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A cluster randomised controlled trial of a brief couple-focused psychoeducational intervention to prevent common postnatal mental disorders among women: study protocol

Rowe, Heather, Wynter, Karen, Lorgelly, Paula, Amir, Lisa H., Ranasinha, Sanjeeva, Proimos, Jenny, Cann, Warren, Hiscock, Harriet, Bayer, Jordana, Burns, Joanna, Ride, Jemimah, Bobevski, Irene and Fisher, Jane 2014, A cluster randomised controlled trial of a brief couple-focused psychoeducational intervention to prevent common postnatal mental disorders among women: study protocol, BMJ open, vol. 4, no. 9, doi: 10.1136/bmjopen-2014-006436.

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Title A cluster randomised controlled trial of a brief couple-focused psychoeducational intervention to prevent common postnatal mental disorders among women: study protocol
Author(s) Rowe, Heather
Wynter, KarenORCID iD for Wynter, Karen orcid.org/0000-0003-4620-7691
Lorgelly, Paula
Amir, Lisa H.
Ranasinha, Sanjeeva
Proimos, Jenny
Cann, Warren
Hiscock, Harriet
Bayer, Jordana
Burns, Joanna
Ride, Jemimah
Bobevski, Irene
Fisher, Jane
Journal name BMJ open
Volume number 4
Issue number 9
Total pages 10
Publisher BMJ Publishing
Place of publication London, Eng.
Publication date 2014-09
ISSN 2044-6055
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
PRIMIPAROUS WOMEN
INFANT SLEEP
HEALTH
DEPRESSION
VERSION
PREVALENCE
FATIGUE
STATE
MENTAL HEALTH
PREVENTIVE MEDICINE
PRIMARY CARE
PUBLIC HEALTH
Summary Introduction: Postnatal common mental disorders among women are an important public health problem internationally. Interventions to prevent postnatal depression have had limited success. What Were We Thinking (WWWT) is a structured, gender-informed, psychoeducational group programme for parents and their first infant that addresses two modifiable risks to postnatal mental health. This paper describes the protocol for a cluster randomised controlled trial to test the clinical effectiveness and cost-effectiveness of WWWT when implemented in usual primary care. Methods and analysis: 48 maternal and child health (MCH) centres from six diverse Local Government Areas, in Victoria, Australia are randomly allocated to the intervention group (usual care plus WWWT) or the control group (usual care). The required sample size is 184 women in each group. English-speaking primiparous women receiving postpartum healthcare in participating MCH centres complete two computerassisted telephone interviews: baseline at 4 weeks and outcome at 6 months postpartum. Women attending intervention MCH centres are invited to attend WWWT in addition to usual care. The primary outcome is meeting Diagnostic and Statistical Manual-IV (DSM-IV) diagnostic criteria for major depressive episode; generalised anxiety disorder; panic disorder with or without agoraphobia, agoraphobia with or without panic, social phobia, adult separation anxiety or adjustment disorder with depressed mood, anxiety or mixed depressed mood and anxiety within the past 30 days at 6 months postpartum. Secondary outcomes are self-rated general and emotional health, infant sleep problems, method of infant feeding, quality of mother-infant relationship and intimate partner relationship, and healthcare costs and outcomes. Ethics and dissemination: Approval to conduct the study has been granted. A comprehensive dissemination plan has been devised. Trial registration number: Australian New Zealand Clinical Trials Registry ACTRN12613000506796. UTN: U1111-1125-8208.
Language eng
DOI 10.1136/bmjopen-2014-006436
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2014, The Authors
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30129878

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.