Clinical trial NCT06390735: Antenatal Depression Help-seeking Trial in Eswatini
Official title: Effectiveness of a Web-based Psychoeducation on Antenatal Depression Help-seeking in Eswatini
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Help-Seeking Behavior
Help-seeking Intention
Antenatal Depression
Keywords: antenatal depression
Web-based interventions
Psychoeducation
RCT
Eswatini
Help-seeking
Lead sponsor: Taipei Medical University
Sponsor class: OTHER
First posted: 2024-04-30
Enrollment: 214
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This two armed trial will include an intervention group and a waitlist control group.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Help-seeking Intention
timeFrame: Baseline; Immediately post intervention; follow-up at 1 month post intervention
measure: Help-seeking Behavior
timeFrame: Baseline; Immediately post intervention; follow-up at 1 month post intervention
Secondary outcomes:
measure: Antenatal depressive symptoms
timeFrame: Baseline; Immediately post intervention; follow-up at 1 month post intervention
measure: Health belief
timeFrame: Baseline; Immediately post intervention; follow-up at 1 month post intervention
measure: Antenatal depression Stigma
timeFrame: Baseline; Immediately post intervention; follow-up at 1 month post intervention
measure: Depression literacy
timeFrame: Baseline; Immediately post intervention; follow-up at 1 month post intervention
Other outcomes:
Locations:
city: Mbabane
country: Swaziland
facility: Mbabane Government Public Health Unit
state: Hhohho
city: Manzini
country: Swaziland
facility: King Sobhuza II Public Health Unit
Study officials:
References: