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SHAPER-PND trial: clinical effectiveness protocol of a community singing intervention for postnatal depression

Estevao, C; Bind, R; Fancourt, D; Sawyer, K; Dazzan, P; Sevdalis, N; Woods, A; ... Pariante, C; + view all (2021) SHAPER-PND trial: clinical effectiveness protocol of a community singing intervention for postnatal depression. BMJ Open , 11 (11) , Article e052133. 10.1136/bmjopen-2021-052133. Green open access

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Abstract

Introduction: Postnatal depression (PND) affects approximately 13% of new mothers. Community-based activities are sought after by many mothers, especially mothers that prefer not to access pharmacological or psychological interventions. Singing has shown positive effects in maternal mood and mother–child bonding. The Scaling-Up Health-Arts Programmes: Implementation and Effectiveness Research-Postnatal Depression study will analyse the clinical and implementation effectiveness of 10-week singing sessions for PND in new mothers. This protocol paper will focus on the clinical effectiveness of this trial. Methods and analysis: A total of 400 mothers with PND (with a score of at least 10 on the Edinburgh Postnatal Depression Scale) and their babies will be recruited for this hybrid type II randomised controlled trial. The intervention group will attend 10 weekly singing sessions held at community venues or online, facilitated by the arts organisation, Breathe Arts Health Research (Breathe). A control group will be encouraged to attend non-singing sessions in the community or online for 10 weeks. A package of assessments will be collected from participants for clinical, mechanistic and implementation outcomes, at different stages of the trial. Clinical assessments will include questionnaires and interviews for demographics, mental health and social measures, together with biological samples for measurement of stress markers; the study visits are at baseline, week 6 (mid-trial) and week 10 (end of trial), with follow ups at weeks 20 and 36. Multiple imputation will be used to deal with possible missing data and multivariable models will be fitted to assess differences between groups in the outcomes of the study. Ethics and dissemination: Ethical approval has been granted by the London-West London and GTAC Research Ethics Committee, REC reference: 20/PR/0813.

Type: Article
Title: SHAPER-PND trial: clinical effectiveness protocol of a community singing intervention for postnatal depression
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/bmjopen-2021-052133
Publisher version: https://bmjopen.bmj.com/content/11/11/e052133
Language: English
Additional information: © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.
Keywords: Science & Technology, Life Sciences & Biomedicine, Medicine, General & Internal, General & Internal Medicine, mental health, psychiatry, depression & mood disorders, immunology, MOTHER-INFANT INTERACTIONS, POSTPARTUM DEPRESSION, PSYCHOLOGICAL INTERVENTIONS, MATERNAL DEPRESSION, MENTAL-HEALTH, SYMPTOMS, OXYTOCIN, RESPONSIVENESS, IMPACT
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10139638
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