Dysmenorrhea and menstrual health in adolescent girls Other
Conditions
Interventions
Menstrual education and coping skills
The intervention has been designed to be simple and replicable, with the intention that should it be found to be effective and acceptable
it can continue to be used by the local communities outside of the remit of this research. Each girl will receive a resource booklet summarising key pain coping skills and a period tracker. This repli
Sponsors
University of Bath
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: For the adolescents, the inclusion criteria are: 1. Female aged 13 to 18 years old. We will include stakeholders which includes mothers/mother in laws/female caregivers, fathers, community leaders, religious leaders, school teachers/nurses, healthcare providers in the community. The inclusion criteria are: 1. Caregiver of girl enrolled in trial
Exclusion criteria
Exclusion criteria: 1. Unable to provide informed consent/assent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain interference measured using a 12 item scale adapted to the Nepali context, at baseline, post-intervention, and at 1-year follow up. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcome measures will be assessed at baseline, at the end of the intervention, and 1-year after the intervention. The following outcomes are measured for the adolescent girls and collected via in-person enumerator administered questionnaire: 1. Pain intensity of the last menstrual period measured using the visual analogue scale (VAS) 2. Usual pain intensity during menstruation measured using the visual analogue scale (VAS) 3. Depression measured using the Nepali Depression Self Rating Scale (NDSRS) 4. Anxiety measured using the GAD-7 5. Pain catastrophising measured using the Pain Catastrophising Scale for Children (PCS-C) 6. Beliefs about menstrual pain using the Pain Beliefs Questionnaire (PBQ) 7. Menstrual practices measured using the Menstrual Practice Needs Scale (MNPS) 8. Knowledge of the menstrual cycle using eight true/false statements 9. Menstrual stigma measured using the Nepali Menstrual Stigma Scale (NMSS) 10. Sleep measured by the sleep related impairment scale 11. Health seeking behaviour measured by use of painkillers and health facility visits 12. Overall wellbeing measured by WHOQoL 13. Menstrual restrictions practiced measured by questions about whether girls avoid doing 14 different activities during their menstrual period, with an additional question to report restrictions not otherwise listed. The following outcomes are measured for caregivers and collected via in-person enumerator administered questionnaire: 14. Menstrual stigma measured using the Nepali Menstrual Stigma Scale (NMSS) 15. Adult responses to girls’ menstrual pain using the Adult Response to Children’s Symptoms (ARCS) adult report version 16. Beliefs about menstrual pain using the Pain Beliefs Questionnaire (PBQ) | — |
Countries
Nepal
Contacts
Public ContactMelanie Channon
Outcome results
None listed