The Impact of PM+For Moms Intervention on Improving Mother's Mental Health in Zambia (PM+FM)
Study Details
Study Description
Brief Summary
CMHD are particularly prevalent among women, posing a major threat to their own and their children's wellbeing.
Despite the high prevalence of CMHD and the existence of effective treatments, interventions supporting women living in low-resourced settings remain limited.
This study builds on a parent study (Zamcharts NCT03991182), which identified a high prevalence of women with anxiety and/or depression. We propose to design, test, and validate a community-based intervention nested within the public primary health system in Zambia, to identify and treat women with mild-to-severe CMHDs.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| No Intervention: Usual care
|
|
| Experimental: Intervention
|
Behavioral: Problem Management + For Moms
Psychosocial intervention conducted by a trained Wellbeing-Community health worker. Adapted from Problem Management +, thinking healthy and Strong Minds-Strong Communities intervention to target women with small children and mental health symptoms living in low-resourced settings. Combines several evidence-based strategies such us psychoeducational, motivational interviewing, cognitive restructuring and relaxation exercises. Organized in 10 weekly sessions (8 individual 2 in group) provided in-person, by phone or virtually.
|
Outcome Measures
Primary Outcome Measures
- Change in Anxiety and Depression symptoms. [Used for the pre-post treatment analysis. Change between Baseline (at enrollment) and 4 months after enrollment]
HSCL-25. 10 questions anxiety, 15 depression; (α = 0.90).
- Change in Mental health symptoms. SRQ-20 [Change between Baseline (at enrollment) and 6 months after enrollment]
20 items measuring risk of common mental health problem.
- Feasibility of the study [Assessed 4 months after enrollment]
% of 1 or more sessions completed. Qualitative feedback from participants and providers.
- Acceptability [Assessed 4 months after enrollment]
% of participants completing more than 6 sessions. Qualitative feedback from participants and providers.
Secondary Outcome Measures
- Change in Mental health symptoms. PSYCHLOPS [Used for the pre-post treatment analysis. Change between Baseline (at enrollment) and 4 months after enrollment]
Psychological Outcome Profiles (5 items)
- Functionality [Used for the pre-post treatment analysis. Change between Baseline (at enrollment) and 4 months after enrollment]
WHO-DAS2
- World Bank's Toolkit and Inventory [Used for the pre-post treatment analysis. Change between Baseline (at enrollment) and 4 months after enrollment]
Selected measures from the World Bank Toolkit to address mother-child interactions and child early development.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Women participating in ZamCharts parent study
-
SRQ-20 >7 (clinically significant symptoms of depression or/anxiety),
-
with 1 hour a week availability
-
not planning to move within the next 6 months,
-
with capacity to consent
-
not receiving current mental health care.
Exclusion Criteria:
-
Women with active suicidal ideation (determined by Paykel=4 OR 5),
-
severe substance use (ACOK-SUD >3),
-
mania or psychotic symptoms
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Innovatations for Poverty Action | Lusaka | Zambia |
Sponsors and Collaborators
- Swiss Tropical & Public Health Institute
- Innovations for Poverty Action
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PM+FMZam