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lund University | Lund | Skåne County | 221 00 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 3651732 | Background | Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987 Jun;150:782-6. doi: 10.1192/bjp.150.6.782. | |
| 21984467 | Result | Love J, Moore CD, Hensing G. Validation of the Swedish translation of the General Self-Efficacy scale. Qual Life Res. 2012 Sep;21(7):1249-53. doi: 10.1007/s11136-011-0030-5. Epub 2011 Oct 8. |
| Label | URL |
|---|---|
| European Community contract no. 2013 62 09 | View source |
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Since this is a small pilot study a study protocol will not be published.
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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 |
|---|---|
| D004522 | Educational Status |
| D002983 | Clinical Competence |
| ID | Term |
|---|---|
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
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The study has a pre-post experimental design.
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|
number of mothers participating in screening for postpartum depression |
| before the educational intervention are given and one year after the educational intervention are given |
| screening with help of interpreter | number of screenings performed with help of an interpreter | before the educational intervention are given and one year after the educational intervention are given |
| mothers offered follow-up after screening | number of mothers offered follow-up after participating in screening for postpartum depression | before the educational intervention are given and one year after the educational intervention are given |
| 35524434 | Derived | Skoog M, Rubertsson C, Kristensson Hallstrom I. Feasibility of an evidence-based educational intervention in screening immigrant mothers for postpartum depression: A pretest-posttest experimental design. Scand J Caring Sci. 2023 Mar;37(1):173-184. doi: 10.1111/scs.13086. Epub 2022 May 6. |
| Medical Research Councils framework for complex interventions | View source |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
| D017530 | Health Care Quality, Access, and Evaluation |