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 ORCID: https://orcid.org/0000-0002-1898-4103, Han, Dongfang, Yang, Lei, Li, Jiaying, Wang, Duolao ORCID: https://orcid.org/0000-0003-2788-2464, Rahman, Atif and Li, Xiaomei (2022) 'Standardising Training of Nurses in an Evidence-Based Psychosocial Intervention for Perinatal Depression: Randomized Trial of Electronic vs. Face-to-Face Training in China'. International Journal of Environmental Research and Public Health, Vol 19, Issue 7, e4094.

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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.

Item Type:	Article
Subjects:	W General Medicine. Health Professions > W 83 Telemedicine (General) WM Psychiatry > WM 20 Research (General) WY Nursing > WY 100.4 Nursing assessment. Nursing diagnosis WY Nursing > WY 157.3 Maternal-child nursing. Neonatal nursing. Perinatal nursing WY Nursing > WY 20.5 Research (General)
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.3390/ijerph19074094
SWORD Depositor:	JISC Pubrouter
Depositing User:	JISC Pubrouter
Date Deposited:	21 Jul 2022 12:48
Last Modified:	15 Jun 2023 12:34
URI:	https://archive.lstmed.ac.uk/id/eprint/20209

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