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| Name | Class |
|---|---|
| Innovations for Poverty Action | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Usual care | No Intervention | ||
| Intervention | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Problem Management + For Moms | Behavioral | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Mental health symptoms. SRQ-20 | 20 items measuring risk of common mental health problem. | 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. | Assessed 4 months after enrollment |
| Acceptability | % of participants completing more than 6 sessions. Qualitative feedback from participants and providers. | Assessed 4 months after enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Mental health symptoms. PSYCHLOPS | Psychological Outcome Profiles (5 items) | Used for the pre-post treatment analysis. Change between Baseline (at enrollment) and 4 months after enrollment |
| Functionality |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Innovatations for Poverty Action | Lusaka | Zambia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39515361 | Derived | Fink G, Melero-Dominguez M, Chembe M, de Vernisy-Romero D, Tembo T, Billima T, Paul R, Alegria M, Parkerson D, Rockers PC, Banda Z, Lungu G, Sikazwe D, Falgas-Bague I. Feasibility and acceptability of the Problem Management for Moms programme for improving maternal mental health in Zambia: an open-label trial. Lancet Psychiatry. 2024 Dec;11(12):965-974. doi: 10.1016/S2215-0366(24)00256-6. Epub 2024 Nov 5. | |
| 38181004 |
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| ID | Term |
|---|---|
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| D000067073 | Psychological Trauma |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D001523 | Mental Disorders |
| D040921 | Stress Disorders, Traumatic |
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|
WHO-DAS2
| 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. | 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). | Used for the pre-post treatment analysis. Change between Baseline (at enrollment) and 4 months after enrollment |
| Derived |
| Falgas-Bague I, Melero-Dominguez M, de Vernisy-Romero D, Tembo T, Chembe M, Lubozha T, Paul R, Parkerson D, Rockers PC, Sikazwe D, Fink G. Testing the feasibility, acceptability, and exploring trends on efficacy of the problem management plus for moms: Protocol of a pilot randomized control trial. PLoS One. 2024 Jan 5;19(1):e0287269. doi: 10.1371/journal.pone.0287269. eCollection 2024. |
| D000068099 |
| Trauma and Stressor Related Disorders |