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| Name | Class |
|---|---|
| University of Manchester | OTHER |
| Teesside University | OTHER |
| Sheffield Hallam University | OTHER |
| University of Jos |
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The project aims to test the feasibility, acceptability, cultural appropriateness and effectiveness of LTP+CaCBT for treating postnatal depression and to enhance the mental health and wellbeing of mothers and their children in the low-income areas of Jos Nigeria. This project also aims to provide primary healthcare workers with culturally sensitive requisite skills and support to embed the proposed intervention into routine care practice and increase access to evidence-based intervention.
Participants who scored 10 or above on Patient Health Questionnaire (PHQ-9) and tested positive for postnatal depression on the Edinburgh Postnatal Depression Scale (EPDS) would be recruited randomly assigned into two groups in each of the four primary health care (PHC) facilities designated for the present study. Groups one will receive the LTP+CaCBT treatment - the intervention will consist of a total of 12 (social distancing) group training sessions (60-90 minutes). Groups two will receive routine treatment as usual (TAU) currently available in the PHC facilities (e.g. antidepressants) in the selected communities. Each group will comprise of approximately 10 mother-child pairs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LTP+CaCBT | Experimental | The LTP+CaCBT intervention will consist of a total of 12 (social distancing) group training sessions (60-90 minutes) and will deliver two sessions on a weekly basis for six weeks. |
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| Treatment as Usual (TAU) | Active Comparator | TAU is the routine care currently available for the treatment of postnatal depression at the primary health care sites of intervention (e.g. antidepressants and other forms of counselling services). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LTP | Behavioral | LTP is a low-literacy, sustainable programme that will provide depressed mothers with valuable skills on parenting, improve mother-child relation and mental health self-care. This is a research-based activity that enhances postpartum mental health while simultaneously promoting attachment security through building parents' ability to monitor and be sensitive to their children's cues, and thereby, actively involves in their children's mental and physical development. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in postnatal depression is being assessed | Primary outcome measure would be assessed using the Edinburgh Postnatal Depression Scale | Change is being assessed from baseline, end of intervention at 6 weeks and at 12 weeks post-intervention |
| Change in postnatal anxiety is being assessed | Primary outcome measure would be assessed using the Generalised Anxiety Disorder (GAD7) scale | Change is being assessed from baseline, end of intervention at 6 weeks and at 12 weeks post-intervention |
| Change in health is being assessed | Primary outcome measure would be assessed using the Patient Health Questionnaire (PHQ-9) | Change is being assessed from baseline, end of intervention at 6 weeks and at 12 weeks post-intervention |
| Change in social support is being assessed | Primary outcome measures would be assessed using the Oslo Social Support Scale | Change is being assessed from baseline, end of intervention at 6 weeks and at 12 weeks post-intervention |
| Change in health-related quality of life is being assessed | Outcome measure would be assessed using the Health-related Quality of Life scale (EuroQoL-5 Dimensions) | Change is being assessed from baseline, end of intervention at 6 weeks and at 12 weeks post-intervention |
| Change in service satisfaction is being assessed | Outcome measure would be assessed using the brief Verona Service Satisfaction Scale | Change is being assessed at end of intervention at 6 weeks and at 12 weeks post-intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40391291 | Derived | Jidong DE, Ike TJ, Taru MY, Pwajok JY, Nwoga CN, Jidong JE, Francis C, Mwankon SB, Haruna K, Dagona Z, Husain N. A multi-centred pilot randomised controlled trial of learning through play plus culturally adapted cognitive behaviour therapy for treating postnatal depression in Nigerian women. Front Psychiatry. 2025 May 5;16:1552406. doi: 10.3389/fpsyt.2025.1552406. eCollection 2025. |
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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 |
|---|---|
| D001521 | Behavior Therapy |
| D013812 | Therapeutics |
| ID | Term |
|---|---|
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| UNKNOWN |
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| CaCBT | Behavioral | CaCBT adopts 'here and now' problem-solving approach, which involves collaborating with families, active listening techniques, changing negative thinking, and depressive symptoms associated with postnatal depression and other forms of parenting distress. |
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| TAU | Drug | TAU is the routine care currently available for the treatment of postnatal depression at the primary health care sites of intervention (e.g. antidepressants and other forms of mental health care). |
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| Change in child physio-emotional development is being assessed | Outcome measure would be assessed using the Ages and Stages Social-Emotional Questionnaire | Change is being assessed from baseline, end of intervention at 6 weeks and at 12 weeks post-intervention |
| Change in parenting knowledge of child development is being assessed | Outcome measure would be assessed using the Knowledge of Expectation and Child Development Questionnaire | Change is being assessed from baseline, end of intervention at 6 weeks and at 12 weeks post-intervention |
| D003866 | Depressive Disorder |
| D019964 | Mood Disorders |
| D001523 | Mental Disorders |