CMHD are particularly prevalent among women, posing a major threat to their own and their children's wellbeing. Despite the high prevalence of CMHD and the existence of effective treatments, interventions supporting women living in low-resourced settings remain limited. This study builds on a parent study (Zamcharts NCT03991182), which identified a high prevalence of women with anxiety and/or depression. We propose to design, test, and validate a community-based intervention nested within the public primary health system in Zambia, to identify and treat women with mild-to-severe CMHDs.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
270
Psychosocial intervention conducted by a trained Wellbeing-Community health worker. Adapted from Problem Management +, thinking healthy and Strong Minds-Strong Communities intervention to target women with small children and mental health symptoms living in low-resourced settings. Combines several evidence-based strategies such us psychoeducational, motivational interviewing, cognitive restructuring and relaxation exercises. Organized in 10 weekly sessions (8 individual 2 in group) provided in-person, by phone or virtually.
Innovatations for Poverty Action
Lusaka, Zambia
Change in Mental health symptoms. SRQ-20
20 items measuring risk of common mental health problem.
Time frame: Change between Baseline (at enrollment) and 6 months after enrollment
Feasibility of the study
% of 1 or more sessions completed. Qualitative feedback from participants and providers.
Time frame: Assessed 4 months after enrollment
Acceptability
% of participants completing more than 6 sessions. Qualitative feedback from participants and providers.
Time frame: Assessed 4 months after enrollment
Change in Mental health symptoms. PSYCHLOPS
Psychological Outcome Profiles (5 items)
Time frame: Used for the pre-post treatment analysis. Change between Baseline (at enrollment) and 4 months after enrollment
Functionality
WHO-DAS2
Time frame: Used for the pre-post treatment analysis. Change between Baseline (at enrollment) and 4 months after enrollment
World Bank's Toolkit and Inventory
Selected measures from the World Bank Toolkit to address mother-child interactions and child early development.
Time frame: Used for the pre-post treatment analysis. Change between Baseline (at enrollment) and 4 months after enrollment
Change in Anxiety and Depression symptoms.
HSCL-25. 10 questions anxiety, 15 depression; (α = 0.90).
Time frame: Used for the pre-post treatment analysis. Change between Baseline (at enrollment) and 4 months after enrollment
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