Evaluating the impact of a common elements-based intervention to improve maternal psychological well-being and mother-infant interaction in rural Pakistan: study protocol for a randomised controlled trial.

Huma, Zill-E-, Gillani, Ayella, Shafique, Fakhira, Rashid, Alina, Mahjabeen, Bushra, Javed, Hashim, Wang, Duolao ORCID: https://orcid.org/0000-0003-2788-2464, Rahman, Atif and Hamdani, Syed Usman (2021) 'Evaluating the impact of a common elements-based intervention to improve maternal psychological well-being and mother-infant interaction in rural Pakistan: study protocol for a randomised controlled trial.'. BMJ Open, Vol 11, Issue 7, e047609.

Preview

Text bmjopen-Evaluating the impact...intervention DWang.pdf - Published Version Available under License Creative Commons Attribution. Download (684kB) | Preview

Abstract

INTRODUCTION
Millions of children in low resource settings are at high risk of poor development due to factors such as under nutrition, inadequate stimulation and maternal depression. Evidence-based interventions to address these risk factors exist, but often as a separate and overlapping package. The current study aims to evaluate the effectiveness of a common elements-based intervention to improve mother-infant interaction at 12 months post-partum.

METHOD AND ANALYSIS
A two-arm, single-blinded, individual randomised controlled trial is being carried out in the community settings of the rural subdistrict of Gujar Khan in Rawalpindi, Pakistan. 250 pregnant women in third trimester with distress (Self-Reporting Questionnaire, cut-off score >9) have been randomised on 1:1 allocation ratio into intervention (n=125) and treatment-as-usual arms (n=125). The participants in the intervention arm will receive 15 individual sessions of intervention on a monthly basis by non-specialist facilitators. The intervention involves components of early stimulation, learning through play, responsive feeding, guided discovery using pictures, behavioural activation and problem solving. The primary outcome is caregiver-infant interaction at 12 months postpartum. The secondary outcomes include maternal psychological well-being, quality of life, social support and empowerment. Infant secondary outcomes include growth, nutrition and development. The data will be collected at baseline, 6 and 12 months postpartum. A qualitative process evaluation will be conducted to inform the feasibility of intervention delivery.

ETHICS
Ethics approval for the present study was obtained from the Human Development Research Foundation Institutional Review Board, Islamabad Pakistan.

DISSEMINATION
If proven effective, the study will contribute to scale-up care for maternal and child mental health in low resource settings, globally. The findings of the present study will be published in peer-reviewed journals and presented at conferences and community forums.

TRIAL REGISTRATION NUMBER
NCT04252807.

Item Type:	Article
Subjects:	WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare WA Public Health > Health Problems of Special Population Groups > WA 320 Child Welfare. Child Health Services. WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WM Psychiatry > WM 100 General works
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department
Digital Object Identifer (DOI):	https://doi.org/10.1136/bmjopen-2020-047609
Depositing User:	Julie Franco
Date Deposited:	12 Aug 2021 10:49
Last Modified:	12 Aug 2021 10:49
URI:	https://archive.lstmed.ac.uk/id/eprint/18639

Statistics

View details

Actions (login required)

Edit Item