A pilot randomised controlled trial to evaluate the feasibility and acceptability of the Baby Triple P Positive Parenting Programme in mothers with postnatal depression.
A pilot randomised controlled trial to evaluate the feasibility and acceptability of the Baby Triple P Positive Parenting Programme in mothers with postnatal depression.
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DOI：
10.1177/1359104514531589
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发表时间：
2015-10
影响因子：
1.8
通讯作者：
Wittkowski A
中科院分区：
文献类型：
--
作者：
Tsivos ZL;Calam R;Sanders MR;Wittkowski A
很少有针对产后抑郁症(PND)的干预措施集中在育儿困难上；本研究的目的是探讨在PND妇女中实施育儿干预(Baby Triple P)的可行性并对其进行评估。这是一项试验性随机对照试验(RCT)，旨在评估和确定新开发的Baby Triple P与常规治疗(TAU)在PND妇女中的可行性。总共有27名年龄从18岁到45岁的女性参与者(平均年龄=28.4岁，标准差(SD)=6.1)，主要诊断为重度抑郁症，婴儿12个月以下(平均年龄=6.2个月，SD=3.2个月)，从英国大曼彻斯特的初级保健信托基金招募。参与者被随机分配到除TAU之外的八个婴儿三P疗程或仅接受TAU。在治疗后(时间2)和治疗后3个月(时间3)评估结果。自我报告的结果如下：贝克抑郁问卷，牛津幸福问卷，作为新生儿的父母是什么样子，产后亲子关系问卷和简明父母信念量表-婴儿版。评估人员还完成了母婴互动的观察性测量、护理指数和干预可接受性测量。从时间1到时间2和时间1到时间3，两组都观察到了显著的改善。尽管分配给婴儿三重组的女性表现出了更有利的改善，但组间的差异并不显著。然而，该干预措施对患有PND的妇女来说是高度可接受的。建议进行大规模的随机对照试验。
Few interventions for Postnatal Depression (PND) have focused on parenting difficulties; the aim of this research was to investigate the feasibility and evaluate a parenting intervention (Baby Triple P) in women with PND. This was a pilot randomised controlled trial (RCT) to evaluate and determine the feasibility of the newly developed Baby Triple P compared with treatment as usual (TAU) in women with PND. In all, 27 female participants aged from 18 to 45 years (mean age = 28.4 years, standard deviation (SD) = 6.1), with a primary diagnosis of major depression and an infant under 12 months (mean age = 6.2 months, SD = 3.2 months), were recruited from primary care trusts in Greater Manchester, United Kingdom. Participants were randomly allocated to receive either eight Baby Triple P sessions in addition to TAU or TAU only. Outcomes were assessed at post-treatment (Time 2) and 3 months post-treatment (Time 3). Self-report outcomes were as follows: Beck Depression Inventory, Oxford Happiness Inventory, What Being the Parent of a New Baby is Like, Postpartum Bonding Questionnaire and the Brief Parenting Beliefs Scale–baby version. An assessor-rated observational measure of mother–infant interaction, the CARE Index and measure of intervention acceptability were also completed. Significant improvements from Time 1 to Time 2 and Time 1 to Time 3 were observed across both groups. Although women allocated to Baby Triple P showed more favourable improvements, the between-group differences were not significant. However, the intervention was highly acceptable to women with PND. A large-scale RCT is indicated.