Actively Recruiting

Phase Not Applicable
Age: 16Years - 44Years
FEMALE
ID05852314

Culturally Adapted Manual-Assisted Problem-Solving Intervention for Women With Suicidal Ideation in Postnatal Period in Pakistan: A Feasibility Trial

Led by Pakistan Institute of Living and Learning · Updated on 2024-08-12

90

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying the feasibility and acceptability of a culturally adapted Manual-Assisted Problem-Solving Intervention (CMAP-SI) for women experiencing suicidal thoughts during the postnatal period. The study focuses on women aged 16 to 44 years in Pakistan, aiming to adapt the CMAP intervention to the local cultural context and evaluate its potential to reduce suicidal ideation in this vulnerable group. Participants receiving the CMAP-SI intervention will engage in a brief problem-solving therapy based on cognitive behavioral therapy principles. The therapy involves 4 weekly sessions followed by 4 sessions every two weeks, each lasting about 50 minutes. The intervention has been culturally tailored with Urdu translations and case scenarios relevant to Pakistani culture, addressing issues such as gender roles, family conflicts, and financial difficulties. The study also includes a comparison group receiving treatment as usual by their primary care physicians. During the study, women will be assessed at baseline and again at 3 months for feasibility and acceptability of the intervention, as well as changes in suicidal ideation, depression, social support, life events, and quality of life. Various validated scales like the Beck Scale for Suicidal Ideation and Edinburgh Postnatal Depression Scale will be used. Researchers will also collect data on any suicide attempts or self-harm incidents. Safety protocols include recording participants' primary care contacts and treatment details. The total study duration for each participant is at least 3 months from baseline assessment.

CONDITIONS

Brief Title

A Problem-Solving Intervention for Women With Suicidal Ideation During Postnatal Period in Pakistan

Who Can Participate

Age: 16Years - 44Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Mothers aged 16 to 44 years with children 0 to 30 months old
  • Residents of the study area
  • Able to provide informed consent
  • Presenting with suicidal ideation as measured by the Beck Suicidal Ideation Scale (score 1 or 2 on items 4 and 5)
  • Not requiring inpatient psychiatric treatment
Not Eligible

You will not qualify if you...

  • Mothers with any physical or psychiatric condition severe enough to prevent study participation

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Outpatient Treatment

Duration - Approximately 12 weeks

Participants receive a culturally adapted problem-solving therapy consisting of weekly and then fortnightly sessions to help manage suicidal thoughts during the postnatal period.

8 therapy sessions: 4 weekly and 4 fortnightly (in-person)

Follow-up

Duration - Up to 3 months after baseline

Participants are assessed for the feasibility and acceptability of the intervention and their mental health status 3 months after the baseline.

1 follow-up visit (in-person)

Trial Site Locations

Total: 1 location

1

Benazir Bhutto Hospital

Rawalpindi, Punjab Province, Pakistan

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Research Team

T

Tayyaba Kiran, PhD.

R

Rabia Sattar, PhD. Cont.

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

OTHER

Number of Arms

2

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