None listed
Conditions
Brief summary
This was a feasibility trial of an intervention to raise awareness about psychological distress in pregnant women living in a post-conflict setting, The rationale of the study was to evaluate the feasibility and acceptability of the research procedures in pregnant women in low-resources settings affected by humanitarian emergency. This study compares the relative efficacy of (a) Psycho-educational intervention and (b) Routine care. It is hypothesized that Psycho-educational intervention will lead to increase in uptake of services/help for their psychological distress than routine care.
Interventions
There are two arms to this trial. Arm 1: Psycho-educational sessions. Arm 2: Routine care. The intervention arm received an initial introductory session of 20 minutes duration regarding the intervention with each participant's family; for family buy in and participation in the next visit. This was followed by the main session of around one hour duration to the whole family in their home by the local community health worker. The intervention focuses attention on maternal psycho-social well-being,
There are two arms to this trial. Arm 1: Psycho-educational sessions. Arm 2: Routine care. The intervention arm received an initial introductory session of 20 minutes duration regarding the intervention with each participant's family; for family buy in and participation in the next visit. This was followed by the main session of around one hour duration to the whole family in their home by the local community health worker. The intervention focuses attention on maternal psycho-social well-being, associating it with the optimal growth and development of the unborn child. The main areas of the intervention were empathetic listening, availability of social support, ensuring the pregnant woman regarding the circle of support that is available, domestic peace, balanced diet, rest, engagement of the pregnant woman in pleasurable activities, routine check-up during pregnancy, consulting doctor in case the distress is not relieved and maintenance of household peace and harmony throughout. These were described as steps for the health and well-being of the pregnant woman and her unborn child. Each of these steps has a maternal well-being message for the whole family. The intervention uses a simple pictorial approach of paired illustrations with one showing unwanted behaviors and the other positive actions to achieve the desired outcome of support for the mother and were designed specifically for this intervention. The duration of the study for any participant will conclude after two months follow-up assessment post intervention.
Sponsors
Human Development Research Foundation
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
15 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
SRQ score of >8 at any stage of their pregnancy were eligible for participation in the study. All the participants were sourced from the cross sectional study that has been published and referenced as below. Khan, M. N., Chiumento, A., Dherani, M., Bristow, K., Sikander, S., and Rahman, A (2015). Psychological distress and its associations with past events in pregnant women affected by armed conflict in Swat, Pakistan: a cross sectional study. Conflict and Health. 2015; 9(1).
Exclusion criteria
a) Participants with suicidal intent b) Severe mental or medical illness c) Recently given birth d) Living with another women with an SRQ score of 9 or above.
Outcome results
None listed