Antenatal Depression Help-seeking Trial in Eswatini (ADHS-RCT)

Taipei Medical University

Status: Enrolling

Conditions: Help-seeking Intention; Help-Seeking Behavior; Antenatal Depression

Treatments: Behavioral: Mommy ReachOut Intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT06390735

EHHRRB 194/2023 (Other Identifier)

N202312058

Details and patient eligibility

About

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.

Enrollment: 214 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Less than 30 weeks of gestation,
• Aged 18 or above
• With probable depression (Edinburg Postnatal depression scale; EPDS > 10)
• Has access to a smart phone
• Fluent in spoken and written Siswati or English (with at least secondary school education)
• Planning to remain in the country for the next 2 months
• Willing to share her dominant phone number with the study team
• Willing to participate in the intervention study

Exclusion criteria

• Antidepressants or other depression treatments
• Currently enrolled in another trial

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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214 participants in 2 patient groups

Mommy ReachOut intervention

Experimental group

Description:

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.

Treatment:

Behavioral: Mommy ReachOut Intervention

waitlist control

No Intervention group

Description:

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.