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| ID | Type | Description | Link |
|---|---|---|---|
| EHHRRB 194/2023 | Other Identifier | Eswatini Health and Human Research Review Board |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mommy ReachOut intervention | Experimental | The intervention group will receive the Mommy ReachOut intervention, which is a web-based psychoeducation, consisting of a total of 4 sessions to be released over a 2-week period. Two sessions will be released each week, with each session consisting of readable mental health information and videos. Content for this intervention was based on previous reviews, previous intervention studies and the Diagnostic and Statistical manual of mental health disorders (DSM-5). Session content included basic information about antenatal depression, shared antenatal depression experiences, issues around stigma towards antenatal depression, and local resources available for antenatal women with depression in Eswatini. |
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| waitlist control | No Intervention | Participants in the control group will have access to the active treatment after completing the 6-week waiting period. Once the control participants complete the 1-month follow-up assessment, they will receive a website link to access the complete Mommy ReachOut intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mommy ReachOut Intervention | Behavioral | The momy reachOut intervention is a web-based psycho-education with 4 sessions, released over a two week period. |
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| Measure | Description | Time Frame |
|---|---|---|
| Help-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. | 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. | Baseline; Immediately post intervention; follow-up at 1 month post intervention |
| Measure | Description | Time Frame |
|---|---|---|
| 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. | Baseline; Immediately post intervention; follow-up at 1 month post intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lindelwa Portia Dlamini, MSc | Contact | +268 78369828 | ndedlamini@gmail.com | |
| Min-Huey Chung, PhD | Contact | minhuey300@tmu.edu.tw |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mbabane Government Public Health Unit | Recruiting | Mbabane | Hhohho Region | H001 | Eswatini |
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| ID | Term |
|---|---|
| D000066505 | Help-Seeking Behavior |
| ID | Term |
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| D012919 | Social Behavior |
| D001519 | Behavior |
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This two armed trial will include an intervention group and a waitlist control group.
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| 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. | 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 | 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. | Baseline; Immediately post intervention; follow-up at 1 month post intervention |
| King Sobhuza II Public Health Unit | Recruiting | Manzini | Eswatini |
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