Clinical trial NCT00251342: Outcome of Postnatal Depression Screening Using Edinburgh Postnatal Depression Scale
Official title: Outcome of Postnatal Depression Screening Using Edinburgh Postnatal Depression Scale
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: PHASE2
PHASE3
Conditions: Depression, Postpartum
Keywords: Postnatal depression
Randomized controlled trial
Screening
Outcome
Edinburgh Postnatal Depression Scale
Lead sponsor: Chinese University of Hong Kong
Sponsor class: OTHER
Collaborators: name: Hong Kong Department of Health
name: The University of Hong Kong
First posted: 2005-11-10
Enrollment: 460
Sex: FEMALE
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: DIAGNOSTIC

Brief summary: The objective of the present study is to evaluate the effectiveness of postnatal depression screening by comparing the mental health outcome (at 6 months postpartum) of mothers under the Edinburgh Postnatal Depression Scale (EPDS) screening programme versus usual clinical practice (usual practice), using randomized controlled trial design. With the use of the EPDS for the screening of postnatal depression, it is expected that more mothers in need of intervention (including mental health intervention, guidance in childcare and parenting, counseling in family relationships, etc) will be picked up and offered appropriate intervention, compared to the usual practice. It is hypothesized that the mental health of the group of women under the EPDS screening programme will be better than those under the usual practice, on subsequent follow-up.


Eligibility criteria: Inclusion Criteria:

1. Chinese mothers of newborn babies \<= 2 months who are registered with the 4 Maternal and Child Health Centres under study;
2. Normally resident in Hong Kong (Hong Kong ID card holder, or HK Birth Certificate \[with status of permanent resident indicated established\] holder, or people who have been granted unconditional stay in Hong Kong, or passport holders having valid travel document showing the right to land in Hong Kong, or permission to land, or eligibility of HK permanent ID card verified, or entitlement to the right of abode in HK)

Exclusion Criteria:

1. Those who do not use the Chinese language (in both the written and spoken form);
2. Those who are under active psychiatric contact;
3. Those who delivered in hospitals which are still conducting their own EPDS screening programme.

Primary outcomes:
measure: Mother's mental health at 6 months postpartum, as measured on the EPDS and General Health Questionnaire-12 (GHQ-12), both being self-report questionnaires.
Secondary outcomes:
measure: Mother's parenting stress (measured by the Parenting Stress Index, a self-report questionnaire)
measure: Marital relationship satisfaction (measured by the Chinese Kansas Marital Satisfaction Scale, a self-report questionnaire)
measure: Marital status and employment status (both father and mother, where applicable) at 6 and 18 months postpartum
measure: Child health measures, including weight at 6 and 18 months, number of hospitalizations and visits to doctors within the first 6 and 18 months as reported by mother
measure: Mother's mental health outcome (EPDS and GHQ scores) at 18 months postpartum
Other outcomes:
Locations:
city: Hong Kong
country: China
facility: Maternal and Child Health Centres, Department of Health
Study officials:
affiliation: Department of Psychiatry, The Chinese University of Hong Kong
name: Dominic TS Lee, M.D.
role: PRINCIPAL_INVESTIGATOR
affiliation: Family Health Service, Department of Health, HKSAR
name: Shirley SL Leung, MPH
role: PRINCIPAL_INVESTIGATOR
References:
citation: Leung SS, Leung C, Lam TH, Hung SF, Chan R, Yeung T, Miao M, Cheng S, Leung SH, Lau A, Lee DT. Outcome of a postnatal depression screening programme using the Edinburgh Postnatal Depression Scale: a randomized controlled trial. J Public Health (Oxf). 2011 Jun;33(2):292-301. doi: 10.1093/pubmed/fdq075. Epub 2010 Sep 29.