Antenatal Depression Help-seeking Trial in Eswatini
- Conditions
- Help-seeking IntentionHelp-Seeking BehaviorAntenatal Depression
- Interventions
- Behavioral: Mommy ReachOut Intervention
- Registration Number
- NCT06390735
- Lead Sponsor
- Taipei Medical University
- Brief Summary
The goal of this trial to test if a web-based psychoeducation will work in improving depression help-seeking intention and behavior among antenatal women with probable depression in Eswatini. The main question it aims to answer is:
• Does the web-based psychoeducation improve depression help-seeking intention and help-seeking behavior in antenatal women with probable depressive symptoms?
Researchers will compare this web-based psychoeducation to a waitlist control, to see if the program works in improving depression help-seeking intention and behavior during pregnancy.
* The psychoeducation program will have a total of 4 sessions, which will be given to participants over a two-week period. two sessions will be delivered each week.
* Participants will be asked questions before the intervention starts, immediately the intervention ends as well as after a month of completing the intervention.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- Female
- Target Recruitment
- 214
- Less than 30 weeks of gestation,
- Aged 18 or above
- With probable depression (Edinburg Postnatal depression scale; EPDS > 10)
- Has access to a smart phone
- Fluent in spoken and written Siswati or English (with at least secondary school education)
- Planning to remain in the country for the next 2 months
- Willing to share her dominant phone number with the study team
- Willing to participate in the intervention study
- Antidepressants or other depression treatments
- Currently enrolled in another trial
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Mommy ReachOut intervention Mommy ReachOut Intervention The intervention group will receive the Mommy ReachOut intervention, which is a web-based psychoeducation, consisting of a total of 4 sessions to be released over a 2-week period. Two sessions will be released each week, with each session consisting of readable mental health information and videos. Content for this intervention was based on previous reviews, previous intervention studies and the Diagnostic and Statistical manual of mental health disorders (DSM-5). Session content included basic information about antenatal depression, shared antenatal depression experiences, issues around stigma towards antenatal depression, and local resources available for antenatal women with depression in Eswatini.
- Primary Outcome Measures
Name Time Method Help-seeking Behavior Baseline; Immediately post intervention; follow-up at 1 month post intervention Actual Help Seeking Questionnaire - This 9 item scale uses binary responses (Yes or No) to measure actual help-seeking behavior. The total score is computed by summing up all item scores, where a higher score indicates higher help-seeking behavior. The total possible score ranges from 0 to 9.
Help-seeking Intention Baseline; Immediately post intervention; follow-up at 1 month post intervention General Help Seeking Questionnaire - This 9 item scale adopted a 3 point Likert scale (Unlikely, maybe, Likely) to measure help-seeking intention. The total score is computed by summing up all item scores, where a higher score indicates higher help-seeking intention. The total possible score ranges from 9 to 27.
- Secondary Outcome Measures
Name Time Method Antenatal depressive symptoms Baseline; Immediately post intervention; follow-up at 1 month post intervention Edinburgh Postnatal Depression Scale - A set of 10 items are used to measure antenatal depressive symptoms on a 4-point Likert scale (0-3). The overall score ranges from 0 to 30 and is computed by summing up all item scores. A high sum of scores indicates a high level of depressive symptoms.
Health belief Baseline; Immediately post intervention; follow-up at 1 month post intervention Theory of Planned Behavior questionnaire - The tool has 13 items that rate the constructs of the theory of planned behavior on a 5-point Likert scales (strongly disagree to strongly agree). The possible score ranges from 13 to 65, with higher scores indicating more favorable attitudes towards help-seeking, greater subjective norms to seek help, and more control over one's behavior.
Depression literacy Baseline; Immediately post intervention; follow-up at 1 month post intervention Depression literacy scale - The scale measures participants knowledge of the signs of depression, risk factors, and treatment among others. participants respond to each item with a true (1) or false (0), therefore, the total possible score ranges from 0 to 22. From summing up all item scores, a higher score will indicate high antenatal depression literacy.
Antenatal depression Stigma Baseline; Immediately post intervention; follow-up at 1 month post intervention Depression stigma scale - The 9 items in this scale measure personal stigma towards depression. Responses to each item are measured on a five-point Likert scale (strongly disagree to strongly agree). The total score is through summing up all item scores and a total possible score ranges from 0 to 36. A higher score indicates higher levels of personal depression stigma
Trial Locations
- Locations (2)
King Sobhuza II Public Health Unit
🇸🇿Manzini, Swaziland
Mbabane Government Public Health Unit
🇸🇿Mbabane, Hhohho, Swaziland