About this trial
This pilot randomized controlled trial aims to evaluate the feasibility, acceptability, and preliminary effects of a culturally adapted, one-day online Cognitive Behavioral Therapy (CBT)-based group workshop for women with postpartum depression in Türkiye. The intervention was adapted from a validated model developed in Ontario, Canada, using Bernal's cultural adaptation framework.
Participants will be randomly assigned in a 1:1 ratio to either a workshop group, who will receive the one-day online CBT-based workshop within the first month after enrollment, or a control group who will continue to receive usual postpartum care throughout the study period. Data will be collected at baseline and at the 3-month follow-up using the Edinburgh Postnatal Depression Scale (EPDS), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), the Frequency of Actions and Thoughts Scale (FATS), and the TÜRBAD Satisfaction Questionnaire (TÜRBAD-SQ).
The study will assess feasibility indicators including recruitment, randomization procedures, completion of study questionnaires, retention through the 3-month follow-up, and adherence to the one-day workshop. Acceptability and preliminary changes in depressive, anxiety, and cognitive-behavioral outcomes will also be explored.
This pilot trial represents the first culturally adapted, one-day online CBT-based group intervention for postpartum depression in Türkiye and will inform the design of a future large-scale randomized controlled trial.
Eligibility criteria
Qualifiers
Female participants aged 18-45 years
Having an infant aged 1-12 months
Presence of clinically relevant postpartum depressive symptoms (EPDS ≥10)
Literate in Turkish (able to read and write)
Disqualifiers
Current psychotic, bipolar, organic mental, or substance use disorder
Severe depressive episode or impaired judgment due to psychiatric illness
Active suicidal ideation or intent
Medical or neurological condition preventing participation (e.g., dementia, intellectual disability, severe hearing or visual impairment)
Trial design
Treatments tested in this trial
- One-Day Online CBT-Based Workshop