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

Sponsor

Lund University (Other)

Overall Status

Completed

CT.gov ID

NCT04167709

Collaborator

Region Skane (Other), Föreningen Mjölkdroppen Helsingborg (Other)

Enrollment

Location

Arm

21.7

Actual Duration (Months)

1.8

Patients Per Site Per Month

Study Details

Study Description

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.

Condition or Disease	Intervention/Treatment	Phase
Depression, Postpartum	Other: Education in clinical competence in detecting signs of postpartum depression in immigrant mothers	N/A

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.

Study Design

Study Type:

Interventional

Actual Enrollment :

40 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Intervention Model Description:

The study has a pre-post experimental design.The study has a pre-post experimental design.

Masking:

None (Open Label)

Primary Purpose:

Health Services Research

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

Actual Study Start Date :

Jun 9, 2019

Actual Primary Completion Date :

May 13, 2020

Actual Study Completion Date :

Mar 31, 2021

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Allocated CHS nurses 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 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

Arm

Intervention/Treatment

Experimental: Allocated CHS nurses

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

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

Outcome Measures

Primary Outcome Measures

Clinical Cultural Competence Training Questionnaire [the questionnaire are given before and directly after the educational intervention]
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.
General Self Efficacy scale [the questionnaire are given before and directly after the educational intervention]
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.

Secondary Outcome Measures

mothers offered to participate in screening [before the educational intervention are given and one year after the educational intervention are given]
number of mothers offered to participate in screening for postpartum depression
mothers participating in screening [before the educational intervention are given and one year after the educational intervention are given]
number of mothers participating in screening for postpartum depression
screening with help of interpreter [before the educational intervention are given and one year after the educational intervention are given]
number of screenings performed with help of an interpreter
mothers offered follow-up after screening [before the educational intervention are given and one year after the educational intervention are given]
number of mothers offered follow-up after participating in screening for postpartum depression

Eligibility Criteria

Criteria

Ages Eligible for Study:

25 Years to 67 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

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