Multicentre randomised controlled trial of a group psychological intervention for postnatal depression in British mothers of South Asian origin (ROSHNI-2): study protocol

Author:

Husain Nusrat,Lovell Karina,Chew-Graham Carolyn A.,Lunat FarahORCID,McPhillips Rebecca,Atif Najia,Aseem Saadia,Begum Jasmin,Bee Penny,Bhui KamaldeepORCID,Bower Peter,Brugha Traolach,Bhatti Nafeesa,Chaudhry NasimORCID,Davies Linda,Gire Nadeem,Islam Anharul,Kai Joe,Morrison Jill,Mohmed Naeem,Neelam Jyothi,Rahman Atif,Rathod Shanaya,Siddiqi NajmaORCID,Shah Sadia,Shiri TinevimboORCID,Waheed Waquas,Mirza Ilyas,Williams ChrisORCID,Zaidi Nosheen,Emsley Richard,Morriss RichardORCID

Abstract

BackgroundIn the UK, postnatal depression is more common in British South Asian women than White Caucasion women. Cognitive–behavioural therapy (CBT) is recommended as a first-line treatment, but there is little evidence for the adaptation of CBT for postnatal depression to ensure its applicability to different ethnic groups.AimsTo evaluate the clinical and cost-effectiveness of a CBT-based positive health programme group intervention in British South Asian women with postnatal depression.MethodWe have designed a multicentre, two-arm, partially nested, randomised controlled trial with 4- and 12-month follow-up, comparing a 12-session group CBT-based intervention (positive health programme) plus treatment as usual with treatment as usual alone, for British South Asian women with postnatal depression. Participants will be recruited from primary care and appropriate community venues in areas of high South Asian density across the UK. It has been estimated that randomising 720 participants (360 into each group) will be sufficient to detect a clinically important difference between a 55% recovery rate in the intervention group and a 40% recovery rate in the treatment-as-usual group. An economic analysis will estimate the cost-effectiveness of the positive health programme. A qualitative process evaluation will explore barriers and enablers to study participation and examine the acceptability and impact of the programme from the perspective of British South Asian women and other key stakeholders.

Funder

Health Technology Assessment Programme

Publisher

Royal College of Psychiatrists

Subject

Psychiatry and Mental health

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