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

Depression, Postpartum Clinical Trial

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04167709
• Other study ID #: 2018/1063
• Status: Completed
• Phase: N/A
• Start date: June 9, 2019
• Est. completion date: March 31, 2021

Study information

• Verified date: September 2021
• Source: Lund University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: March 31, 2021
• Est. primary completion date: May 13, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 25 Years to 67 Years

Eligibility

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:

-

Related Conditions & MeSH terms

• Depression
• Depression, Postpartum
• Depressive Disorder

Intervention

Other:
• Education in clinical competence in detecting signs of postpartum depression in immigrant mothers
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

Locations

Country	Name	City	State
Sweden	Lund University	Lund	Scania

Sponsors (3)

Lead Sponsor	Collaborator
Lund University	Föreningen Mjölkdroppen Helsingborg, Region Skane

Country where clinical trial is conducted

Sweden, 

References & Publications (2)

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. — View Citation

Löve 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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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
Primary	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	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
Secondary	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
Secondary	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
Secondary	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

External Links

•   European Community contract no. 2013 62 09