The effect of telephone-based interpersonal psychotherapy for the treatment of postpartum depression: study protocol for a randomized controlled trial
<p>Abstract</p> <p>Background</p> <p>Substantial data indicate potential health consequences of untreated postpartum depression (PPD) on the mother, infant, and family. Studies have evaluated interpersonal psychotherapy (IPT) as treatment for PPD; however, the results a...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-04-01
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| Series: | Trials |
| Subjects: | |
| Online Access: | http://www.trialsjournal.com/content/13/1/38 |
| _version_ | 1818368495769878528 |
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| author | Dennis Cindy-Lee Ravitz Paula Grigoriadis Sophie Jovellanos Melissa Hodnett Ellen Ross Lori Zupancic John |
| author_facet | Dennis Cindy-Lee Ravitz Paula Grigoriadis Sophie Jovellanos Melissa Hodnett Ellen Ross Lori Zupancic John |
| author_sort | Dennis Cindy-Lee |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Substantial data indicate potential health consequences of untreated postpartum depression (PPD) on the mother, infant, and family. Studies have evaluated interpersonal psychotherapy (IPT) as treatment for PPD; however, the results are questionable due to methodological limitations. A comprehensive review of maternal treatment preferences suggests that mothers favor ‘talking therapy’ as a form of PPD treatment. Unfortunately, IPT is not widely available, especially in rural and remote areas. To improve access to care, telepsychiatry has been introduced, including the provision of therapy via the telephone.</p> <p>Methods/Design</p> <p>The purpose of this randomized controlled trial is to evaluate the effect of telephone-based IPT on the treatment of PPD. Stratification is based on self-reported history of depression and province. The target sample is 240 women. Currently, women from across Canada between 2 and 24 weeks postpartum are able to either self-identify as depressed and refer themselves to the trial or they may be referred by a health professional based on a score >12 on the Edinburgh Postnatal Depression Scale (EPDS). Following contact by the trial coordinator, a detailed study explanation is provided. Women who fulfill the eligibility criteria (including a positive diagnostic assessment for major depression) and consent to participate are randomized to either the control group (standard postpartum care) or intervention group (standard postpartum care plus 12 telephone-based IPT sessions within 12 to 16 weeks, provided by trained nurses). Blinded research nurses telephone participants at 12, 24, and 36 weeks post-randomization to assess for PPD and other outcomes including depressive symptomatology, anxiety, couple adjustment, attachment, and health service utilization. Results from this ongoing trial will: (1) develop the body of knowledge concerning the effect of telephone-based IPT as a treatment option for PPD; (2) advance our understanding of training nurses to deliver IPT; (3) provide an economic evaluation of an IPT intervention; (4) investigate the utility of the EPDS in general clinical practice to identify depressed mothers; and (5) present valuable information regarding PPD, along with associated couple adjustment, co-morbid anxiety and self-reported attachment among a mixed rural and urban Canadian population.</p> <p>Trial registration</p> <p>Current Controlled Trials Ltd. ISRCTN88987377.</p> |
| first_indexed | 2024-12-13T23:08:52Z |
| format | Article |
| id | doaj.art-d0069a59033b4cf8ac99e2425e7c9910 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-12-13T23:08:52Z |
| publishDate | 2012-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-d0069a59033b4cf8ac99e2425e7c99102022-12-21T23:28:10ZengBMCTrials1745-62152012-04-011313810.1186/1745-6215-13-38The effect of telephone-based interpersonal psychotherapy for the treatment of postpartum depression: study protocol for a randomized controlled trialDennis Cindy-LeeRavitz PaulaGrigoriadis SophieJovellanos MelissaHodnett EllenRoss LoriZupancic John<p>Abstract</p> <p>Background</p> <p>Substantial data indicate potential health consequences of untreated postpartum depression (PPD) on the mother, infant, and family. Studies have evaluated interpersonal psychotherapy (IPT) as treatment for PPD; however, the results are questionable due to methodological limitations. A comprehensive review of maternal treatment preferences suggests that mothers favor ‘talking therapy’ as a form of PPD treatment. Unfortunately, IPT is not widely available, especially in rural and remote areas. To improve access to care, telepsychiatry has been introduced, including the provision of therapy via the telephone.</p> <p>Methods/Design</p> <p>The purpose of this randomized controlled trial is to evaluate the effect of telephone-based IPT on the treatment of PPD. Stratification is based on self-reported history of depression and province. The target sample is 240 women. Currently, women from across Canada between 2 and 24 weeks postpartum are able to either self-identify as depressed and refer themselves to the trial or they may be referred by a health professional based on a score >12 on the Edinburgh Postnatal Depression Scale (EPDS). Following contact by the trial coordinator, a detailed study explanation is provided. Women who fulfill the eligibility criteria (including a positive diagnostic assessment for major depression) and consent to participate are randomized to either the control group (standard postpartum care) or intervention group (standard postpartum care plus 12 telephone-based IPT sessions within 12 to 16 weeks, provided by trained nurses). Blinded research nurses telephone participants at 12, 24, and 36 weeks post-randomization to assess for PPD and other outcomes including depressive symptomatology, anxiety, couple adjustment, attachment, and health service utilization. Results from this ongoing trial will: (1) develop the body of knowledge concerning the effect of telephone-based IPT as a treatment option for PPD; (2) advance our understanding of training nurses to deliver IPT; (3) provide an economic evaluation of an IPT intervention; (4) investigate the utility of the EPDS in general clinical practice to identify depressed mothers; and (5) present valuable information regarding PPD, along with associated couple adjustment, co-morbid anxiety and self-reported attachment among a mixed rural and urban Canadian population.</p> <p>Trial registration</p> <p>Current Controlled Trials Ltd. ISRCTN88987377.</p>http://www.trialsjournal.com/content/13/1/38Interpersonal psychotherapyPostpartum depressionRandomized controlled trial |
| spellingShingle | Dennis Cindy-Lee Ravitz Paula Grigoriadis Sophie Jovellanos Melissa Hodnett Ellen Ross Lori Zupancic John The effect of telephone-based interpersonal psychotherapy for the treatment of postpartum depression: study protocol for a randomized controlled trial Trials Interpersonal psychotherapy Postpartum depression Randomized controlled trial |
| title | The effect of telephone-based interpersonal psychotherapy for the treatment of postpartum depression: study protocol for a randomized controlled trial |
| title_full | The effect of telephone-based interpersonal psychotherapy for the treatment of postpartum depression: study protocol for a randomized controlled trial |
| title_fullStr | The effect of telephone-based interpersonal psychotherapy for the treatment of postpartum depression: study protocol for a randomized controlled trial |
| title_full_unstemmed | The effect of telephone-based interpersonal psychotherapy for the treatment of postpartum depression: study protocol for a randomized controlled trial |
| title_short | The effect of telephone-based interpersonal psychotherapy for the treatment of postpartum depression: study protocol for a randomized controlled trial |
| title_sort | effect of telephone based interpersonal psychotherapy for the treatment of postpartum depression study protocol for a randomized controlled trial |
| topic | Interpersonal psychotherapy Postpartum depression Randomized controlled trial |
| url | http://www.trialsjournal.com/content/13/1/38 |
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