Community psychosocial music intervention (CHIME) to reduce antenatal common mental disorder symptoms in The Gambia: a feasibility trial
Sanfilippo KRM, McConnell B, Cornelius V, Darboe B, Huma HB, Gaye M, Ceesay H, Ramchandani P, Cross I, Glover V, Stewart L
BMJ open · 28 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Arts and Humanities Research Council
- Gobierno
- Medical Research Council
- Gobierno
- Economic and Social Research Council
- Subvenciones
- Medical Research Council (MR/R024618/1); Economic and Social Research Council (ES/V010158/1); Economic and Social Research Council (ES/V010158/1); Medical Research Council (MC_PC_MR/R024618/1)
Según 3 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2020-11-01 · BMJ Open · vol. 10 · número 11 · pág. e040287
- Editorial
- BMJ
- Citado
- 41 citas · más que el 90% de estudios similares · 2.7× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 61 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Maternal Mental Health During Pregnancy and Postpartum · Infant Development and Preterm Care
- Palabras clave
- Medicine, Psychosocial, Edinburgh Postnatal Depression Scale, Intervention (counseling), Mental health, Randomized controlled trial, Thematic analysis, Mood, Family medicine, Psychiatry, Qualitative research, Anxiety
- MeSH
- humans, music therapy, feasibility studies, mental disorders, pregnancy, music, gambia, female
11 autores
- Katie Rose M. Sanfilippo🇬🇧 · autor de correspondenciaGoldsmiths University of London
- Bonnie B. McConnell🇦🇺Australian National University
- Victoria R. Cornelius🇬🇧Imperial College London
- Buba Darboe🇬🇲Ministry of Health and Social Welfare
- Hajara B Huma🇬🇲Ministry of Health and Social Welfare
- Malick Gaye🇬🇲Ministry of Health and Social Welfare
- Hassoum Ceesay
- Paul G. Ramchandani🇬🇧University of Cambridge
- Ian R.M. Cross🇬🇧University of Cambridge
- Vivette A. S. Glover🇬🇧Imperial College London
- Lauren M. Stewart🇬🇧Goldsmiths University of London
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objectives
Examine the feasibility of a Community Health Intervention through Musical Engagement (CHIME) in The Gambia to reduce common mental disorder (CMD) symptoms in pregnant women.
Design
Feasibility trial testing a randomised stepped-wedge cluster design.
Setting
Four local antenatal clinics.
Participants
Women who were 14-24 weeks pregnant and spoke Mandinka or Wolof were recruited into the intervention (n=50) or control group (n=74).
Intervention
Music-based psychosocial support sessions designed and delivered by all-female fertility societies. Sessions lasted 1 hour and were held weekly for 6 weeks. Delivered to groups of women with no preselection. Sessions were designed to lift mood, build social connection and provide health messaging through participatory music making. The control group received standard antenatal care.
Outcomes
Demographic, feasibility, acceptability outcomes and the appropriateness of the study design were assessed. Translated measurement tools (Self-Reporting Questionnaire (SRQ-20); Edinburgh Postnatal Depression Scale (EPDS)) were used to assess CMD symptoms at baseline, post-intervention and 4-week follow-up.
Results
All clinics and 82% of women approached consented to take part. A 33% attrition rate across all time points was observed. 72% in the intervention group attended at least three sessions. Audio and video analysis confirmed fidelity of the intervention and a thematic analysis of participant interviews demonstrated acceptability and positive evaluation. Results showed a potential beneficial effect with a reduction of 2.13 points (95% CI (0.89 to 3.38), p<0.01, n=99) on the SRQ-20 and 1.98 points (95% CI (1.06 to 2.90), p<0.01, n=99) on the EPDS at the post-intervention time point for the intervention group compared with standard care.
Conclusion
Results demonstrate that CHIME is acceptable and feasible in The Gambia. To our knowledge, CHIME is the first example of a music-based psychosocial intervention to be applied to perinatal mental health in a low- and middle-income country context.
Trial registration number
Pan African Clinical Trials Registry (PACTR201901917619299).
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
Confianza de la comunidad
Cargando…
¿Cuánto confías en los hallazgos de este estudio?
Comentarios
¿Algo está mal aquí?
Señala este estudio si su información, etiquetas o financiación parecen incorrectas. Un editor revisa cada señalamiento.
Información educativa sobre investigación publicada. No es consejo médico ni una recomendación para empezar o dejar nada.