Clinical trial NCT04167709: CHS Nurses Clinical Competence in Detecting Signs of PPD in Non-Native Speaking Immigrant Mothers'
Official title: 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
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Depression, Postpartum
Keywords: postpartum depression
immigrant women
Child Health Services
nurse
Edinburgh Postnatal Depression Scale
Lead sponsor: Lund University
Sponsor class: OTHER
Collaborators: name: Region Skane
name: Föreningen Mjölkdroppen Helsingborg
First posted: 2019-11-19
Enrollment: 40
Sex: ALL
Minimum age (years): 25
Maximum age (years): 67
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: The study has a pre-post experimental design.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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: 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.

Eligibility criteria: 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:

-

Primary outcomes:
measure: Clinical Cultural Competence Training Questionnaire
timeFrame: the questionnaire are given before and directly after the educational intervention
measure: General Self Efficacy scale
timeFrame: the questionnaire are given before and directly after the educational intervention
Secondary outcomes:
measure: mothers offered to participate in screening
timeFrame: before the educational intervention are given and one year after the educational intervention are given
measure: mothers participating in screening
timeFrame: before the educational intervention are given and one year after the educational intervention are given
measure: screening with help of interpreter
timeFrame: before the educational intervention are given and one year after the educational intervention are given
measure: mothers offered follow-up after screening
timeFrame: before the educational intervention are given and one year after the educational intervention are given
Other outcomes:
Locations:
city: Lund
country: Sweden
facility: Lund University
state: Scania
Study officials:
affiliation: Lund University, Faculty of Medicine, Department of Health Sciences
name: Inger Kristensson Hallström, professor
role: STUDY_CHAIR
References:
citation: 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.
citation: 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.
citation: 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.