Online singing interventions for postnatal depression in times of social isolation: a feasibility study protocol for the SHAPER-PNDO single-arm trial.
Online singing interventions for postnatal depression in times of social isolation: a feasibility study protocol for the SHAPER-PNDO single-arm trial.
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DOI：
10.1186/s40814-022-01112-1
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发表时间：
2022-07-18
影响因子：
1.7
通讯作者：
Pariante, Carmine M.
中科院分区：
文献类型：
--
作者：
Bind, Rebecca H.;Estevao, Carolina;Fancourt, Daisy;Hazelgrove, Katie;Sawyer, Kristi;Rebecchini, Lavinia;Miller, Celeste;Dazzan, Paola;Sevdalis, Nick;Woods, Anthony;Crane, Nikki;Manoharan, Manonmani;Burton, Alexandra;Dye, Hannah;Osborn, Tim;Greenwood, Lorna;Bakolis, Ioannis;Lopez, Maria Baldellou;Davis, Rachel;Perkins, Rosie;Pariante, Carmine M.
产后抑郁症（PND）影响了13%的新妈妈，在COVID-19大流行期间，这一数字有所上升。尽管如此，许多妇女在获得药物和/或心理干预方面仍有困难或犹豫不决。然而，以小组为基础的母婴活动有很好的吸收，唱歌改善了产妇的心理健康和母婴关系。最近的封锁凸显了使活动适应广泛和可访问的在线平台的重要性。SHAPER-PNDO研究将主要分析为期6周的在线唱歌干预的可行性，即母亲的旋律（M4 M），用于患有PND的母亲，这些母亲正在经历治疗障碍。SHAPER-PNDO研究的次要目的是分析6周M4 M干预对产后抑郁症状的临床疗效。这项单组研究将招募120名母亲及其婴儿。所有的二人组将参加6个每周在线唱歌会议，由呼吸艺术健康研究促进。将在基线和第6周对Zoom进行评估，并在第16周和第32周进行随访，并将包括人口统计学、心理健康和社会环境的访谈，并将采集生物样本用于压力标记。将进行定性访谈，以了解参加会议的妇女和提供这些会议的主持人的经验。最后，将收集关于招募、研究吸收和方案出席、参与者保留和干预措施可接受性的数据。SHAPER-PNDO研究将重点关注向所有患有产后抑郁症的母亲提供在线M4 M治疗的可行性和临床疗效。我们希望为患有PND的母亲提供一种更容易获得的有效治疗选择，这种治疗选择可以在大流行期间和大流行之外为那些难以参加面对面会议的母亲提供，并为随后的混合RCT做准备。ClinicalTrials.gov标识符：NCT 04857593。于二零二一年四月二十二日追溯登记。首批参与者于2021年1月27日招募，试验正在进行中。在线版本包含补充材料，可通过10.1186/s40814-022-01112-1获得。
Postnatal depression (PND) affects 13% of new mothers, with numbers rising during the COVID-19 pandemic. Despite this prevalence, many women have difficulty with or hesitancy towards accessing pharmacological and/or psychological interventions. Group-based mother-baby activities, however, have a good uptake, with singing improving maternal mental health and the mother-infant relationship. The recent lockdowns highlight the importance of adapting activities to an online platform that is wide-reaching and accessible. The SHAPER-PNDO study will primarily analyse the feasibility of a 6-week online singing intervention, Melodies for Mums (M4M), for mothers with PND who are experiencing barriers to treatment. The secondary aim of the SHAPER-PNDO study will be to analyse the clinical efficacy of the 6-week M4M intervention for symptoms of postnatal depression. A total of 120 mothers and their babies will be recruited for this single-arm study. All dyads will attend 6 weekly online singing sessions, facilitated by Breathe Arts Health Research. Assessments will be conducted on Zoom at baseline and week 6, with follow-ups at weeks 16 and 32, and will contain interviews for demographics, mental health, and social circumstances, and biological samples will be taken for stress markers. Qualitative interviews will be undertaken to understand the experiences of women attending the sessions and the facilitators delivering them. Finally, data will be collected on recruitment, study uptake and attendance of the programme, participant retention, and acceptability of the intervention. The SHAPER-PNDO study will focus on the feasibility, alongside the clinical efficacy, of an online delivery of M4M, available to all mothers with PND. We hope to provide a more accessible, effective treatment option for mothers with PND that can be available both during and outside of the pandemic for mothers who would otherwise struggle to attend in-person sessions, as well as to prepare for a subsequent hybrid RCT. ClinicalTrials.gov Identifier: NCT04857593. Registered retrospectively on 22 April 2021. The first participants were recruited on 27 January 2021, and the trial is ongoing. The online version contains supplementary material available at 10.1186/s40814-022-01112-1.
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