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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Enrollment
214
The momy reachOut intervention is a web-based psycho-education with 4 sessions, released over a two week period.
Mbabane Government Public Health Unit
Mbabane, Hhohho Region, Eswatini
RECRUITINGKing Sobhuza II Public Health Unit
Manzini, Eswatini
RECRUITINGHelp-seeking Intention
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.
Time frame: Baseline; Immediately post intervention; follow-up at 1 month post intervention
Help-seeking Behavior
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.
Time frame: Baseline; Immediately post intervention; follow-up at 1 month post intervention
Antenatal depressive symptoms
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.
Time frame: Baseline; Immediately post intervention; follow-up at 1 month post intervention
Health belief
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.
Time frame: Baseline; Immediately post intervention; follow-up at 1 month post intervention
Antenatal depression Stigma
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
Time frame: Baseline; Immediately post intervention; follow-up at 1 month post intervention
Depression literacy
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.
Time frame: Baseline; Immediately post intervention; follow-up at 1 month post intervention
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