Trial reportBMJ open2016
Gender-informed, psychoeducational programme for couples to prevent postnatal common mental disorders among primiparous women: cluster randomised controlled trial.
Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Involving men to improve maternal and newborn health: A systematic review of the effectiveness of interventions.PloS one · 2018Pooled it
- Pooled it
- Can psychological interventions prevent or reduce risk for perinatal anxiety disorders? A systematic review and meta-analysis.General hospital psychiatryPooled it
- Screening for perinatal depression with the Patient Health Questionnaire depression scale (PHQ-9): A systematic review and meta-analysis.General hospital psychiatryPooled it
- Trial
- Educational tools that address pregnancy-related complications in the postpartum period: A scoping review.Pregnancy (Hoboken, N.J.) · 2026Review
- Couples-based interventions for perinatal depression and anxiety: A global systematic review.SSM. Mental health · 2026Article
- Working toward a stepped-care model of postnatal mental healthcare to improve access: the Theory of Change approach.BMC health services research · 2025Article
- Development of Powerly, unguided mobile app intervention preventing postpartum depression and anxiety & study protocol of randomized clinical trial.Internet interventions · 2025Article
- Prevention of common mental disorders among women in the perinatal period: a critical mixed-methods review and meta-analysis.Global mental health (Cambridge, England) · 2022Review
- Male partner participation in maternity care and social support for childbearing women: a discussion paper.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2021Article
- Preconception depression and anxiety symptoms and maternal-infant bonding: a 20-year intergenerational cohort study.Archives of women's mental health · 2021Article
- A Review of the Involvement of Partners and Family Members in Psychosocial Interventions for Supporting Women at Risk of or Experiencing Perinatal Depression and Anxiety.International journal of environmental research and public health · 2021Review
- Brief evidence-based interventions for universal child health services: a restricted evidence assessment of the literature.BMC public health · 2020Review
- Gender competence and mental health promotion.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2020Article
- Prevention of Mental Health Difficulties for Children Aged 0-3 Years: A Review.Frontiers in psychology · 2020Review
- Parental and health professional evaluations of a support service for parents of excessively crying infants.BMC health services research · 2019Article
- Maternal mental health priorities, help-seeking behaviors, and resources in post-conflict settings: a qualitative study in eastern Uganda.BMC psychiatry · 2018Article
- Risk of perpetrating intimate partner violence amongst men exposed to torture in conflict-affected Timor-Leste.Global mental health (Cambridge, England) · 2018Article
- Gender-informed psycho-educational programme to promote respectful relationships and reduce postpartum common mental disorders among primiparous women: long-term follow-up of participants in a community-based cluster randomised controlled trial.Global mental health (Cambridge, England) · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesInterventions to prevent postpartum common mental disorders (PCMD) among unselected populations of women have had limited success. The aim was to determine whether What Were We Thinking (WWWT) a gender-informed, psychoeducational programme for couples and babies can prevent PCMD among primiparous women 6 months postpartum.
designCluster-randomised controlled trial.
setting48 Maternal and Child Health Centres (MCHCs) from 6 Local Government Areas in Melbourne, Australia were allocated randomly to usual care (24) or usual care plus WWWT (24).
participantsEnglish-speaking primiparous women receiving primary care at trial MCHCs were recruited to the intervention (204) and control (196) conditions. Of these, 187 (91.7%) and 177 (90.3%) provided complete data.
interventionWWWT is a manualised programme comprising primary care from a trained nurse, print materials and a face-to-face seminar.
main outcome measuresData sources were standardised and study-specific measures collected in blinded computer-assisted telephone interviews at 6 and 26 weeks postpartum. The primary outcome was PCMD assessed by Composite International Diagnostic Interviews and Patient Health Questionnaire (PHQ) Depression and Generalised Anxiety Disorder modules.
resultsIn intention-to-treat analyses the adjusted OR (AOR) of PCMD in the intervention compared to the usual care group was 0.78 (95% CI 0.38 to 1.63, ns), but mild to moderate anxiety symptoms (AOR 0.58, 95% CI 0.35 to 0.97) and poor self-rated health (AOR 0.46, 95% CI 0.22 to 0.97) were significantly lower. In a per protocol analysis, comparing the full (three component) intervention and usual care groups, the AOR of PCMD was 0.36, (95% CI 0.14 to 0.95). The WWWT seminar was appraised as salient, comprehensible and useful by >85% participants. No harms were detected.
conclusionsWWWT is readily integrated into primary care, enables inclusion of fathers and addresses modifiable risks for PCMD directly. The full intervention appears a promising programme for preventing PCMD, optimising family functioning, and as the first component of a stepped approach to mental healthcare. TRIAL REGISTRATION NUMBER: ACTRN12613000506796; Results.
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