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Standardising Training of Nurses in an Evidence-Based Psychosocial Intervention for Perinatal Depression: Randomized Trial of Electronic vs. Face-to-Face Training in China.
Nisar, Anum; Yin, Juan; Nan, Yiping; Luo, Huanyuan; Han, Dongfang; Yang, Lei; Li, Jiaying; Wang, Duolao; Rahman, Atif; Li, Xiaomei.
  • Nisar A; Health Science Centre, Xi'an Jiaotong University, Xi'an 710049, China.
  • Yin J; School of Nursing, Dalian University, Dalian 116622, China.
  • Nan Y; Health Science Centre, Xi'an Jiaotong University, Xi'an 710049, China.
  • Luo H; Global Health Trials Unit, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK.
  • Han D; Health Science Centre, Xi'an Jiaotong University, Xi'an 710049, China.
  • Yang L; Health Science Centre, Xi'an Jiaotong University, Xi'an 710049, China.
  • Li J; Health Science Centre, Xi'an Jiaotong University, Xi'an 710049, China.
  • Wang D; Global Health Trials Unit, Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK.
  • Rahman A; Department of Primary Care and Mental Health, University of Liverpool, Liverpool L69 3BX, UK.
  • Li X; Health Science Centre, Xi'an Jiaotong University, Xi'an 710049, China.
Int J Environ Res Public Health ; 19(7)2022 03 30.
Article in English | MEDLINE | ID: covidwho-1785639
ABSTRACT

BACKGROUND:

Rates of perinatal depression in China are high. The Thinking Healthy Programme is a WHO-endorsed, evidence-based psychosocial intervention for perinatal depression, requiring five days of face-to-face training by a specialist trainer. Given the paucity of specialist trainers and logistical challenges, standardized training of large numbers of nurses is a major challenge for scaling up. We developed an electronic training programme (e-training) which eliminates the need for specialist-led, face-to-face training. The aim of this study was to evaluate the effectiveness of the e-training compared to conventional face-to-face training in nursing students.

METHODS:

A single blind, non-inferiority, randomized controlled trial was conducted. One hundred nursing students from two nursing schools were randomly assigned to either e-training or conventional face-to-face training.

RESULTS:

E-training was not inferior to specialist-led face-to-face training immediately post-training [mean ENhancing Assessment of Common Therapeutic factors (ENACT) score (M) 45.73, standard deviation (SD) 4.03 vs. M 47.08, SD 4.53; mean difference (MD) -1.35, 95% CI; (-3.17, 0.46), p = 0.14]. There was no difference in ENACT scores at three months [M = 42.16, SD 4.85 vs. M = 42.65, SD 4.65; MD = -0.481, 95% CI; (-2.35, 1.39), p = 0.61].

CONCLUSIONS:

E-training is a promising tool with comparative effectiveness to specialist-led face-to-face training. E-training can be used for training of non-specialists for evidence-based psychosocial interventions at scale and utilized where there is a shortage of specialist trainers, but practice under supervision is necessary to maintain competence. However, continued practice under supervision may be necessary to maintain competence.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Depression, Postpartum / Psychosocial Intervention Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Limits: Female / Humans / Pregnancy Language: English Year: 2022 Document Type: Article Affiliation country: Ijerph19074094

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Depression, Postpartum / Psychosocial Intervention Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Limits: Female / Humans / Pregnancy Language: English Year: 2022 Document Type: Article Affiliation country: Ijerph19074094