Effectiveness and Cost-effectiveness of Simultaneous Screening and Intervention for Antenatal Depression and Anxiety Symptoms From a Transdiagnostic Perspective: A Scale-up Feasibility Study

Anhui Medical University

Status: Completed

Conditions: Antenatal Anxiety; Antenatal Depression

Treatments: Behavioral: implementation group

Study type: Interventional

Funder types: Other

Identifiers

NCT07349368

20170358

Details and patient eligibility

About

This scale-up study aimed to explore the effectiveness of simultaneous screening and intervention of antenatal depression and anxiety in preventing postpartum depression and anxiety and how scale-up might be successfully achieved. The age was ≥18 years old pregnancy and capable of completing the independent assessment of smart phones. Exclude those with abnormal comprehension and expression abilities. The implementation group, 1. screening during pregnancy and 42 days postpartum; 2. Stratified iCBT Intervention, usual care. Low-intensity: Mild cases (EPDS≥9/GAD-7≥5) received 11 animated video sessions adapted from WHO's Thinking Healthy Programme manual. High-intensity: Moderate-severe cases (EPDS≥12/GAD-7≥10) received low-intensity components and supplemental telehealth counseling. The control group, screening at 42 days postpartum, usual care.

Enrollment: 3,314 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• The age was ≥18 years old pregnancy and capable of completing the independent assessment of smart phones.

Exclusion criteria

• Exclude those with abnormal comprehension and expression abilities

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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3,314 participants in 2 patient groups

usual care group

No Intervention group

Description:

no additional intervention

Stratified iCBT group

Experimental group

Description:

Stratified iCBT(Internet-based Cognitive Behavioral Therapy) Intervention plus usual care

Treatment:

Behavioral: implementation group