PRISM (Program of Resources, Information and Support for Mothers) Protocol for a community-randomised trial [ISRCTN03464021]
BMC Public HealthPublished 20 November 2003Open access
Judith Lumley, Rhonda Small, Stephanie Brown, Lyndsey Watson, Jane Gunn, Creina Mitchell
Citations44
SJR quartileQ1
SJR score1.36
SNIP1.39
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TL;DR
Maternal depression and physical health will be measured six months after birth, in a one year cohort of mothers, in intervention and comparison communities, and through community-based strategies to develop broader family and community supports for recent mothers.
Abstract
PRISM aims to reduce depression and physical health problems of recent mothers through primary care strategies to increase practitioners' response to these issues, and through community-based strategies to develop broader family and community supports for recent mothers. Eligible local governments will be recruited and randomised to intervention or comparison arms, after stratification (urban/rural, size, birth numbers, extent of community activity), avoiding contiguous boundaries. Maternal depression and physical health will be measured six months after birth, in a one year cohort of mothers, in intervention and comparison communities. The sample size to detect a 20% relative reduction in depression, adjusting for cluster sampling, and estimating a population response fraction of 67% is 5740 x 2. Analysis of the physical and mental health outcomes, by intention to treat, will adjust for the correlated structure of the data.
Keywords
Social SciencesMedicine
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