Change your life with seven sheets of paper: A pilot randomized controlled trial for postnatal depression (CREATOR)

Abstract

IntroductionPrevalence of Common Mental Disorders (CMD) is high in low and middle-income countries. The prevalence rate of postnatal depression in Pakistani women and its effect on the growth and development of young children and child mortality is very high. Despite availability of interventions to improve maternal health, the major issue in implementation of those interventions is because of limited availability of trained health professionals.AimsThe aim of this study is to deliver CBT based intervention called “change your life with 7 sheets of paper” to women with mild to moderate PND through trained Traditional Birth Attendants (TBAs).MethodsDuring first stage of this rather blind feasibility randomized control trial 5 TBAs were trained to deliver CBT. Total 36 participants with PND having child between the ages 0–12 months will be recruited from community. Participants will be assessed using Edinburgh Postnatal Depression Scale, Patient Health Questionnaire (PHQ-9) and World Health Organization Quality of Life scale at baseline and then at 3 months. Eight group sessions of CBT will be delivered by trained TBAs.ResultsOutcome assessments will be done after completion of intervention of intervention i.e., 3 months after baseline. Preliminary findings will be presented in the conference.ConclusionFindings from this trial will help us to understand how the involvement of TBAs can help in overcoming the challenge of non-availability of trained health professionals and in attainment of millennium development goals of reducing mother and child mortality.Disclosure of interestThe authors have not supplied their declaration of competing interest.