Effect of a lay counselor-delivered integrated maternal mental health and early childhood development group-based intervention in Northern Ghana: a cluster-randomized controlled trial

被引：13

作者：

Baumgartner, Joy Noel ^{[1
,2
]}

Ali, Mohammed ^{[3
]}

Gallis, John A. ^{[2
,4
]}

Lillie, Margaret ^{[2
]}

Owusu, Raymond ^{[3
]}

Abubakr-Bibilazu, Safiyatu ^{[3
]}

Adam, Haliq ^{[3
]}

Aborigo, Raymond ^{[5
]}

McEwan, Elena ^{[6
]}

Zhou, Yunji ^{[2
,4
]}

Kim, Eunsoo Timothy ^{[2
]}

Mackness, Jessica ^{[2
]}

Williams, John Koku Awoonor ^{[7
]}

Hembling, John ^{[6
]}

机构：

[1] Univ North Carolina, 325 Pittsboro St, Chapel Hill, NC 27516 USA

[2] Duke Univ, Duke Global Hlth Inst, Durham, NC 27708 USA

[3] Catholic Relief Serv Country Off, Tamale, Ghana

[4] Duke Dept Biostat & Bioinformat, Durham, NC USA

[5] Navrongo Hlth Res Ctr, Navrongo, Ghana

[6] Catholic Relief Serv Head Quarters, Baltimore, MD USA

[7] Ghana Hlth Serv, Accra, Ghana

来源：

GLOBAL MENTAL HEALTH | 2021年 / 8卷

关键词：

Early childhood development; Ghana; infant mental health; maternal depression; socio-emotional health; PERINATAL DEPRESSION; PHQ-9;

D O I：

10.1017/gmh.2021.15

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background Caregiver mental health is linked to early childhood development, yet more robust evidence of community-based interventions to prevent maternal depression and optimize socio-emotional development of young children is needed. Objectives of this cluster-randomized controlled trial (cRCT), based in Northern Ghana, are to assess the impact of the lay counselor-delivered, group-based Integrated Mothers and Babies Course and Early Childhood Development (iMBC/ECD) program on (1) the mental health of mothers of children under age 2; and (2) the socio-emotional development of their children. Methods This cRCT randomized 32 women's groups - 16 received iMBC/ECD content (intervention) and 16 received general health education content (control). Surveys were administered at baseline, immediate post-intervention, and 8-month post-intervention. The primary outcome was maternal depression [Patient Health Questionnaire (PHQ-9)], and the secondary outcome was child's socio-emotional development [Ages and Stages Questionnaire: Social Emotional (ASQ:SE-2)]. Qualitative interviews with 33 stakeholders were also conducted. Results In total, 374 participants were enrolled at baseline while pregnant with the index child, 19% endorsing moderate/severe depression. Of these, 266 (71.1%) completed the 8-month post-intervention survey (similar to 19 months post-baseline). There were no significant effects of iMBC/ECD on PHQ-9 and ASQ:SE-2 scores. However, results favored the intervention arm in most cases. iMBC participants were highly satisfied with the program but qualitative feedback from stakeholders indicated some implementation challenges. Conclusions This real-world evaluation had null findings; however, post-intervention depression levels were very low in both arms (3%). Future research should examine the potential impact of women's groups on postpartum mental health more broadly with varying content.

引用

页数：11

共 49 条

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