TY - JOUR
T1 - Online singing interventions for postnatal depression in times of social isolation
T2 - a feasibility study protocol for the SHAPER-PNDO single-arm trial
AU - Bind, Rebecca H.
AU - Estevao, Carolina
AU - Fancourt, Daisy
AU - Hazelgrove, Katie
AU - Sawyer, Kristi
AU - Rebecchini, Lavinia
AU - Miller, Celeste
AU - Dazzan, Paola
AU - Sevdalis, Nick
AU - Woods, Anthony
AU - Crane, Nikki
AU - Manoharan, Manonmani
AU - Burton, Alexandra
AU - Dye, Hannah
AU - Osborn, Tim
AU - Greenwood, Lorna
AU - Bakolis, Ioannis
AU - Lopez, Maria Baldellou
AU - Davis, Rachel
AU - Perkins, Rosie
AU - Pariante, Carmine M.
N1 - Funding Information:
NS’ research is supported by the National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) South London at King’s College Hospital NHS Foundation Trust. NS is a member of King’s Improvement Science, which offers co-funding to the NIHR ARC South London and comprises a specialist team of improvement scientists and senior researchers based at King’s College London. Its work is funded by King’s Health Partners (Guy’s and St Thomas’ NHS Foundation Trust, King’s College Hospital NHS Foundation Trust, King’s College London and South London, and Maudsley NHS Foundation Trust) and Guy’s and St Thomas’ Charity. The views expressed in this publication are those of the authors and not necessarily those of the Wellcome Trust, the NIHR, or the Department of Health and Social Care. RD is supported by the National Institute for Health Research (NIHR) Applied Research Collaboration: South London, at King’s College Hospital NHS Foundation Trust. The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, NIHR, or the Department of Health and Social Care. RP is supported by HEartS, a project funded by the UK’s Arts and Humanities Research Council to investigate the health, economic, and social impacts of the arts (Grant ref. AH/P005888/1).
Funding Information:
This online trial is part of the SHAPER programme, a Scaling-up Health-Arts Programme to scale up art interventions. This programme is funded by the Wellcome Trust (award reference 219425/Z/19/Z) and covers the design of the study and collection, analysis, and interpretation of the data. This work is additionally supported by the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London and by a NIHR Senior Investigator CMP.
Funding Information:
NS is the director of the London Safety and Training Solutions Ltd., which offers training in patient safety, implementation solutions, and human factors to healthcare organisations. DF is a non-executive board director for Breathe Arts Health Research, but she receives no financial compensation for her involvement. CMP has received research and consultation funding from Boehringer Ingelheim and Johnson & Johnson for research on depression and inflammation and by a Wellcome Trust strategy award to the Neuroimmunology of Mood Disorders and Alzheimer’s Disease (NIMA) Consortium (104025), which is also funded by Janssen, GlaxoSmithKline, Lundbeck, and Pfizer; the work presented in this paper is unrelated to this funding. The other authors declare that they have no competing interests.
Publisher Copyright:
© 2022, The Author(s).
PY - 2022/7/18
Y1 - 2022/7/18
N2 - Background: Postnatal depression (PND) affects 13% of new mothers, with numbers rising during the COVID-19 pandemic. Despite this prevalence, many women have difficulty with or hesitancy towards accessing pharmacological and/or psychological interventions. Group-based mother-baby activities, however, have a good uptake, with singing improving maternal mental health and the mother-infant relationship. The recent lockdowns highlight the importance of adapting activities to an online platform that is wide-reaching and accessible. Aims: The SHAPER-PNDO study will primarily analyse the feasibility of a 6-week online singing intervention, Melodies for Mums (M4M), for mothers with PND who are experiencing barriers to treatment. The secondary aim of the SHAPER-PNDO study will be to analyse the clinical efficacy of the 6-week M4M intervention for symptoms of postnatal depression. Methods: A total of 120 mothers and their babies will be recruited for this single-arm study. All dyads will attend 6 weekly online singing sessions, facilitated by Breathe Arts Health Research. Assessments will be conducted on Zoom at baseline and week 6, with follow-ups at weeks 16 and 32, and will contain interviews for demographics, mental health, and social circumstances, and biological samples will be taken for stress markers. Qualitative interviews will be undertaken to understand the experiences of women attending the sessions and the facilitators delivering them. Finally, data will be collected on recruitment, study uptake and attendance of the programme, participant retention, and acceptability of the intervention. Discussion: The SHAPER-PNDO study will focus on the feasibility, alongside the clinical efficacy, of an online delivery of M4M, available to all mothers with PND. We hope to provide a more accessible, effective treatment option for mothers with PND that can be available both during and outside of the pandemic for mothers who would otherwise struggle to attend in-person sessions, as well as to prepare for a subsequent hybrid RCT. Trial registration: ClinicalTrials.gov Identifier: NCT04857593. Registered retrospectively on 22 April 2021. The first participants were recruited on 27 January 2021, and the trial is ongoing.
AB - Background: Postnatal depression (PND) affects 13% of new mothers, with numbers rising during the COVID-19 pandemic. Despite this prevalence, many women have difficulty with or hesitancy towards accessing pharmacological and/or psychological interventions. Group-based mother-baby activities, however, have a good uptake, with singing improving maternal mental health and the mother-infant relationship. The recent lockdowns highlight the importance of adapting activities to an online platform that is wide-reaching and accessible. Aims: The SHAPER-PNDO study will primarily analyse the feasibility of a 6-week online singing intervention, Melodies for Mums (M4M), for mothers with PND who are experiencing barriers to treatment. The secondary aim of the SHAPER-PNDO study will be to analyse the clinical efficacy of the 6-week M4M intervention for symptoms of postnatal depression. Methods: A total of 120 mothers and their babies will be recruited for this single-arm study. All dyads will attend 6 weekly online singing sessions, facilitated by Breathe Arts Health Research. Assessments will be conducted on Zoom at baseline and week 6, with follow-ups at weeks 16 and 32, and will contain interviews for demographics, mental health, and social circumstances, and biological samples will be taken for stress markers. Qualitative interviews will be undertaken to understand the experiences of women attending the sessions and the facilitators delivering them. Finally, data will be collected on recruitment, study uptake and attendance of the programme, participant retention, and acceptability of the intervention. Discussion: The SHAPER-PNDO study will focus on the feasibility, alongside the clinical efficacy, of an online delivery of M4M, available to all mothers with PND. We hope to provide a more accessible, effective treatment option for mothers with PND that can be available both during and outside of the pandemic for mothers who would otherwise struggle to attend in-person sessions, as well as to prepare for a subsequent hybrid RCT. Trial registration: ClinicalTrials.gov Identifier: NCT04857593. Registered retrospectively on 22 April 2021. The first participants were recruited on 27 January 2021, and the trial is ongoing.
KW - Arts intervention
KW - COVID-19
KW - Mental health
KW - Online delivery
KW - Postnatal depression
KW - Singing
UR - http://www.scopus.com/inward/record.url?scp=85134372722&partnerID=8YFLogxK
U2 - 10.1186/s40814-022-01112-1
DO - 10.1186/s40814-022-01112-1
M3 - Article
AN - SCOPUS:85134372722
SN - 2055-5784
VL - 8
JO - Pilot and Feasibility Studies
JF - Pilot and Feasibility Studies
IS - 1
M1 - 148
ER -
