AFFIRM-SA trial

Conditions

Pregnancy and Childbirth perinatal depression

Susan Cleary, Stacey Orangi, Emily Garman, Hanani Tabani, Marguerite Schneider et al. (6 authors)

BJPsych Open2020-04-0310 citations

10.1192/bjo.2020.15

A process evaluation exploring the lay counsellor experience of delivering a task shared psycho-social intervention for perinatal depression in Khayelitsha, South Africa

Memory Munodawafa, Crick Lund, Marguerite Schneider

BMC Psychiatry2017-07-0135 citations

10.1186/s12888-017-1397-9

Task sharing of a psychological intervention for maternal depression in Khayelitsha, South Africa: study protocol for a randomized controlled trial.

Lund C, Schneider M, Davies T, Nyatsanza M, Honikman S, Bhana A, Bass J, Bolton P, Dewey M, Joska J, Kagee A, Myer L, Petersen I, Prince M, Stein DJ, Thornicroft G, Tomlinson M, Alem A, Susser E.

2014-11-2134 citations

10.1186/1745-6215-15-457

Interventions

Enhanced usual care

Basic manual based counselling for 6 sessions by trained community health workers

Basic manual based counselling for 6 sessions by trained lay counsellors

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: ¿ Women attending antenatal clinics at the Michael Mapongwana Community Health Centre in Khayelitsha, presenting for their first booking appointment, no later than 28 weeks gestation ¿ Living in Khayelitsha ¿ 18 years or older ¿ Screen positive for depression with a cut off of 13 or more on the EPDS ¿ Able to give informed consent

Exclusion criteria

Exclusion criteria: ¿ Require urgent medical attention or have severe mental health problems, defined as a diagnosis of schizophrenia, bipolar mood disorder, or currently experiencing an episode of psychosis. ¿ Individuals assessed as being suicidal and requiring immediate referral to a mental health specialist (as indicated by a score of 17 or higher on the Suicide module of the Mini International Neuropsychiatric Interview 6.0.0 (MINI). ¿ Women who do not speak isiXhosa as a first language

Design outcomes

Primary

Measure	Time frame
scores on Hamilton depression rating scale	—

Secondary

Measure	Time frame
Edinburgh Postnatal depression scale (EPDS);Mini International Psychiatric Interview 2.0.0 (MINI) Major depression ;Mini International Psychiatric Interview 2.0.0 (MINI) Suicidality;Multidimensional Scale of Perceived Social Support (MSPSS);WHO-DAS 2.0 12 item version;Health services utilisation questionnaire;Cape Town Functional Assessment Instrument for Maternal Depression;Infant outcome measures (head circumference, weight, height, feeding, diarrhoea, respiratory tract infections, immunisation	—

Measure

Time frame

Edinburgh Postnatal depression scale (EPDS);Mini International Psychiatric Interview 2.0.0 (MINI) Major depression ;Mini International Psychiatric Interview 2.0.0 (MINI) Suicidality;Multidimensional Scale of Perceived Social Support (MSPSS);WHO-DAS 2.0 12 item version;Health services utilisation questionnaire;Cape Town Functional Assessment Instrument for Maternal Depression;Infant outcome measures (head circumference, weight, height, feeding, diarrhoea, respiratory tract infections, immunisation

—

Countries

South Africa

Contacts

Public ContactMarguerite Schneider

AFFIRM Project Manager

marguerite.schneider@uct.ac.za+27214066308

Outcome results

None listed