Salutogenesis and Self-efficacy-based Childbirth Education Programme for Preventing Postpartum Depression

NCT06698107 | Recruiting

• 1 other identifier: HSEARS20240907003
• Study Type: interventional
• Target: 130
• Locations: 1 country
• Sites: 4

Brief Summary

Although the transition to motherhood is often a joyful experience, there is evidence that teenage motherhood can present many stressful challenges, potentially leading to the development of postpartum depression. Postpartum depression (PPD) remains a public health issue with negative consequences for both mothers and their babies. The aim of this study is to assess the feasibility of implementing childbirth education underpinned by salutogenic and self-efficacy perspectives among teenage mothers in low-income settings. The study also aims to provide preliminary findings on the intervention's effectiveness in preventing postpartum depression among Ethiopian teenage mothers. The theoretical based childbirth education approach can enhance the psychosocial well-being of first-time teenage mothers. The intervention consists of six sessions: three during the antenatal period and three in the postpartum period. These sessions contain two individual face-to-face educations (each lasting 60-90 minutes), two phone calls (each lasting 30 minutes), and two group discussion (each lasting 90-120 minutes), as supported by the existing evidence. The study expected to support the feasibility of the study design. Preliminary findings are anticipated to show a significant difference in postpartum depression scores between the intervention and control groups, with teenage mothers in the intervention group having a lower risk of postpartum depression compared to those in the control group. Integrating sense of coherence and self-efficacy theories into maternity care services could provide empirical support for preventive efforts against postpartum depression. The findings of this study may address research gaps regarding the psychosocial wellbeing of teenage mothers, serving as baseline evidence for large scale interventional studies that consider the sociocultural and economic contexts of low-income countries.

Conditions

Postpartum Depression (PPD)

Keywords

Postpartum depression; Teenage mothers; Intervention; Childbirth education

Outcome Measures

Primary Outcomes (1)

• Edinburgh Postnatal Depression Scale

  Edinburgh Postnatal Depression Scale is a 10-item self-report scale assessing the presence of depressive symptoms in the postnatal period. Each item is scored on a 4-point scale with total scores ranging from 0 to 30. Higher score indicates greater depressive symptoms, i.e. worse outcome.

  6 weeks postpartum

Secondary Outcomes (9)

• Edinburgh Postnatal Depression Scale

  12 weeks postpartum

• Sense of Coherence Scale

  6 weeks postpartum

• Sense of Coherence Scale

  12 weeks postpartum

• Parenting Self-Efficacy Scale

  6 weeks postpartum

• Parenting Self-Efficacy Scale

  12 weeks postpartum

Study Arms (2)

Intervention group

EXPERIMENTAL

Behavioral: Childbirth education programme

Control group:

ACTIVE COMPARATOR

Other: Usual Care

Interventions

Childbirth education programme BEHAVIORAL

The intervention framework is underpinned by a converging of salutogenic and self-efficacy perspectives, aiming to enhance mothers' ability to adapt to new motherhood life despite stressors, and to address the question, "How do teenage mothers stay well despite stressful events of transition to motherhood?" The intervention consists of six sessions: three of which will be provided in the antenatal period and the other three in the postpartum period. The sessions contain two individual face-to-face educations (each lasting 60-90 minutes), two phone calls (each lasting 30 minutes), and two group discussion sessions (each lasting 90-120 minutes), as supported by the existing evidence.

Intervention group

Usual Care OTHER

The control group will receive the usual maternity care.

Control group:

Eligibility Criteria

• Age: 13 Years - 19 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• married first-time teenage mothers aged 13-19 years attending antenatal follow-up in the selected hospitals
• a single pregnancy with 28-30 weeks of gestational age
• no pregnancy complications contraindicating vaginal delivery
• plan to have institutional delivery and postnatal visits at the selected health hospitals and who reside for a minimum of 12 weeks postdelivery around the selected hospitals

You may not qualify if:

• have self-reported history or current mental health problems
• participated in similar interventional programmes
• have serious medical and obstetrics problems
• having foetus with diagnosed congenital anomalies

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead

Study Sites (4)

Addis Alem Hospital

Bahir Dar, Amhara, Ethiopia

COMPLETED

Felege Hiwot Specialized Hospital

Bahir Dar, Amhara, Ethiopia

RECRUITING

Tibebe Gion Hospital

Bahir Dar, Amhara, Ethiopia

COMPLETED

Dessie Specialized Hospital

Dessie, Amhara, Ethiopia

COMPLETED

MeSH Terms

Conditions

Depression, Postpartum

Condition Hierarchy (Ancestors)

Puerperal Disorders; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Depressive Disorder; Mood Disorders; Mental Disorders

Central Study Contacts

Lebeza Alemu Tenaw

CONTACT

52242797; lebeza.tenaw@connect.polyu.hk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: November 15, 2024
• First Posted: November 20, 2024
• Study Start: December 5, 2024
• Primary Completion: May 30, 2025
• Study Completion: July 15, 2025
• Last Updated: March 12, 2025

Record last verified: 2024-11

Locations

ET (4)