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

September 3, 2021 updated by: Lund University

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

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

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 Type

Interventional

Enrollment (Actual)

40

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Sweden
    • Scania
      • Lund, Scania, Sweden, 221 00
        • Lund University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

25 years to 67 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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

Exclusion Criteria:

-

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / 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

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Clinical Cultural Competence Training Questionnaire
Time Frame: 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.
the questionnaire are given before and directly after the educational intervention
General Self Efficacy scale
Time Frame: 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.
the questionnaire are given before and directly after the educational intervention

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
mothers offered to participate in screening
Time Frame: 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
before the educational intervention are given and one year after the educational intervention are given
mothers participating in screening
Time Frame: before the educational intervention are given and one year after the educational intervention are given
number of mothers participating in screening for postpartum depression
before the educational intervention are given and one year after the educational intervention are given
screening with help of interpreter
Time Frame: before the educational intervention are given and one year after the educational intervention are given
number of screenings performed with help of an interpreter
before the educational intervention are given and one year after the educational intervention are given
mothers offered follow-up after screening
Time Frame: 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
before the educational intervention are given and one year after the educational intervention are given

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Lund University

Collaborators

Region Skane
Föreningen Mjölkdroppen Helsingborg

Investigators

  • Study Chair: Inger Kristensson Hallström, professor, Lund University, Faculty of Medicine, Department of Health Sciences

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 9, 2019

Primary Completion (Actual)

May 13, 2020

Study Completion (Actual)

March 31, 2021

Study Registration Dates

First Submitted

November 4, 2019

First Submitted That Met QC Criteria

November 14, 2019

First Posted (Actual)

November 19, 2019

Study Record Updates

Last Update Posted (Actual)

September 5, 2021

Last Update Submitted That Met QC Criteria

September 3, 2021

Last Verified

September 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2018/1063

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

IPD Plan Description

Since this is a small pilot study a study protocol will not be published.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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