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Women’s health and midwifery
Training health visitors in cognitive behavioural or person-centred approaches is cost-effective and can improve outcomes for women at risk of postnatal depression
  1. Ben Parkinson,
  2. Emma MacDonald
  1. Nursing, Glasgow Caledonian University, Glasgow, UK
  1. Correspondence to Mr Ben Parkinson, Glasgow Caledonian University, Glasgow G4 0BA, UK; ben.parkinson{at}

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Commentary on: Henderson C, Dixon S, Bauer A. et al. Cost-Effectiveness of PoNDER Health Visitor Training for Mothers at Lower Risk of Depression: Findings on Prevention of Postnatal Depression from a Cluster-Randomised Controlled Trial. Psychological Medicine 2018;1–11. 10.1017/S0033291718001940.

Implications for practice and research

  • Health visitors (HVs) should be trained and supported to deliver a cognitive behavioural approach (CBA) or a person-centred approach (PCA).

  • Research should be undertaken to determine whether the POstNatal Depression Economic evaluation and Randomised (PoNDER) Trial remains clinically effective and cost-effective when delivered by other health professionals.

  • Future research should explore the longer-term cost-effectiveness and social impact of using PoNDER with women experiencing postnatal depression (PND).


PND is common and can have a negative impact on both maternal and infant health.1 PND affects maternal-infant interaction and can lead to long-term adverse outcomes for children.1 HVs in the UK offer a universal service …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Commissioned; internally peer reviewed.