Three Model Care Pathways for Postnatal Depression
Models of Care: Evaluating a Best Practice Model of Treating Postnatal Depression (PND)
1 other identifier
interventional
68
1 country
1
Brief Summary
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).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2004
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2004
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2007
CompletedFirst Submitted
Initial submission to the registry
October 23, 2009
CompletedFirst Posted
Study publicly available on registry
October 27, 2009
CompletedOctober 27, 2009
October 1, 2009
2.3 years
October 23, 2009
October 26, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical Depression Score
8 weeks post-randomization
Study Arms (3)
CBT-counselling with Nurse
ACTIVE COMPARATORCBT-counselling with Maternal Health Nurse, adjunctive to management by general medical practitioner
CBT-Counselling by Psychologist
ACTIVE COMPARATORCBT-counselling with Psychologist, adjunctive to management by general medical practitioner
Routine management
NO INTERVENTIONOngoing management by general medical practitioner
Interventions
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).
Eligibility Criteria
You may qualify if:
- English-speaking women at 3-months postpartum
You may not qualify if:
- Psychosis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Austin Health
Melbourne, Victoria, 3081, Australia
Related Publications (1)
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.
PMID: 21615968DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jeannette Milgrom, PhD
University of Melbourne & Austin Health
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
October 23, 2009
First Posted
October 27, 2009
Study Start
November 1, 2004
Primary Completion
February 1, 2007
Study Completion
February 1, 2007
Last Updated
October 27, 2009
Record last verified: 2009-10