How are you feeling? Improving communication between health visitors and women from ethnic minority communities

INTERVENTION: The trialists propose to undertake the pilot within three UK regions: Sheffield, Glasgow and Camden. The unit of randomisation for the purpose of this trial will be the practices that provide health services in areas with high proportions of women from the target population groups. The practices will be randomized using a computer‐generated randomisation list. In total each region will be asked to identify eight practices that are willing to participate in the trial. The eight practices from each region will be randomly allocated into one of four groups: 1. Group 1: Control: Routine treatment* (no use of the booklets) 2. Group 2: Use of booklets with no training* 3. Group 3: Use of booklets with a training pack 4. Group 4: Use of booklets with a training pack and workshop training. *All participants in groups 1 and 2 will be offered the opportunity for training in the use of the booklets following completion of the trial. CONDITION: Communication between health visitors and women from ethnic minority communities ; Not Applicable PRIMARY OUTCOME: The main outcomes of interest from this phase of the research are: ; 1. User satisfaction with their interaction, measured by a generic satisfaction tool; 2. HV satisfaction with their interaction with the client, measured using the Agnew Relationship Measure, and qualitatively through the focus groups; 3. Change in health status of the participant ; 4. Diagnosis of PND during the trial period SECONDARY OUTCOME: Not provided at time of registration INCLUSION CRITERIA: All mothers who have a baby that is up to one year of age during the recruitment period, with English as a second language will be invited to participate in the trial. However, particular attention will be paid to the selection of participating health visitors to ensure that the areas of greatest racial diversity are included in the trial. On average, each practice will need to recruit around 10 mothers to ensure a total recruitment of 60 women into the control arm and 180 into the intervention arm. To reduce the possibility of selection bias, HVs will be asked to invite all consecutive eligible women to participate in the trial until they have reached the target number per site. The use of the booklets will be based on the clinical judgement of the HVs. All postnatal Arabic, Chinese, Urdu, Bengali, Somali speaking women in the identified practices will be approached.