An Antenatal Resilience and Optimism Workshop on Postnatal Depressive Symptoms
Pregnant women in Indonesia, attending an Antenatal Resilience and Optimism Workshop, to reduce postnatal depression symptoms?
Curtin University
70 participants
May 29, 2012
Interventional
Conditions
Summary
This study will investigate the efficacy of a Resilience and Optimism Workshop (ROW) given to pregnant women as part of their antenatal care. It will involve Primary Health Care in East Java (Surabaya) Indonesia. Eight Primary Health Care (PHC) clinics will be randomly assigned to either an intervention or a wait-list (WL) control group conditions. Eight to twelve pregnant women from each clinic will participate, in total 64 - 96 participants. Pregnant women from clinics receiving the intervention will attend a two day workshop. For the intervention and control groups, measures of depression, anxiety, stress, attributional style, resilience and quality of life will be taken at pre-test, post-test, 6-week follow-up, and 6-month follow-up. The control group will be assessed with the same measures, but will not get the intervention until after the 6-week follow-up. It is hypothesized that, the intervention group will show significant therapeutic changes in outcomes from pre-test to post-test and these changes will be maintained at the 6-week and 6-month follow-ups. If ROW is effective it will be recommended as a regular antenatal care program in Indonesia.
Eligibility
Plain Language Summary
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Interventions
The Resilience and Optimism Workshop (ROW). This intervention is a 2-day consecutive workshop, each day starts at 8.30am - 4pm with 1 hour lunch break and two 15 minute coffee breaks in the morning and afternoon. The workshop will be facilitated by a clinical psychologist who is the author of the ROW intervention (Josephine Ratna). Josephine is an experienced clinical psychologist who speaks English and Bahasa Indonesia. The intervention will include group disscussion, activities, role play and brain storming activities for pregnant women who are at least in their second trimester of pregnancy. Topics cover empowerment, resilience, and optimistic thinking will be developed in consultation with a clinical psychologst, Obstetrician/ Gynaecologist, a nurse and a psychiatrist, taking into account suggestions from previous studies and relevant programs, as well as specific cultural issues and myths. The workshop will use examples and hypothetical situations that are common but specifically challenging for pregnant women e.g. what if they deliver a child who has a developmental delay; what if their husband or close family member can not attend the birth; what to do if the child is struggling when do you intervene to get help rather than watch and wait a child that is struggling, what actions can be taken to gather extra support while the family is trying to meet the needs of a difficult child. ROW will be specifically designed for the purpose of preventing postnatal depressive symptoms, emphasising efforts to increase individual resilience in the mother and the family, and optimism based activities based on previous research studies and activity outcomes. Participants will receive a booklet which describes key themes (pregnancy, changes, depression, protective and risk factors, attributions - optimism vs pessimism, resilience, support systems and cultural aspects of childbirth and caring and caring for a new baby). There will be sections for critical reflection, individual and group learning activities (including possible implementations in a personal context) to complete and inspirational quotations.
Locations(2)
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ACTRN12612000222842