Antenatal Depression
Conditions
Keywords
Mindfulness training, Antenatal depression, Male Child preference, Perceived Stress
Brief summary
This study will assess the feasibility of a modified mindfulness training intervention aimed at reducing antenatal depression and perceived stress in pregnant women with male child preference. The findings aim to support mental health interventions in maternity care.
Detailed description
Utilizing the ADAPT-ITT framework, this study will tailor mindfulness-based interventions to address unique cultural stressors, particularly those affecting maternal mental health due to male child preference.
Interventions
BEHAVIORALModified Mindfulness Training Program (MMTP)
The intervention, designed as a Modified Mindfulness Training Program (MMTP), aims to reduce antenatal depression and perceived stress among pregnant women, especially those with a preference for a male child. This program is adapted to address culturally specific stressors relevant to these women, promoting mental health and resilience during pregnancy. The intervention is based on Nola Pender's Health Promotion Model and structured using the ADAPT-ITT framework, which includes Assessment, Decision, Adaptation, Production, Topical Experts, Integration, Training, and Testing phases. This phased approach ensures cultural relevance and feasibility within the target population of pregnant women in Pakistan. Duration and Frequency: The intervention consists of six weekly sessions, each lasting two hours, held in a serene, controlled environment within a seminar room at Sindh Govt. Qatar Hospital, Karachi.
Sponsors
Khyber Medical University Peshawar
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
A feasibility trial using the ADAPT-ITT framework will randomly assign participants to two groups.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Pregnant women in the first and second trimester * Score ≥10 on the Edinburgh Postnatal Depression Scale (EPDS)
Exclusion criteria
* Psychiatric illness history, use of psychiatric medication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction in Antenatal Depression | Baseline assessment, immediately post-intervention (six weeks), and one-month follow-up. | This outcome specifically measures changes in antenatal depression levels among pregnant women with male child preference. Depression will be assessed using the Edinburgh Postnatal Depression Scale (EPDS), with scores taken at baseline, immediately post-intervention, and at the one-month follow-up. A reduction in EPDS scores from baseline to follow-up indicates improvement in mental health. |
| Reduction in Perceived Stress | Immediately post-intervention (after six weeks) | This outcome focuses on changes in perceived stress levels using the Perceived Stress Scale (PSS-10). Scores will be taken at baseline, post-intervention, and one-month follow-up to measure the effectiveness of the Modified Mindfulness Training Program (MMTP) on stress reduction. |
| Participant Satisfaction with the Modified Mindfulness Training Program | Immediately post-intervention (after six weeks) | This outcome measures participant satisfaction levels with the Modified Mindfulness Training Program intervention, gauging ease of use, cultural appropriateness, and overall program relevance. Data will be gathered using a post-intervention feedback survey with Likert-scale responses. |
| Acceptability of the Modified Mindfulness Training Program in a Clinical Setting | Immediately post-intervention (after six weeks) | This outcome evaluates the acceptability of the Modified Mindfulness Training Program intervention in a clinical setting, using qualitative data from open-ended interviews. The qualitative feedback will indicate cultural appropriateness and feasibility of implementation. |
| Follow-Up Effects on Coping Skills | One-month follow-up after intervention completion | This outcome assesses sustained improvements in coping skills for managing antenatal stress post-intervention, measured through scores on the PSS-10 at one-month follow-up. |
| Follow-Up Effects on Resilience | One-month follow-up after intervention completion | This outcome focuses on the resilience of participants in managing antenatal depression, measured through EPDS scores and supported by qualitative feedback at one-month follow-up. |
Countries
Pakistan
Outcome results
None listed