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Baumgartner JN, Ali M, Gallis JA, Lillie M, Owusu R, Abubakr-Bibilazu S, Adam H, Aborigo R, McEwan E, Zhou Y, Kim ET, Mackness J, Williams JKA, Hembling J. 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. Glob Ment Health (Camb) 2021; 8:e18. [PMID: 34104458 PMCID: PMC8157813 DOI: 10.1017/gmh.2021.15] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 03/09/2021] [Accepted: 04/22/2021] [Indexed: 11/09/2022] Open
Abstract
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 (~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.
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Affiliation(s)
- Joy Noel Baumgartner
- University of North Carolina at Chapel Hill, 325 Pittsboro Street, Chapel Hill, NC27516, USA
- Duke Global Health Institute, Duke University, Durham, NC, USA
| | - Mohammed Ali
- Catholic Relief Services Country Office, Tamale, Ghana
| | - John A. Gallis
- Duke Global Health Institute, Duke University, Durham, NC, USA
- Duke Department of Biostatistics and Bioinformatics, Durham, NC, USA
| | - Margaret Lillie
- Duke Global Health Institute, Duke University, Durham, NC, USA
| | - Raymond Owusu
- Catholic Relief Services Country Office, Tamale, Ghana
| | | | - Haliq Adam
- Catholic Relief Services Country Office, Tamale, Ghana
| | | | - Elena McEwan
- Catholic Relief Services Head Quarters, Baltimore, MD, USA
| | - Yunji Zhou
- Duke Global Health Institute, Duke University, Durham, NC, USA
- Duke Department of Biostatistics and Bioinformatics, Durham, NC, USA
| | | | | | | | - John Hembling
- Catholic Relief Services Head Quarters, Baltimore, MD, USA
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Marquis G, Colecraft E, Aryeetey R, Lartey A, Clark S, Aboud F, Gyorkos T, Aidam B, Owusu R.
Nutrition Links
– Building Capacity for Sustainable Lives in Ghana. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.898.18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Aryeetey R, Colecraft E, Marquis G, Clark S, Owusu R, Aidam B, Gyorkos T, Lartey A. Baseline Household Agriculture and Child Nutrition Linkages in the Nutrition Links Project. FASEB J 2015. [DOI: 10.1096/fasebj.29.1_supplement.585.17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
| | | | - Grace Marquis
- School of Dietetics and Human Nutrition McGill UniversityMontrealCanada
| | | | | | - Bridget Aidam
- Nutrition Center WV InternationalWashington, DCUnited States
| | - Theresa Gyorkos
- Epid, Biostatistics and Occup HealthMcGill UniversityMontrealCanada
| | - Anna Lartey
- Nutr and Fd ScienceUniversity of GhanaAccraGhana
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Ayamdoo A, Demuyakor B, Dogbe W, Owusu R, Ofosu M. Effect of Varying Parboiling Conditions on Physical Qualities of Jasmine 85 and Nerica 14 Rice Varieties. ACTA ACUST UNITED AC 2012. [DOI: 10.3923/ajft.2013.31.42] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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