支持肯尼亚和莫桑比克少女母亲的心理健康:“蓬勃发展的母亲”方案试点议定书。

IF 1.6 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Tatiana Taylor Salisbury, Maria Suzana Bata Maguele, Fernando Chissale, Málica de Melo, Margrette Hanselmann, Kethakie Lamahewa, Evaline Lang'at, Flávio Mandlate, Lucy Nyaga, Nadine Seward, Marleen Temmerman
{"title":"支持肯尼亚和莫桑比克少女母亲的心理健康:“蓬勃发展的母亲”方案试点议定书。","authors":"Tatiana Taylor Salisbury, Maria Suzana Bata Maguele, Fernando Chissale, Málica de Melo, Margrette Hanselmann, Kethakie Lamahewa, Evaline Lang'at, Flávio Mandlate, Lucy Nyaga, Nadine Seward, Marleen Temmerman","doi":"10.1186/s40814-025-01617-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Poor mental health among adolescent girls during pregnancy and the year after birth (the perinatal period) has been found to have a significant detrimental effect on girls and their children. The Innovative approaches to adolescent perinatal wellbeing (INSPIRE) project co-designed an intervention (Thriving Mamas) to improve adolescent perinatal mental health in Kenya and Mozambique. The aim of the current study is to pilot test the co-designed intervention to understand how it can be adapted for further testing or scale-up.</p><p><strong>Methods: </strong>A mixed-method, pilot cluster-randomised, effectiveness-implementation Hybrid Type II trial will be conducted among 80 adolescent girls (aged 15-19 years) attending health facilities in Kenya and Mozambique. Girls attending health facilities randomised to the intervention arm will be recruited to receive the intervention in addition to usual care. Girls attending control arm facilities will receive usual care only. Implementation data on feasibility, acceptability, appropriateness, and fidelity of intervention training and delivery will be collected from providers and adolescents. Additional data on provider knowledge, attitudes, and competency will be collected pre- and post-training. Adolescent girls will provide assessments of depression, anxiety, quality of life, social support, parenting competency, and health behaviours before, during, and after delivery of the intervention. At the end of the study, qualitative interviews will be conducted to collect further data on perceptions of the intervention, its implementation, and its impact. Implementation data will be analysed to determine its potential for delivery and success within each context. Individual outcome data analyses will be reported to gain a better understanding of the initial impact of the intervention.</p><p><strong>Discussion: </strong>The Thriving Mamas intervention addresses the challenges to maintaining positive mental health during the perinatal period. It was co-designed with adolescents and their communities to address local priorities and needs. The results of this study will provide information on its potential for sustainable implementation as well as initial data on its impact on mental health, parenting, and health behaviour outcomes. These results will inform the further refinement of the intervention and implementation strategies as well as the design of a full trial to test their effectiveness.</p><p><strong>Trial registration: </strong>Ethical approval for this feasibility study has been obtained in Kenya (Aga Khan University Institutional Scientific and Ethics Review Committee, ref: 2023/ISERC-23 (v2)), Mozambique ( Tete Inter-Institutional Health Bioethics Committee, ref: 24/CIBST/23), and the UK (Psychiatry, Nursing and Midwifery Research Ethics Committee, King's College London, ref: HR/DP-22/23-37,125). It was registered at Clinicaltrials.gov (NCT06040359) on September 15, 2023 ( https://clinicaltrials.gov/study/NCT06040359?intr=Thriving%20mamas&rank=1  ), prior to the beginning of the study.</p>","PeriodicalId":20176,"journal":{"name":"Pilot and Feasibility Studies","volume":"11 1","pages":"83"},"PeriodicalIF":1.6000,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180160/pdf/","citationCount":"0","resultStr":"{\"title\":\"Supporting the mental health of adolescent mothers in Kenya and Mozambique: pilot protocol for the Thriving Mamas programme.\",\"authors\":\"Tatiana Taylor Salisbury, Maria Suzana Bata Maguele, Fernando Chissale, Málica de Melo, Margrette Hanselmann, Kethakie Lamahewa, Evaline Lang'at, Flávio Mandlate, Lucy Nyaga, Nadine Seward, Marleen Temmerman\",\"doi\":\"10.1186/s40814-025-01617-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Poor mental health among adolescent girls during pregnancy and the year after birth (the perinatal period) has been found to have a significant detrimental effect on girls and their children. The Innovative approaches to adolescent perinatal wellbeing (INSPIRE) project co-designed an intervention (Thriving Mamas) to improve adolescent perinatal mental health in Kenya and Mozambique. The aim of the current study is to pilot test the co-designed intervention to understand how it can be adapted for further testing or scale-up.</p><p><strong>Methods: </strong>A mixed-method, pilot cluster-randomised, effectiveness-implementation Hybrid Type II trial will be conducted among 80 adolescent girls (aged 15-19 years) attending health facilities in Kenya and Mozambique. Girls attending health facilities randomised to the intervention arm will be recruited to receive the intervention in addition to usual care. Girls attending control arm facilities will receive usual care only. Implementation data on feasibility, acceptability, appropriateness, and fidelity of intervention training and delivery will be collected from providers and adolescents. Additional data on provider knowledge, attitudes, and competency will be collected pre- and post-training. Adolescent girls will provide assessments of depression, anxiety, quality of life, social support, parenting competency, and health behaviours before, during, and after delivery of the intervention. At the end of the study, qualitative interviews will be conducted to collect further data on perceptions of the intervention, its implementation, and its impact. Implementation data will be analysed to determine its potential for delivery and success within each context. Individual outcome data analyses will be reported to gain a better understanding of the initial impact of the intervention.</p><p><strong>Discussion: </strong>The Thriving Mamas intervention addresses the challenges to maintaining positive mental health during the perinatal period. It was co-designed with adolescents and their communities to address local priorities and needs. The results of this study will provide information on its potential for sustainable implementation as well as initial data on its impact on mental health, parenting, and health behaviour outcomes. These results will inform the further refinement of the intervention and implementation strategies as well as the design of a full trial to test their effectiveness.</p><p><strong>Trial registration: </strong>Ethical approval for this feasibility study has been obtained in Kenya (Aga Khan University Institutional Scientific and Ethics Review Committee, ref: 2023/ISERC-23 (v2)), Mozambique ( Tete Inter-Institutional Health Bioethics Committee, ref: 24/CIBST/23), and the UK (Psychiatry, Nursing and Midwifery Research Ethics Committee, King's College London, ref: HR/DP-22/23-37,125). It was registered at Clinicaltrials.gov (NCT06040359) on September 15, 2023 ( https://clinicaltrials.gov/study/NCT06040359?intr=Thriving%20mamas&rank=1  ), prior to the beginning of the study.</p>\",\"PeriodicalId\":20176,\"journal\":{\"name\":\"Pilot and Feasibility Studies\",\"volume\":\"11 1\",\"pages\":\"83\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-06-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180160/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pilot and Feasibility Studies\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40814-025-01617-5\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pilot and Feasibility Studies","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40814-025-01617-5","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
引用次数: 0

摘要

背景:少女在怀孕期间和出生后一年(围产期)的心理健康状况不佳,已被发现对女孩及其子女产生重大不利影响。青少年围产期健康创新方法(INSPIRE)项目共同设计了一项干预措施(蓬勃发展的妈妈),以改善肯尼亚和莫桑比克青少年围产期心理健康。当前研究的目的是对共同设计的干预措施进行试点测试,以了解如何使其适应进一步的测试或扩大规模。方法:将在肯尼亚和莫桑比克的卫生机构就诊的80名少女(15-19岁)中进行一项混合方法、试点集群随机、有效性实施的混合II型试验。在卫生机构随机分配到干预组的女孩将被招募接受除常规护理之外的干预。在控制臂设施的女孩将只接受常规护理。将从提供者和青少年收集有关干预培训和交付的可行性、可接受性、适当性和保真度的实施数据。培训前和培训后将收集有关提供者知识、态度和能力的其他数据。少女将在实施干预之前、期间和之后对抑郁、焦虑、生活质量、社会支持、养育子女能力和健康行为进行评估。在研究结束时,将进行定性访谈,以收集对干预措施、实施情况及其影响的看法的进一步数据。将分析执行数据,以确定其在每种情况下的交付和成功潜力。将报告个体结果数据分析,以更好地了解干预措施的初始影响。讨论:“蓬勃发展的妈妈”干预措施解决了在围产期保持积极心理健康的挑战。它是与青少年及其社区共同设计的,以解决当地的优先事项和需求。这项研究的结果将提供关于其可持续实施潜力的信息,以及关于其对心理健康、养育子女和健康行为结果的影响的初步数据。这些结果将为进一步完善干预和实施战略以及设计全面试验以测试其有效性提供信息。试验注册:在肯尼亚(阿加汗大学机构科学和伦理审查委员会,参考:2023/ISERC-23 (v2))、莫桑比克(Tete机构间健康生物伦理委员会,参考:24/CIBST/23)和英国(精神病学、护理和助产研究伦理委员会,伦敦国王学院,参考:HR/ pp -22/23-37,125)获得了这项可行性研究的伦理批准。该药物于研究开始前的2023年9月15日在Clinicaltrials.gov (NCT06040359)注册(https://clinicaltrials.gov/study/NCT06040359?intr=Thriving%20mamas&rank=1)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Supporting the mental health of adolescent mothers in Kenya and Mozambique: pilot protocol for the Thriving Mamas programme.

Supporting the mental health of adolescent mothers in Kenya and Mozambique: pilot protocol for the Thriving Mamas programme.

Supporting the mental health of adolescent mothers in Kenya and Mozambique: pilot protocol for the Thriving Mamas programme.

Supporting the mental health of adolescent mothers in Kenya and Mozambique: pilot protocol for the Thriving Mamas programme.

Background: Poor mental health among adolescent girls during pregnancy and the year after birth (the perinatal period) has been found to have a significant detrimental effect on girls and their children. The Innovative approaches to adolescent perinatal wellbeing (INSPIRE) project co-designed an intervention (Thriving Mamas) to improve adolescent perinatal mental health in Kenya and Mozambique. The aim of the current study is to pilot test the co-designed intervention to understand how it can be adapted for further testing or scale-up.

Methods: A mixed-method, pilot cluster-randomised, effectiveness-implementation Hybrid Type II trial will be conducted among 80 adolescent girls (aged 15-19 years) attending health facilities in Kenya and Mozambique. Girls attending health facilities randomised to the intervention arm will be recruited to receive the intervention in addition to usual care. Girls attending control arm facilities will receive usual care only. Implementation data on feasibility, acceptability, appropriateness, and fidelity of intervention training and delivery will be collected from providers and adolescents. Additional data on provider knowledge, attitudes, and competency will be collected pre- and post-training. Adolescent girls will provide assessments of depression, anxiety, quality of life, social support, parenting competency, and health behaviours before, during, and after delivery of the intervention. At the end of the study, qualitative interviews will be conducted to collect further data on perceptions of the intervention, its implementation, and its impact. Implementation data will be analysed to determine its potential for delivery and success within each context. Individual outcome data analyses will be reported to gain a better understanding of the initial impact of the intervention.

Discussion: The Thriving Mamas intervention addresses the challenges to maintaining positive mental health during the perinatal period. It was co-designed with adolescents and their communities to address local priorities and needs. The results of this study will provide information on its potential for sustainable implementation as well as initial data on its impact on mental health, parenting, and health behaviour outcomes. These results will inform the further refinement of the intervention and implementation strategies as well as the design of a full trial to test their effectiveness.

Trial registration: Ethical approval for this feasibility study has been obtained in Kenya (Aga Khan University Institutional Scientific and Ethics Review Committee, ref: 2023/ISERC-23 (v2)), Mozambique ( Tete Inter-Institutional Health Bioethics Committee, ref: 24/CIBST/23), and the UK (Psychiatry, Nursing and Midwifery Research Ethics Committee, King's College London, ref: HR/DP-22/23-37,125). It was registered at Clinicaltrials.gov (NCT06040359) on September 15, 2023 ( https://clinicaltrials.gov/study/NCT06040359?intr=Thriving%20mamas&rank=1  ), prior to the beginning of the study.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Pilot and Feasibility Studies
Pilot and Feasibility Studies Medicine-Medicine (miscellaneous)
CiteScore
2.70
自引率
5.90%
发文量
241
审稿时长
9 weeks
期刊介绍: Pilot and Feasibility Studies encompasses all aspects of the design, conduct and reporting of pilot and feasibility studies in biomedicine. The journal publishes research articles that are intended to directly influence future clinical trials or large scale observational studies, as well as protocols, commentaries and methodology articles. The journal also ensures that the results of all well-conducted, peer-reviewed, pilot and feasibility studies are published, regardless of outcome or significance of findings. Pilot and feasibility studies are increasingly conducted prior to a full randomized controlled trial. However, these studies often lack clear objectives, many remain unpublished, and there is confusion over the meanings of the words “pilot” and “feasibility”. Pilot and Feasibility Studies provides a forum for discussion around this key aspect of the scientific process, and seeks to ensure that these studies are published, so as to complete the publication thread for clinical research.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信