A Common Elements-based Intervention to Improve Maternal Psychological Well-being and Mother-infant Interaction
Maternal Distress, Perinatal Depression, Development Delay
About this trial
This is an interventional treatment trial for Maternal Distress
Eligibility Criteria
Inclusion Criteria:
- Pregnant with third trimester (28 gestational week)
- Age 18-40 years
- Intent to reside in the study areas until the completion of the study
- Score ≥9 on the SRQ
Exclusion Criteria:
- Women who require immediate or on-going medical or psychiatric care reported.
- Severe previous or current obstetric morbidity including eclampsia and antepartum hemorrhage;
- Medical disorders that require inpatient management (e.g., diabetes, hypertension, thromboembolism, cardiac disease)
Sites / Locations
- Human Development Research Foundation
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Intervention arm
Treatment as Usual (TAU)
Distressed mothers randomized to intervention arm will receive a common elements based integrated intervention that combines evidence based elements from packages of care addressing early stimulation, responsive feeding and perinatal depression. The integrated intervention is expected to a) improve mother psychological distress, b) improve family support, c) improve child development and d) promote mother-infant interaction. The participants will receive 15 monthly sessions at home by lay health workers. First three sessions will be delivered to the participants in the third trimester of pregnancy, followed by 12 monthly sessions afterwards.
The participants in the control arm will receive the routine monthly visits by the trained Lady Health Workers (LHWs) of their respective areas.