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Trial registered on ANZCTR
Registration number
ACTRN12611000635965
Ethics application status
Approved
Date submitted
1/06/2011
Date registered
22/06/2011
Date last updated
20/10/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Help-seeking for postnatal depression as a major public health problem: A cluster randomised controlled trial of motivational interviewing
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Scientific title
Motivational interviewing to facilitate help-seeking for postnatal depression by mothers in the first year following childbirth: A cluster randomised controlled trial
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Secondary ID [1]
262288
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Postnatal Depression
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Condition category
Condition code
Mental Health
268127
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Motivational Interviewing. Maternal and child health (MCH) nurses in this condition will receive training in motivational interviewing over two, 5-6 hour interactive small group sessions. Training will be provided by a psychologist experienced in motivational interviewing and will cover the "Spirit", principles and core skills of motivational interviewing. MCH nurses will then deliver a brief motivational interviewing intervention (approximately 10 minutes) during their routine appointments with new mothers at 4-weeks, 8-weeks and 4-months postpartum. The MCH nurses will follow a detailed manual and will receive a supervision session by telephone around two weeks after the training sessions (approximately 20 minutes). The motivational interviewing intervention provides guidance for MCH nurses about the way to talk with mothers about how they are managing.
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Intervention code [1]
266684
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Other interventions
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Comparator / control treatment
Standard care. Maternal and child health (MCH) nurses in this condition will continue to follow their usual practice when talking with mothers about how they are managing.
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Control group
Active
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Outcomes
Primary outcome [1]
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Percentage of participants reporting that they sought help for personal-emotional problems as measured by a dichotomous variable (yes/no)
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Assessment method [1]
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Timepoint [1]
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7-weeks, 15-weeks and 12-months postpartum
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Secondary outcome [1]
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Beck Depression Inventory Score
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Assessment method [1]
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Timepoint [1]
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7-weeks, 15-weeks and 12-months postpartum
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Eligibility
Key inclusion criteria
Ability to understand spoken and written English.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
nil
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Centralised administration of a coded, pre-generated allocation schedule by an independent person blind to coding. Allocation is concealed from researchers and maternal and child health nurses until the point of allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A variable-length permuted blocks, computer-generated random sequence. The allocation schedule has been stratified by municipality.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
6/10/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
800
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Australian Rotary Health
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Address [1]
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PO Box 3455
Parramatta NSW 2124
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Professor Jeannette Milgrom
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Address
Parent-Infant Research Institute
Level 1, South Wing, Centaur Building
Heidelberg Repatriation Hospital
300 Waterdale Rd
Hiedelberg Heights VIC 3081
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
266248
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health Human Research Ethics Committee
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Ethics committee address [1]
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Henry Buck Building Austin Hospital 145 studley Rd Heidelberg VIC 3084
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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16/02/2011
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Ethics approval number [1]
269167
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H2011/04180
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Summary
Brief summary
Around 30,000 women annually suffer from postnatal depression (PND) and untreated depression has negative long-term consequences for mothers and infants. Figures from previous research indicate that only 30-50% of women who are distressed in the perinatal period seek treatment. Currently, no effective, evidence-based strategy to enhance access to services exists. There is an urgent need to redress this and determine whether we can improve uptake of treatment by women experiencing PND. The aim of this study is to examine whether a brief motivational interviewing intervention delivered in the context of a routine postnatal screening and emotional health assessment improves access to treatment when women experience PND. The key concept is to prepare and motivate women to take action for their own emotional health needs in the year following childbirth. Motivational interviewing has shown enormous success in other fields of healthcare.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Charlene Schembri
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Address
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Parent-Infant Research Institute
Heidelberg Repatriation Hospital
300 Waterdale Rd
Heidelberg Heights VIC 3081
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Country
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Australia
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Phone
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+61 3 9496 4496
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Fax
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+61 3 9496 4148
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Charlene Schembri
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Address
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Parent-Infant Research Institute
Heidelberg Repatriation Hospital
300 Waterdale Rd
Heidelberg Heights VIC 3081
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Country
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Australia
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Phone
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+61 3 9496 4496
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Fax
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+61 3 9496 4148
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Study results article
Yes
Holt, C., Milgrom, J., & Gemmill, A.W. (2017). Imp...
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More Details
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Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Improving help-seeking for postnatal depression and anxiety: a cluster randomised controlled trial of motivational interviewing.
2017
https://dx.doi.org/10.1007/s00737-017-0767-0
N.B. These documents automatically identified may not have been verified by the study sponsor.
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