Effectiveness of a Web-based Psychoeducation on Antenatal Depression Help-seeking in Eswatini
试验速览
- 阶段
- 不适用
- 入组人数
- 214
- 试验地点
- 2
- 主要终点
- Help-seeking Behavior
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •Antidepressants or other depression treatments
- •Currently enrolled in another trial
研究组 & 干预措施
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.
干预措施: Mommy ReachOut Intervention (Behavioral)
waitlist control
Participants in the control group will have access to the active treatment after completing the 6-week waiting period. Once the control participants complete the 1-month follow-up assessment, they will receive a website link to access the complete Mommy ReachOut intervention.
结局指标
主要结局
Help-seeking Behavior
时间窗: 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
时间窗: 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.
次要结局
- Antenatal depressive symptoms(Baseline; Immediately post intervention; follow-up at 1 month post intervention)
- Health belief(Baseline; Immediately post intervention; follow-up at 1 month post intervention)
- Depression literacy(Baseline; Immediately post intervention; follow-up at 1 month post intervention)
- Antenatal depression Stigma(Baseline; Immediately post intervention; follow-up at 1 month post intervention)
研究者
Lindelwa Portia Dlamini
Principal Investigator
Taipei Medical University