Community psychosocial music intervention (CHIME) to reduce antenatal common mental disorder symptoms in The Gambia: a feasibility trial.
Community psychosocial music intervention (CHIME) to reduce antenatal common mental disorder symptoms in The Gambia: a feasibility trial.
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DOI：
10.1136/bmjopen-2020-040287
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发表时间：
2020-11-23
期刊：
影响因子：
2.9
通讯作者：
Stewart L
中科院分区：
文献类型：
--
作者：
Sanfilippo KRM;McConnell B;Cornelius V;Darboe B;Huma HB;Gaye M;Ceesay H;Ramchandani P;Cross I;Glover V;Stewart L
研究冈比亚通过音乐参与进行社区健康干预的可行性，以减少孕妇的常见精神障碍症状。一个随机化阶梯楔形群设计的可行性试验。4个地方产前诊所。怀孕14-24周并讲曼丁卡语或沃洛夫语的妇女被招募到干预组（n=50）或对照组（n=74）。由全女性生育协会设计和提供的基于音乐的心理社会支持课程。会议持续1小时，每周举行一次，持续6周。在没有预选的情况下提供给妇女团体。会议旨在通过参与式音乐制作来提升情绪，建立社会联系并提供健康信息。对照组接受标准的产前护理。评估了人口统计学、可行性、可接受性结局和研究设计的适当性。在基线、干预后和4周随访时，使用翻译的测量工具（自我报告问卷（SRQ-20）;爱丁堡产后抑郁量表（EPDS））评估CMD症状。所有诊所和82%的妇女都同意参加。观察到所有时间点的损耗率为33%。干预组中有72%的人至少参加了三次会议。音频和视频分析证实了干预的保真度，对参与者访谈的专题分析表明了可接受性和积极评价。结果显示，与标准治疗相比，干预组在干预后时间点的SRQ-20降低2.13分（95% CI（0.89至3.38），p<0.01，n=99），EPDS降低1.98分（95% CI（1.06至2.90），p<0.01，n=99），具有潜在的有益作用。结果表明，CHIME在冈比亚是可接受的和可行的。据我们所知，CHIME是在低收入和中等收入国家背景下应用于围产期心理健康的基于音乐的心理社会干预的第一个例子。泛非临床试验注册中心（PACTR 201901917619299）。
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. Feasibility trial testing a randomised stepped-wedge cluster design. Four local antenatal clinics. Women who were 14–24 weeks pregnant and spoke Mandinka or Wolof were recruited into the intervention (n=50) or control group (n=74). 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. 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. 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. 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. Pan African Clinical Trials Registry (PACTR201901917619299).
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影响因子：
4.4
作者：
Coleman, Rosalind;Morison, Linda;Walraven, Gijs
通讯作者：
Walraven, Gijs
影响因子：
0.7
作者：
McConnell, Bonnie B.
通讯作者：
McConnell, Bonnie B.
影响因子：
6.6
作者：
Hanlon, Charlotte;Medhin, Girmay;Prince, Martin
通讯作者：
Prince, Martin
影响因子：
10.5
作者：
Fancourt, D.;Perkins, R.
通讯作者：
Perkins, R.
DOI：
10.1017/s0021963099005958
发表时间：
2000-09-01
期刊：
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES
影响因子：
--
作者：
Martins, C;Gaffan, EA
通讯作者：
Gaffan, EA