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Is Behavioural Activation feasible, acceptable and potentially effective for mothers experiencing post natal depression in Blackpool?
Phase 1: A series of single case studies which aim to examine and refine a) the appropriateness of the programme to women in Blackpool b) the suitability of BA as part of a stepped-care approach to perinatal mental health within the Health Visitor pathway and c) the delivery of the programme in practice.
Phase 2: A preliminary single group study examining the quantitative outcomes for participating women (i.e. symptoms of depression, anxiety and general mood, parental stress, responsiveness, and behavioural avoidance and activation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental | Single arm group receiving Behavioural Activation, a facilitated self-help programme delivered by trained Health Visitors as six one hour sessions over four weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Behavioural Activation | Behavioral | Behavioural Activation is a treatment for depression, the current programme has been adapted to suit the needs of postnatal women Session 1: Getting Started Session 2: Identifying Triggers, Reactions and Avoidance Patterns (TRAPs) Session 3: Turning TRACs in to Triggers, Reactions and Alternative Coping (TRACs) Session 4: Support and Communication Session 5: Being a "Good Enough" Mum Session 6: Staying Well |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Health Questionnaire (PHQ9) | The PHQ9 is a 9-item multi-purpose instrument which can be used to screen, diagnose, monitor and assess symptoms of depression. | Baseline, 6 weeks, 18 weeks, 1 year |
| Generalised Anxiety Disorder Questionnaire (GAD7) | The GAD7 is a 7-item multi-purpose instrument which can be used to screen, diagnose, monitor and assess symptoms of anxiety. | Baseline and 6 weeks |
| Parental Stress Scale (PSS) | The PSS is a self-report scale that intended to assess parental stress. It contains 18 items representing pleasure or positive themes of parenthood (emotional benefits, self-enrichment, personal development) and negative components (demands on resources, opportunity costs and restrictions). | Baseline and 6 weeks |
| Maternal Infant Responsiveness Instrument (MIRI) | The MIRI is a 22-item scale designed to measure the parent's feelings about the infant and an appraisal of their infant's responsiveness. | Baseline and 6 weeks |
| Behavioural Activation for DEpression Scale (BADS) | The BADS is a 25-item scale which can track change in behaviours which are hypothesised to underlie depression which are specifically targeted through Behavioural Activation. It comprises of four subscales; activation, avoidance/rumination, work/school impairment and social impairment. | Baseline and 6 weeks |
| Snaith-Hamilton Pleasure Scale (SHAPS) | The SHAPS is a 14-item measure of anhedonia (the degree to which an individual is able to experience pleasure). It comprises of four subscales which measure response/hedonic experiences; interests/past-times, social interaction, sensory experiences, food/drink. |
| Measure | Description | Time Frame |
|---|---|---|
| Ages and Stages Questionnaire (ASQ) | Nationally mandated data collected by Health Visitors in the UK to assess children's development. This includes five key areas of development, communication, gross motor, fine motor, problem solving, and personal-social. | Data collected when child is 1 year and 2-2.5years |
| Measure | Description | Time Frame |
|---|---|---|
| Edinburgh Postnatal Depression Scale (EPDS) | The EPDS is a 10-item measure which assesses low mood and symptoms of depression. It has been designed specifically for women in the postnatal period. | Baseline, 2 week (x2), 3 weeks (x2), 4 weeks, 5 weeks, 6 weeks |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Miss E Lowrie, PhD | Contact | 01253 476611 | Emma.CECD@nspcc.org.uk | |
| Mrs C Law, MSc | Contact | 01253 476192 | Clare.CECD@nspcc.org.uk |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre for Early Child Development | Blackpool | United Kingdom |
To be confirmed with programme developers, research team and potential academic partners
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| ID | Term |
|---|---|
| D019052 | Depression, Postpartum |
| D000092862 | Psychological Well-Being |
| D003863 | Depression |
| ID | Term |
|---|---|
| D011644 | Puerperal Disorders |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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Experimental Arm - single group study
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No masking
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|
| Baseline and 6 weeks |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
| D001526 | Behavioral Symptoms |