279885
Effects of a psycho-educational randomized trial on perinatal depression intervention in Taiwan – comparing the effects of implementation by various methods
Wednesday, November 6, 2013
Jian-Pei Huang, MD,
the Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan
Chun-Sen Hsu, MD,
Department of the obstetrics and gynecology, Taipei Municipal Wan-Fang Hospital, Taipei, Taiwan
Ping-Lin Chen, Ph.D,
Graduate Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan
Tai-Chia Chang,
School of Public Health, Taipei Medical University, Taipei, Taiwan
Fang-Ting Wen, MS,
School of Public Health, Taipei Medical University, Taipei, Taiwan
Yi-Hua Chen, Ph D,
School of Public Health, Taipei Medical University, Taipei, Taiwan
Background: Previous studies displayed the effectiveness of group psychoeducation in decreasing depressive symptoms. However, few controlled studies have included personal care and compared the effectiveness in utilizing the same psychoeducational materials but implemented by various methods, especially among perinatal women with high depression prevalence. In this randomized controlled trial, we aimed to assess the effectiveness of an individual psychoeducational program, including personal care and comparisons of various implementation methods (different cost/resources demand) for perinatal women. Methods: The Edinburgh Postnatal Depression Scale was used for depression screening for perinatal women during their clinic visits in 2012. Women with high level of depression were invited and randomly assigned to one of the four intervention groups of psycho-education by psychologists, psycho-education by multimedia film, psycho-education by trained staff, and regular care comparison group (about 40 women in each group). These women were followed-up 2-4 weeks and 6-8 weeks after the end of the intervention. Longitudinal data analyses were performed. Results: We found significant decreasing trends on depression scores along time for women in the three intervention groups (all p<0.01), but not those in the regular care comparison group. Compared to women in the comparison group, those in the psycho-education by psychologists significantly decreased depression score for 1.86 points (95%CI=(-3.58,-0.13)). No statistically significant finding was observed for the effects of depression amendment among the three intervention groups. Conclusions: The individual psychoeducational intervention was effective. Due to the lack of significant differences among interventions implemented by various methods, suggestions for future large-scale implementation are commented.
Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Learning Objectives:
Evaluate the effectiveness of an individual psychoeducational programs among depressive women during the perinatal period in a randomized controlled trial.
Evaluate and compare the effectiveness of an individual psychoeducational programs implemented by various methods (psychologists, trained staff, and multimedia film display) among depressive women during the perinatal period in a randomized controlled trial.
Discuss and compare the effectiveness and limits of the individual psychoeducational programs implemented by each of the various methods among women with depression
Discuss and propose a comprehensive program appropriate for future large-scale implementation to promote women’s mental health during the perinatal period.
Keyword(s): Depression, Interventions
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am the PI of this project and supervise the design, implementation, and analysis of this work.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
