Antidepressant drug therapy vs a community-based psychosocial intervention for the treatment of moderate postnatal depression: a pragmatic randomised controlled trial

ISRCTN ISRCTN16479417
DOI https://doi.org/10.1186/ISRCTN16479417
Secondary identifying numbers HTA 02/07/04
Submission date
16/09/2003
Registration date
16/09/2003
Last edited
08/08/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Deborah Sharp
Scientific

Academic Unit of primary care
University of Bristol
Bristol
BS8 2AA
United Kingdom

Phone +44 (0)117 3313812
Email debbie.sharp@bris.ac.uk

Study information

Study designTwo arm multi-centre pragmatic randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study acronymRESPOND
Study objectivesThe study proposes to compare the effectiveness and cost-effectiveness of antidepressant drug therapy versus a community-based psychosocial intervention (Health Visitor delivered non-directive counselling) in the treatment of moderate postnatal depression.

Protocol can be found at: http://www.hta.ac.uk/protocols/200200070004.pdf
More details can be found at: http://www.hta.ac.uk/1373

Please note that, as of 11 January 2008, the anticipated start and end dates of this trail have been updated from 1 March 2004 and 30 September 2007 to 1 June 2004 and 30 April 2008, respectively.
Ethics approval(s)Not provided at time of registration.
Health condition(s) or problem(s) studiedPostnatal depression
InterventionA two arm multi-centre pragmatic randomised controlled trial, with randomisation at the level of the individual woman. Women who reach the threshold for inclusion (EPDS>12, CIS-R>11) at 8 weeks will be randomised to either antidepressants or a 4 week waiting list for counselling. Women who do not respond to the allocated therapy in their group will be offered the opportunity to either switch or combined therapies after the primary outcome has been measured (4 weeks for antidepressants, 18 weeks for counselling) Thus the research design allows women to receive both antidepressants and psychological therapy is required.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Antidepressants
Primary outcome measureThe primary outcome measure is the EPDS at 4 weeks, 18 weeks and 44 weeks. In addition, the trial will use the SF-36 as a generic measure of functional quality of life, the EQ5D for economic analysis, the MAMA for parenting skills and attitudes towards the baby, the GRIMS for the quality of the marital relationship. The trial will ask partners to complete the GHQ12 the PAPA and the GRIMS. At 12 months we will assess the family milieu using the HOME and the child's development using the Bayley scales.
Secondary outcome measuresNot provided at time of registration.
Overall study start date01/06/2004
Completion date30/04/2008

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participantsNot provided at time of registration.
Key inclusion criteriaWomen with post natal depression up to 3 months post natal
Key exclusion criteriaNot provided at time of registration.
Date of first enrolment01/06/2004
Date of final enrolment30/04/2008

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Academic Unit of primary care
Bristol
BS8 2AA
United Kingdom

Sponsor information

Department of Health (UK)
Government

Quarry House
Quarry Hill
Leeds
LS2 7UE
United Kingdom

Email Sheila.Greener@doh.gsi.gov.uk
Website http://www.dh.gov.uk/en/index.htm
ROR logo "ROR" https://ror.org/03sbpja79

Funders

Funder type

Government

NIHR Health Technology Assessment Programme - HTA (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/09/2010 Yes No
Results article results 03/08/2011 Yes No