Online LTP+CaCBT for Treating Depression in British Mothers of African/Caribbean Heritage

Online Learning Through Play Plus Culturally Adapted Cognitive Behaviour Therapy (LTP+CaCBT) for Treating Depression in British Mothers of African and Caribbean Heritage: A Pilot Randomised Controlled Trial

The pilot trial aims to test the feasibility, acceptability and cultural appropriateness of online LTP+CaCBT for treating postnatal depression and to improve the mental health and wellbeing of mothers and their children in the UK.

Participants who scored 5 or above on Patient Health Questionnaire (PHQ-9) will be would be recruited and randomly assigned into one of two groups (experimental or controlled). Experimental groups will receive the online LTP+CaCBT treatment - the intervention will consist of a total of 12 group training sessions (approx. 60 minutes each). The controlled groups will receive 'placebo effects' in the form of psychoeducation involving basic discussions around mother-child relationships, childcare, child nursing related activities and general maternal discussions. Each of the two groups (both experimental and controlled) will be comprised of approximately 10 mother-child pairs per sub-group.

Inclusion Criteria:

• 18 years and above
• A mother with a child (0-3 years) from the African and/or Caribbean heritage
• Able to provide full consent for their participation
• A resident of the UK
• Able to complete a baseline assessment
• Score 5 or above on Patient Health Questionnaire (PHQ-9)

Exclusion Criteria:

• Less than 18 years
• Medical disorder that would prevent participation in a clinical trial such as Tuberculosis or heart failure
• Temporary residents are unlikely to be available for follow up
• Active suicidal ideation or any other severe mental disorder
• Non-residents of the UK
• Unable to consent
• Patients currently undergoing severe mental health treatment
• Unable to speak the English language fluently
• Other significant physical or learning disability