CClinicalTrials.gg
CompletedNCT04167709Updated Sep 5, 2021

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

An interventional study of Education in clinical competence in detecting signs of postpartum depression in immigrant mothers in Depression, Postpartum, sponsored by Lund University. Completed at 1 site in Sweden. Open to participants aged 25 Years to 67 Years. Per ClinicalTrials.gov, last updated 2021-09-05.

Sponsored by Lund University · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Jun 2019, registered Nov 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
25 Years to 67 Years
Sex
All
01

Study summary

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.

Read the 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.

02

Conditions studied

  • Depression, Postpartum

Keywords

  • postpartum depression
  • immigrant women
  • Child Health Services
  • nurse
  • Edinburgh Postnatal Depression Scale
03

In context

Depression, Postpartum

528 studies on the registry are indexed under Depression, Postpartum; 124 are open to participants now.

This study's enrollment of 40 is below the median of 105 across 425 interventional studies indexed under Depression, Postpartum.

Browse Depression, Postpartum studies →

Lead sponsor

Lund University is the lead sponsor of 230 studies on the registry; 37 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
25 Years to 67 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

Exclusion Criteria:

-

05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • 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

Interventions

  • OtherEducation 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

06

What researchers measure

Primary outcomes

  1. Clinical Cultural Competence Training Questionnaire

    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.

    Time frame: the questionnaire are given before and directly after the educational intervention

  2. General Self Efficacy scale

    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.

    Time frame: the questionnaire are given before and directly after the educational intervention

Secondary outcomes

  1. mothers offered to participate in screening

    number of mothers offered to participate in screening for postpartum depression

    Time frame: before the educational intervention are given and one year after the educational intervention are given

  2. mothers participating in screening

    number of mothers participating in screening for postpartum depression

    Time frame: before the educational intervention are given and one year after the educational intervention are given

  3. screening with help of interpreter

    number of screenings performed with help of an interpreter

    Time frame: before the educational intervention are given and one year after the educational intervention are given

  4. mothers offered follow-up after screening

    number of mothers offered follow-up after participating in screening for postpartum depression

    Time frame: before the educational intervention are given and one year after the educational intervention are given

07

Study locations

1 site
  • Lund University
    Lund, Scania 221 00, Sweden
08

References and documents

Publications

  • Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987 Jun;150:782-6. doi: 10.1192/bjp.150.6.782. PubMed 3651732 ↗
  • Love J, Moore CD, Hensing G. Validation of the Swedish translation of the General Self-Efficacy scale. Qual Life Res. 2012 Sep;21(7):1249-53. doi: 10.1007/s11136-011-0030-5. Epub 2011 Oct 8. PubMed 21984467 ↗
  • Skoog M, Rubertsson C, Kristensson Hallstrom I. Feasibility of an evidence-based educational intervention in screening immigrant mothers for postpartum depression: A pretest-posttest experimental design. Scand J Caring Sci. 2023 Mar;37(1):173-184. doi: 10.1111/scs.13086. Epub 2022 May 6. PubMed 35524434 ↗

Individual participant data

Plan to share: No — Since this is a small pilot study a study protocol will not be published.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04167709
Lead sponsor
Lund University
Collaborators
Region Skane, Föreningen Mjölkdroppen Helsingborg
Responsible party
Sponsor
First posted
Nov 19, 2019
Start date
Jun 9, 2019
Primary completion
May 13, 2020
Completion
Mar 31, 2021
Last update
Sep 5, 2021

Study contacts

Inger Kristensson Hallström, professor
study chair · Lund University, Faculty of Medicine, Department of Health Sciences

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

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