Antenatal Depression, Help-Seeking Behavior, Help-seeking Intention
Conditions
Keywords
antenatal depression, Web-based interventions, Psychoeducation, RCT, Eswatini, Help-seeking
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.
Interventions
BEHAVIORALMommy ReachOut Intervention
The momy reachOut intervention is a web-based psycho-education with 4 sessions, released over a two week period.
Sponsors
Taipei Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Investigator, Outcomes Assessor)
Intervention model description
This two armed trial will include an intervention group and a waitlist control group.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 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
Exclusion criteria
* Antidepressants or other depression treatments * Currently enrolled in another trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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. |
| 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. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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. |
| 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 |
| 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. |
Countries
Eswatini
Contacts
Primary ContactLindelwa Portia Dlamini, MSc
Backup ContactMin-Huey Chung, PhD
Outcome results
None listed