Culturally adapted psychological intervention for treating maternal depression in British mothers of African and Caribbean origin: a randomized controlled feasibility trial

Jidong, DE ORCID: https://orcid.org/0000-0001-5034-0335, Ike, JT, Husain, N, Murshed, M, Francis, C, Mwankon, BS, Jack, BD, Jidong, JE, Pwajok, YJ, Nyam, PP, Kiran, T and Bassett, P, 2022. Culturally adapted psychological intervention for treating maternal depression in British mothers of African and Caribbean origin: a randomized controlled feasibility trial. Clinical Psychology and Psychotherapy. ISSN 1063-3995

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Abstract

Background: Women are likely to suffer from maternal depression due to childbirth difficulties and parenting responsibilities, leading to long-term negative consequences on their children and families. British mothers of African/Caribbean origin uptake of mental healthcare is low due to the lack of access to culturally appropriate care.

Methods: A mixed-methods randomized controlled feasibility trial was adopted to test the appropriateness and acceptability of Learning Through Play plus Culturally adapted Cognitive Behaviour Therapy (LTP+CaCBT) for treating maternal depression compared with Psychoeducation (PE). Mothers (N = 26) aged 20–55 were screened for depression using the Patient Health Questionnaire (PHQ-9). Those who scored >5 on PHQ-9 were further interviewed using the Revised Clinical Interview Schedule to confirm the diagnosis and randomized into LTP+CaCBT (n = 13) or PE (n = 13) groups. Assessments were taken at baseline, end of the intervention at 3- and 6-months post-randomization. N = 2 focus groups (LTP+CaCBT, n = 12; PE, n = 7) and N = 8 individual interviews were conducted (LTP+CaCBT, n = 4; PE, n = 4).

Results: The LTP+CaCBT group showed higher acceptability, feasibility and satisfaction levels than the PE group. Participants experienced the intervention as beneficial to their parenting skills with reduced depression and anxiety in the LTP+CaCBT compared to the PE group.

Conclusions: This is the first feasibility trial of an integrated online parenting intervention for British African and Caribbean mothers. The results indicated that culturally adapted LTP+CaCBT is acceptable and feasible. There is a need to study the clinical and cost-effectiveness of LTP+CaCBT in an appropriately powered randomized control trial and include the child's outcomes.

Item Type:	Journal article
Publication Title:	Clinical Psychology and Psychotherapy
Creators:	Jidong, D.E., Ike, J.T., Husain, N., Murshed, M., Francis, C., Mwankon, B.S., Jack, B.D., Jidong, J.E., Pwajok, Y.J., Nyam, P.P., Kiran, T. and Bassett, P.
Publisher:	Wiley
Date:	7 December 2022
ISSN:	1063-3995
Identifiers:	Number Type 10.1002/cpp.2807 DOI 1635202 Other
Rights:	© 2022 The Authors. Clinical Psychology & Psychotherapy published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Divisions:	Schools > School of Social Sciences
Record created by:	Laura Ward
Date Added:	19 Jan 2023 11:26
Last Modified:	19 Jan 2023 11:26
URI:	https://irep.ntu.ac.uk/id/eprint/47966

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