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Development and assessment of a mobile phone-based intervention to reduce maternal depression and improve child health

Published online by Cambridge University Press:  23 March 2020

N. Husain ,
T. Kiran ,
B. Fatima ,
I.B. Chaudhry ,
Q. Saeed ,
S.N. Masood ,
M. Husain ,
S.N. Zafar ,
N. Gire  and
M.H. Alvi
...Show all authors
N. Husain*
Affiliation:
The University of Manchester, The Institute of Brain, Behaviour and Mental Health, Manchester, United Kingdom
T. Kiran
Affiliation:
Pakistan Institute of Learning and Living (PILL), Research and Development, Karachi, Pakistan
B. Fatima
Affiliation:
Pakistan Institute of Learning and Living (PILL), Research and Development, Karachi, Pakistan
I.B. Chaudhry
Affiliation:
The University of Manchester, The Institute of Brain, Behaviour and Mental Health, Manchester, United Kingdom
Q. Saeed
Affiliation:
Pakistan Institute of Learning and Living (PILL), Research and Development, Karachi, Pakistan
S.N. Masood
Affiliation:
Sobhraj Maternity Hospital, Gynaecology, Karachi, Pakistan
M. Husain
Affiliation:
South London & Maudsley NHS Foundation Trust, Psychiatry, London, United Kingdom
S.N. Zafar
Affiliation:
Dow University of Health Sciences, Institute of Nursing, Karachi, Pakistan
N. Gire
Affiliation:
The University of Central Lancashire, Preston, United Kingdom
M.H. Alvi
Affiliation:
Pakistan Institute of Learning and Living (PILL), Research and Development, Karachi, Pakistan
S. Khoja
Affiliation:
Tech4Life Enterprises, Software, Karachi, Pakistan
F. Naeem
Affiliation:
Queens University, PsychiatryKingston, Canada
*
*Corresponding author.

Abstract

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Introduction

Postnatal depression is known to cause disability and suffering in women and negative consequences both for their infants and their families, with huge costs globally. Several studies from low and middle income countries (LAMIC) have demonstrated that effectively delivered psychological interventions are cost effective for improving maternal and child health, but access to these interventions is limited in both the low and high income countries.

Objective

The objective of the study is to develop and test a mobile phone-based intervention (TechMotherCare), which will include components of cognitive behavioural therapy (CBT) and child development related psychoeducation.

Aim

The aim of the study is to examine the feasibility and acceptability of the TechMotherCare intervention.

Methods

A total of 36 participants will be recruited from health centers in Karachi, Pakistan for this 2-arm randomized pilot study. The TechMotherCare App intervention will be based on principles of CBT and learning-through-play (LTP) a parenting intervention and will assess the real-time depressive symptoms of participants and respond, using intelligent real time therapy (iRTT) dependent on symptoms reported by participants.

Results

Outcome assessments will be completed after 3 months (end of intervention). In-depth qualitative interviews will also be conducted with participants pre- and post-intervention. The trial is ongoing and we will present both the qualitative and quantitative results.

Conclusions

The results of this pilot trial will inform the design of a larger randomised controlled trial using a mobile based technology platform to address the huge treatment gap in LAMICs.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV1291
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. S608 - S609
Copyright
Copyright © European Psychiatric Association 2016
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