Pilot Evaluation of the Thriving Mamas Programme

Training Feasibility

Feasibility of Intervention Measure (FIM); Subjective report of feasibility of intervention; measures the extent to which a new treatment, or an innovation, can be successfully used or carried out within a given agency or setting. Minimum=5, Maximum=25; higher score is better

Time frame: Immediately after provider training

Training Acceptability

Acceptability of Intervention Measure (AIM); Subjective report of acceptability of intervention; A 5-item scale that measures the perception among implementation stakeholders that a given treatment, service, practice, or innovation is agreeable, palatable, or satisfactory. Minimum=5, Maximum=25; higher score is better

Time frame: Immediately after provider training

Training Appropriateness

Intervention Appropriateness Measure (IAM); Subjective report of appropriateness of intervention; A 5-item scale that measures the perceived fit, relevance, or compatibility of the innovation or evidence-based practice for a given practice setting, provider, or consumer, and/or perceived fit of the innovation to address a particular issue or problem. Minimum=5, Maximum=25; higher score is better

Time frame: Immediately after provider training

Knowledge

Study-specific measure of mentor mothers' knowledge of issues regarding pregnancy, childbirth, caregiving, mental health, and referral pathways will be assessed using a study-specific quiz based upon the intervention manual; Minimum=0, Maximum=16; higher score is better

Time frame: Baseline and immediately after provider training

Change in mental health attitudes

Social Distance Scale (SDS); The SDS measures the acceptability of different degrees of social distance and, by inference, the attitude of the respondent to the person with the condition; Minimum=1, Maximum=96; higher score is better

Time frame: Baseline and immediately after provider training

Change in adolescent pregnancy attitudes

Study-specific attitudes towards adolescent pregnancy survey; Minimum=4, Maximum=20; lower score is better

Time frame: Baseline and immediately after provider training

Provider competency

Study-specific single 10-point scale to assess provider ability to deliver the intervention; Minimum=0, Maximum=10; higher score is better

Time frame: Immediately after provider training

Recruitment rate

Proportion of adolescents providing consent to participate in the study

Time frame: pre-intervention

Cost of intervention

Total and average cost of the intervention per participant

Time frame: through study completion, an average of 24 weeks

Change in adolescent depression

Patient Health Questionnaire (PHQ-9); Nine-item screening tool which assesses depression symptoms according to clinical criteria. Minimum=0, Maximum=27. A score ≥10 indicates moderate to severe depression.

Time frame: through study completion, an average of 24 weeks

Change in adolescent anxiety

Generalised Anxiety Disorder scale (GAD-7); Seven-item screening tool which assesses anxiety symptoms according to clinical criteria. Minimum=0, Maximum=21. A score ≥10 indicates moderate to severe anxiety.

Time frame: through study completion, an average of 24 weeks

Change in adolescent quality of life

WHO Quality of Life brief version (WHOQOL-BREF); 26-item scale assesses a respondent's perceived quality of life across four domains: physical health; psychological; social relationships; and environment. Total minimum=25, Total maximum=125. Higher scores indicate greater quality of life in a particular domain.

Time frame: through study completion, an average of 24 weeks

Change in adolescent social support

Multidimensional Scale of Perceived Social Support (MSPSS); The MSPSS is a 12-item scale which measures social support from family, friends and significant others. Minimum=12, Maximum=84. Higher scores indicate greater social support.

Time frame: through study completion, an average of 24 weeks

Adolescent parenting competency

Parenting Sense of Competency Scale; 17-item scale to measure adolescents' perceived parenting abilities. Minimum=17, Maximum=102. Higher scores indicate greater perceived competence.

Time frame: through study completion, an average of 24 weeks

Perinatal appointment attendance

Number of participants attending antenatal appointments

Time frame: through study completion, an average of 24 weeks

Referral uptake

Proportion of adolescents attending referral appointments

Time frame: 10-12 weeks post-partum

Change in infant vaccination

Number of participants intending to or having had their babies vaccinated

Time frame: Baseline and 10-12 weeks post-partum

Change in breastfeeding

Number of participants intendng to or are currently breastfeeding

Time frame: Baseline and 10-12 weeks post-partum

Change in intended time to next pregnancy

Study-specific health behaviours questionnaire to assess intended or actual contraceptive Nuimber of participants that want more children who intend to wait at least 15 months before next pregnancy

Time frame: Baseline and 10-12 weeks post-partum

Change in contraceptive use

Number of participants intending to or currently using contraceptives to delay pregnancy

Time frame: Baseline and 10-12 weeks post-partum

Change in perception of intervention

Study-specific five-item measure assessing knowledge gained, interest in intervention, and support recieved; Minimum=0; Maximum=5; higher score is better

Time frame: Baseline and 10-12 weeks post-partum