Three Model Care Pathways for Postnatal Depression

NCT ID: NCT01002027

Last Updated: 2009-10-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-11-30

Study Completion Date

2007-02-28

Brief Summary

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The study evaluates three best-practice care pathways for postnatal depression (PND) by comparing sole General Practitioner (GP) management to GP management in combination with CBT-based counselling from either a Psychologist or a Maternal and Child Health Nurse (MCHN).

Detailed Description

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Conditions

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Postnatal Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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CBT-counselling with Nurse

CBT-counselling with Maternal Health Nurse, adjunctive to management by general medical practitioner

Group Type ACTIVE_COMPARATOR

CBT-Counselling

Intervention Type BEHAVIORAL

Intervention entailed six sessions of counselling-CBT delivered either by a trained Nurse, or by a Psychologist. Sessions focussed on: psycho-education about PND, main issues of concern, assessment of symptom severity, problem solving. Behavioural interventions (pleasant activities, anxiety management, relaxation, relationship communication) were used together with cognitive interventions (understanding links between thoughts and feelings, increasing positive thoughts, challenging negative self-talk and unhelpful beliefs).

CBT-Counselling by Psychologist

CBT-counselling with Psychologist, adjunctive to management by general medical practitioner

Group Type ACTIVE_COMPARATOR

CBT-Counselling

Intervention Type BEHAVIORAL

Intervention entailed six sessions of counselling-CBT delivered either by a trained Nurse, or by a Psychologist. Sessions focussed on: psycho-education about PND, main issues of concern, assessment of symptom severity, problem solving. Behavioural interventions (pleasant activities, anxiety management, relaxation, relationship communication) were used together with cognitive interventions (understanding links between thoughts and feelings, increasing positive thoughts, challenging negative self-talk and unhelpful beliefs).

Routine management

Ongoing management by general medical practitioner

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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CBT-Counselling

Intervention entailed six sessions of counselling-CBT delivered either by a trained Nurse, or by a Psychologist. Sessions focussed on: psycho-education about PND, main issues of concern, assessment of symptom severity, problem solving. Behavioural interventions (pleasant activities, anxiety management, relaxation, relationship communication) were used together with cognitive interventions (understanding links between thoughts and feelings, increasing positive thoughts, challenging negative self-talk and unhelpful beliefs).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* English-speaking women at 3-months postpartum

Exclusion Criteria

* Psychosis
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Beyondblue (The National Depression Initiative)

OTHER

Sponsor Role collaborator

University of Melbourne

OTHER

Sponsor Role lead

Responsible Party

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University of Melbourne & Austin Health

Principal Investigators

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Jeannette Milgrom, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Melbourne & Austin Health

Locations

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Austin Health

Melbourne, Victoria, Australia

Site Status

Countries

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Australia

References

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Milgrom J, Holt CJ, Gemmill AW, Ericksen J, Leigh B, Buist A, Schembri C. Treating postnatal depressive symptoms in primary care: a randomised controlled trial of GP management, with and without adjunctive counselling. BMC Psychiatry. 2011 May 27;11:95. doi: 10.1186/1471-244X-11-95.

Reference Type DERIVED
PMID: 21615968 (View on PubMed)

Other Identifiers

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H2005/01895

Identifier Type: -

Identifier Source: org_study_id

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