Child Development Clinical Trial
Official title:
Feasibility Study of a Culturally Adapted Manual Assisted Brief Psychological Intervention (CMAP) Plus Learning Through Play (LTP) for Refugee Mothers With History of Self-harm in Pakistan
Verified date | May 2024 |
Source | Pakistan Institute of Living and Learning |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Objectives: - To asses the feasibility and acceptability of a culturally adapted manual assisted brief psychological intervention (CMAP) plus Learning through Play (LTP) for refugee mothers with history of self-harm having children 0-33 months. (Integrated intervention called CMAP Plus) - To assess if CMAP Plus will reduce the repetition of self-harm in refugee mothers having children aged between 0-33 months. - To determine if the intervention improves infant development and maternal attachment. - To explore participants experiences with the intervention. Study design and setting: This will be a feasibility cluster randomized control trial (cRCT) of culturally adapted CMAP Plus LTP intervention with refugee mothers from Quetta and Peshawar, Pakistan. Sample size: We aim to recruit a sample of 80 refugee mothers in the study.
Status | Active, not recruiting |
Enrollment | 80 |
Est. completion date | June 30, 2024 |
Est. primary completion date | December 15, 2023 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - 18 years and above refugee mothers with children aged between 0-33 months. - History of self-harm. - Resident in the study site. - Capacity to provide informed consent. - Available for the duration of the study. Exclusion Criteria: - Unable to provide consent due to severe mental or physical illness. - Unlikely to be available for the entire duration of the study. |
Country | Name | City | State |
---|---|---|---|
Pakistan | Community settings | Peshawar | KPK |
Pakistan | Community Settings | Quetta | Balochistan |
Lead Sponsor | Collaborator |
---|---|
Pakistan Institute of Living and Learning | University of Manchester |
Pakistan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Feasibility measure | The feasibility will be determined by collating data on recruitment and retention rates. The success criterion of feasibility will be to recruit > 50% of eligible participants. | From baseline to 12th week (at the end of intervention) | |
Primary | Acceptability measure | The intervention acceptability will be assessed using data on attendance. Criterion for acceptability is a mean attendance rate of >70% of at least 7 sessions. | From baseline to 12th week (at the end of intervention) | |
Secondary | Suicide Attempt Self-Injury Interview | Repetition rate of self-harm at 3 months after randomisation as measured by adapted Suicide Attempt Self-Injury Interview. The questionnaire records self-harm events by severity and chronological order. | From baseline to 12th week | |
Secondary | Beck Scale for Suicide Ideation | This is a 19-item instrument for detecting and measuring the current intensity of the patients' specific attitudes, behaviours, and specificity of a patient's thoughts to kill him/herself during the past week. | Change in problem scores from baseline to 12th week | |
Secondary | Beck Depression Inventory | This is a 21 items scale measuring symptoms of depression. Higher scores on the scale indicate greater severity of depression. | Change in problem scores from baseline to 12th week | |
Secondary | Beck Hopelessness Scale | This instrument is designed to measure three aspects of hopelessness, feelings about the future, loss of motivation and expectations. | Change in problem scores from baseline to 12th week | |
Secondary | Generalized Anxiety Disorder | This is a 7-item scale used to screen for and measure severity of Generalized Anxiety Disorder. | Change in problem scores from baseline to 12th week | |
Secondary | Assessment of the growth and development of children | Anthropometric measures of child growth will be collected through measuring children's height, weight and head circumference | Change from baseline to 12th week | |
Secondary | Ages and Stages Questionnaire and ASQ Socio-emotional Scales | Ages and Stages Questionnaire and ASQ Socio-emotional scales will be used to measure child development. Parents will report on their child's communication, gross motor, fine motor, problem solving and personal-social development at different time points. | Change from baseline to 12th week | |
Secondary | Coping resource inventory | Coping resource inventory will assess the coping resources to manage stress available to an individual. | Change from baseline to 12th week | |
Secondary | Problem Solving Inventory | The Problem-Solving Inventory assesses an individual's awareness and evaluation of his or her problem-solving abilities or styles. The problem-solving Inventory is a self-report measure, and thus assesses perceptions of problem solving as opposed to actual problem-solving skills. | Change in problem scores from baseline to 12th week | |
Secondary | Infant Development Questionnaire | Infant Development Questionnaire is a 20-item questionnaire of paternal knowledge and expectations for child development in the first three years. | Change from baseline to 12th week | |
Secondary | Parenting Stress Index - Short Form | Parents rated 36 item scale on five-point scale (1-5). The scale consists of three subscales: (1) Parenting Distress, (2) Difficult Child Characteristics, and (3) Dysfunctional Parent-Child Interaction. | Change from baseline to 12th week | |
Secondary | Multidimensional Scale of Perceived Social Support | This brief scale will assess perceived social support. | Change from baseline to 12th week | |
Secondary | Euro-Qol-5 Dimensions scale | Health-related quality of life will be measured using the Euro-Qol-5 Dimensions scale. This is a standardized instrument that measures five health dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each scored from 1 to 3 indicating "no problem" to "severe problems". | Change in problem scores from baseline to 12th week | |
Secondary | Client Service Receipt Inventory | This inventory will collect information about the use of other health services (including the informal sector faith healers/Imams) using CSRI based on our previous work in Pakistan | Change from baseline to 12th week | |
Secondary | Client Satisfaction Questionnaire | The participants will rate their satisfaction with treatment using the Client Satisfaction Questionnaire. | Change from baseline to 12th week |
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