"Thinking Healthy Programme" for Perinatal Depression in Nepal
Perinatal Depression
About this trial
This is an interventional treatment trial for Perinatal Depression focused on measuring perinatal depression, psychological intervention, nonspecialist, low and middle income countries, pilot cluster randomized control trial
Eligibility Criteria
Inclusion Criteria:
- Pregnant women
- Should be residing in the FCHV's catchment area
- Should be between 4-7 months pregnant.
- Should have no severe physical health conditions
- Should have depressive symptoms (scores 10 or higher in PHQ-9).
Exclusion Criteria:
- Women reporting miscarriage, abortion, or still birth will be excluded from the THP intervention (but referred to the psychosocial counsellor for further care)
Sites / Locations
- Transcultural Psychosocial Organization Nepal
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention Arm: Thinking Healthy Programme
Control Arm: Usual Care
Perinatal women identified with depression in intervention arm will be engaged in 2 modules, one during pregnancy and one during postnatal. Each module has 3 sessions each focusing on a) mother's health, b) the mother-baby relationship, and c) the mother's relationship with others. Altogether 8 sessions (including 1 introductory session, 6 THP sessions, and 1 closing session) each lasting 30 minutes to 1 hour will be provided to intervention arm participants. In the third session of each module that deals with "the mother's relationship with others", family members will be engaged as well. Questionnaire evaluation will be conducted at baseline, post-Module 1 (after 2 months from recruitment date) and at 3 months post delivery after completing Module 2 and closing session.
Subjects in the control arm will receive usual care, where perinatal women identified with depression, are provided with psychoeducation about their condition and about the availability of services at the health facility and other health information. They will be then referred to the health facility where trained health workers are available.