Ignite Creation Date:
2024-05-06 @ 5:09 PM
Last Modification Date:
2024-10-26 @ 2:23 PM
Study NCT ID:
NCT05213182
Status:
COMPLETED
Last Update Posted:
2022-02-15
First Post:
2022-01-05
Brief Title:
Peer Support Intervention to Mitigate Social Isolation and Stigma of Adolescent Motherhood in Zimbabwe
Sponsor:
West Chester University of Pennsylvania
Organization:
West Chester University of Pennsylvania
Study Overview
Official Title:
Community-Based Peer Support Intervention to Mitigate Social Isolation and Stigma of Adolescent Motherhood in Harare Zimbabwe
Status:
COMPLETED
Status Verified Date:
2022-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
A community-based peer support intervention for adolescent mothers aged 14-18 years in Harare Zimbabwe was developed and tested in partnership with adolescent mothers community health workers and key community stakeholders The intervention leveraged peer support technology via WhatsApp Messenger community health workers peer educators and involvement of key community stakeholders to reduce prevalence of loneliness depressive symptoms and common mental disorders improve perceived social support and develop coping parenting and communication skills to mitigate potential stressors and stigma of adolescent motherhood
Detailed Description:
Adolescent mothers in Zimbabwe often experience stigma and feel isolated due to lack of social support with a loss of social networks and educational opportunities Adolescent mothers may also lack coping skills and resources to successfully navigate motherhood Unless addressed these circumstances may have negative consequences for the mental health of the adolescent mother and downstream consequences for their children A quasi-experimental design was used and the research tested differential changes over base- mid- and end-line in mental health and social support outcomes among adolescent mothers 14-18 years in the intervention and control arms The study addressed two objectives
1 Understand and describe perceptions and experiences with adolescent motherhood and their influence on health
2 Explore the acceptability and effectiveness of a community-based peer support intervention for adolescent mothers in a high-density low-income community in Harare to mitigate potential stressors and stigma of adolescent motherhood
Adolescent mothers engaged as active participants in the development eg defining their needs and implementation of the intervention which also involved key community stakeholders to address stigma related to mental illness and adolescent motherhood Existing community resources were leveraged such as peer support health workers and technology through WhatsApp Messenger a popular and low-cost messaging app to deliver some intervention components and as a platform for communication and training support for peer support group facilitators Community health workers and peer educators in the intervention arm were recruited and trained on co-facilitating peer support groups The intervention arm n104 adolescent mothers participated in the peer support groups and completed sociodemographic base- mid- and end-line surveys The control arm n79 adolescent mothers completed sociodemographic base- mid- and end-line surveys Peer support groups 12 groups with 6-12 participants in each group met in-person twice a month and completed 12 peer-group sessions from May-August 2019 addressing participant identified topics such as income generation depression and healthy parenting WhatsApp Messenger was used for training and implementation support Key community stakeholders met to discuss project progress and recommendations to improve the health of adolescent mothers Data were analyzed using Stata 13 software
1 Understand and describe perceptions and experiences with adolescent motherhood and their influence on health
2 Explore the acceptability and effectiveness of a community-based peer support intervention for adolescent mothers in a high-density low-income community in Harare to mitigate potential stressors and stigma of adolescent motherhood
Adolescent mothers engaged as active participants in the development eg defining their needs and implementation of the intervention which also involved key community stakeholders to address stigma related to mental illness and adolescent motherhood Existing community resources were leveraged such as peer support health workers and technology through WhatsApp Messenger a popular and low-cost messaging app to deliver some intervention components and as a platform for communication and training support for peer support group facilitators Community health workers and peer educators in the intervention arm were recruited and trained on co-facilitating peer support groups The intervention arm n104 adolescent mothers participated in the peer support groups and completed sociodemographic base- mid- and end-line surveys The control arm n79 adolescent mothers completed sociodemographic base- mid- and end-line surveys Peer support groups 12 groups with 6-12 participants in each group met in-person twice a month and completed 12 peer-group sessions from May-August 2019 addressing participant identified topics such as income generation depression and healthy parenting WhatsApp Messenger was used for training and implementation support Key community stakeholders met to discuss project progress and recommendations to improve the health of adolescent mothers Data were analyzed using Stata 13 software
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None