Multicentre randomised controlled trial of a group psychological intervention for postnatal depression in British mothers of South Asian origin (ROSHNI-2): study protocol



Husain, Nusrat, Lovell, Karina, Chew-Graham, Carolyn A, Lunat, Farah, McPhillips, Rebecca, Atif, Najia, Aseem, Saadia, Begum, Jasmin, Bee, Penny, Bhui, Kamaldeep
et al (show 22 more authors) (2021) Multicentre randomised controlled trial of a group psychological intervention for postnatal depression in British mothers of South Asian origin (ROSHNI-2): study protocol. BJPSYCH OPEN, 8 (1). e2-.

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Abstract

<jats:sec id="S2056472421010322_sec_a1"><jats:title>Background</jats:title><jats:p>In the UK, postnatal depression is more common in British South Asian women than White Caucasion women. Cognitive–behavioural therapy (CBT) is recommended as a first-line treatment, but there is little evidence for the adaptation of CBT for postnatal depression to ensure its applicability to different ethnic groups.</jats:p></jats:sec><jats:sec id="S2056472421010322_sec_a2"><jats:title>Aims</jats:title><jats:p>To evaluate the clinical and cost-effectiveness of a CBT-based positive health programme group intervention in British South Asian women with postnatal depression.</jats:p></jats:sec><jats:sec id="S2056472421010322_sec_a3" sec-type="methods"><jats:title>Method</jats:title><jats:p>We have designed a multicentre, two-arm, partially nested, randomised controlled trial with 4- and 12-month follow-up, comparing a 12-session group CBT-based intervention (positive health programme) plus treatment as usual with treatment as usual alone, for British South Asian women with postnatal depression. Participants will be recruited from primary care and appropriate community venues in areas of high South Asian density across the UK. It has been estimated that randomising 720 participants (360 into each group) will be sufficient to detect a clinically important difference between a 55% recovery rate in the intervention group and a 40% recovery rate in the treatment-as-usual group. An economic analysis will estimate the cost-effectiveness of the positive health programme. A qualitative process evaluation will explore barriers and enablers to study participation and examine the acceptability and impact of the programme from the perspective of British South Asian women and other key stakeholders.</jats:p></jats:sec>

Item Type: Article
Uncontrolled Keywords: Perinatal psychiatry, depressive disorders, cognitive-behavioural therapies, psychosocial interventions, randomised controlled trial
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 13 Jan 2022 10:56
Last Modified: 15 Mar 2024 19:33
DOI: 10.1192/bjo.2021.1032
Open Access URL: https://www.cambridge.org/core/journals/bjpsych-op...
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3146710