CHS Nurses Clinical Competence in Detecting Signs of PPD in Non-Native Speaking Immigrant Mothers'

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Child Health Services Nurses Clinical Competence in Detecting Signs of Post Partum Depression in Non-Native-Speaking Immigrant Mothers' -Development, Testing and Evaluation of an Intervention

Conditions
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Depression, Postpartum

Intervention / Treatment
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* Other: Education in clinical competence in detecting signs of postpartum depression in immigrant mothers


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Nurse specialized in Primary Healthcare Nursing or Pediatric Nursing Employed in the Child Health Services in the County Scania in Sweden Performing at minimum three screenings per year for postpartum depression, according to the EPDS-method, with help of an interpreter Exclusion Criteria: -

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 67 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Interventional Model Description: The study has a pre-post experimental design.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Allocated CHS nurses<br>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. | Other: Education in clinical competence in detecting signs of postpartum depression in immigrant mothers<br>* 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<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | 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 | 

Secondary Outcome Measures

| Outcome Measure | 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 | 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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postpartum depression, immigrant women, Child Health Services, nurse, Edinburgh Postnatal Depression Scale