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

Husain, N. et al. (2022) Multicentre randomised controlled trial of a group psychological intervention for postnatal depression in British mothers of South Asian origin (ROSHNI-2): study protocol. BJPsych Open, 8(1), e2. (doi: 10.1192/bjo.2021.1032)

Abstract

Background: In 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. Aims: To evaluate the clinical and cost-effectiveness of a CBT-based positive health programme group intervention in British South Asian women with postnatal depression. Method: We 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.

• Item Type: Articles
• Additional Information: This project has been funded by the National Institute of Health Research (NIHR), Health Technology Assessment (HTA) programme (project number 14/68/08).
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Williams, Professor Christopher and Morrison, Professor Jill
• Authors: Husain, N., Lovell, K., Chew-Graham, C. A., Lunat, F., McPhillips, R., Atif, N., Aseem, S., Begum, J., Bee, P., Bhui, K., Bower, P., Brugha, T., Bhatti, N., Chaudhry, N., Davies, L., Gire, N., Islam, A., Kai, J., Morrison, J., Mohmed, N., Neelam, J., Rahman, A., Rathod, S., Siddiqi, N., Shah, S., Shiri, T., Waheed, W., Mirza, I., Williams, C., Zaidi, N., Emsley, R., and Morriss, R.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care; College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
• Journal Name: BJPsych Open
• Publisher: Royal College of Psychiatrists
• ISSN: 2056-4724
• ISSN (Online): 2056-4724
• Published Online: 01 December 2021
• Copyright Holders: Copyright © 2021 The Authors
• First Published: First published in BJPsych Open 8(1): e2
• Publisher Policy: Reproduced under a Creative Commons License