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. 2023 Oct 24;2023(10):CD014722. doi: 10.1002/14651858.CD014722.pub2

Gao 2015.

Study characteristics
Methods Study design: RCT
Duration of study: the study was conducted from September 2012 to February 2013.
Country: China
Income classification: upper‐middle income country in 2012‐2013
Geographical scope: Guangzhou
Healthcare setting: regional teaching hospital in Guangzhou where the birth rate was more than 5000 babies per year
Participants 1. Age: for the intervention group mean age 28.49 (SD 2.73), for the control group mean age 28.67 (SD 2.91)
2. Gender: female
3. Socioeconomic background: monthly household income ≥¥6000 for 64.4‐66.7% of participants
4. Educational background: college or above for 84.4‐86.7% of participants
Inclusion criteria:
a. first‐time mother who had given birth to a single full‐term health baby (gestation age 37–40 weeks, body weight over 2500 g and Apgar score equal or above 8);
b. married and living with their husband.
Exclusion criteria:
a. women with past or family psychiatric history and major postnatal complications, such as puerperal infection, postpartum haemorrhage and amniotic fluid embolism;
b. also women who had received interpersonal psychotherapy (IPT)‐oriented childbirth education programme during pregnancy.
Note: at baseline, the intervention and control group scores for the Edinburgh Postnatal Depression Scale (EPDS) were, respectively, 7.38 (3.76) and 7.69 (3.31).
Stated purpose: to investigate the effects of an IPT‐oriented postnatal psychoeducation programme on postpartum depressive symptoms, social support and maternal role competence in Chinese first‐time mothers
Interventions Name: IPT‐oriented postnatal psychoeducation programme
Title/name of PW and number: 1 midwife educator (fist author)
1. Selection: not specified
2. Educational background: midwife educator, who had experiences in delivering IPT‐oriented intervention
3. Training: not specified
4. Supervision: not specified
5. Incentives/remuneration: not specified
Prevention type: indicated – participants presented with some level of distress as indicated by the EPDS scores, but all those with past or family psychiatric history were excluded.
Intervention details: IPT‐oriented postnatal psychoeducation programme: 1‐hour education session before discharge and one telephone follow‐up within the 2 weeks after discharge from the hospital. Specific IPT techniques, such as information‐giving, use of affect, clarification, signalling what is significant, reviewing relationship and communication patterns, and providing social support were applied throughout the programme.
Control: usual care (brief visit from a nurse in the postnatal ward to give them a pamphlet on sources of assistance for mothers on discharge from hospital)
Outcomes Participants’outcomes of interest for this review
  1. Depressive symptoms – EPDS

  2. Social outcomes – Perceived Social Support Scale (PSSS)


Carers’outcomes of interest for this review
Nil
Economic outcomes
Nil
Time points: baseline, post‐intervention (< 1 month)
Notes Source of funding: Medical Scientific Research Foundation of Guangdong Province, China
Notes on validation of instruments (screening and outcomes): the EPDS has been validated in Chinese mothers (Guo 1993). For the PSSS, the original PSSS has good reliability and validity (Zimet 1988).
Additional information: none
Handling the data: not applicable
Prospective trial registration number: study number A2012164