Меню
Набор скоро начнётся NCT07659509

Mental and Reproductive Health Integration and Access

Без фазы С лечением Family Planning Services Post Partum Depression

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: MARIA Integrated Maternal Mental Health and Family Planning Package.
Кому может быть актуально
Состояния в реестре: Family Planning Services, Post Partum Depression. Базовые параметры: 15 лет — 49 лет · Женщины.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Иордания
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

Не всё понятно в терминах? Прочитайте наш гид для пациентов →

Официальное название

Integrating Family Planning and Mental Health Services Into Postnatal Care for Migrant, Refugee, and Underserved Jordanian Women

Обзор

The goal of this clinical trial is to learn whether an integrated package of mental health screening, brief psychosocial support, and family planning counseling delivered within routine postnatal care can improve reproductive and mental health outcomes in postpartum migrant, refugee, and underserved Jordanian women aged 15-49 attending primary health centers in Mafraq Governorate and the Al-Ghour region of Jordan. The main questions it aims to answer are: 1. Does the MARIA intervention increase the use of modern contraceptive methods among postnatal women compared to standard care? 2. Does the MARIA intervention reduce the prevalence and severity of postpartum depression symptoms compared to standard care? Researchers will compare women attending health centers that deliver the full MARIA package (integrated mental health screening, brief psychosocial support, and family planning counseling) to women attending health centers that provide standard care (routine immunization and child health services without the MARIA components) to see if the intervention improves contraceptive use and reduces postpartum depression. Participants will: * Complete a 10-question mental health screening tool (Edinburgh Postnatal Depression Scale) at their routine immunization visit * Receive a brief educational session, psychosocial support, or a referral to specialist mental health services - depending on their screening result * Receive family planning counseling and information about contraceptive options during the same visit * Be followed up by a community health worker, as needed * Participate in three interviews - one in person at enrollment and two by telephone at 4 and 7 months after joining

Вмешательства

  • Поведенческое MARIA Integrated Maternal Mental Health and Family Planning Package
    A multi-component integrated package delivered within routine postnatal and immunization visits at primary healthcare centers. Has 7 components 1. Integrated service delivery: All eligible postnatal women are screened for postpartum depression using Edinburgh Postnatal Depression Scale. Based on score, primary healthcare providers deliver stepped-care psychosocial support. Family planning counseling is integrated into the same visit for all women. 2. Community health workers community outreach

Первичные конечные точки

  • Number of Participants adopting any modern contraceptive method since baseline [Срок оценки: from baseline until 7 months]
Вторичные конечные точки (7)
  • number of women with postpartum depression [Срок оценки: from baseline until 7 months]
  • number of women who continue the modern contraception [Срок оценки: at the end of the 7 months follow up]
  • change in baseline in the number of women who feel empowered [Срок оценки: at 7 months]
  • change in baseline in the number of women with positive attitude towards pregnancy [Срок оценки: at 7 months]
  • number of women with improved knowledge of family planning since baseline [Срок оценки: at 7 months]
  • improved couple communication since baseline [Срок оценки: at 7 months]
  • improved provider capacity in family planning and mental health services [Срок оценки: at 7 months]

Критерии участия

Критерии включения

  • Postpartum women aged 15-49 years
  • Attending selected primary healthcare centers for infant immunization or healthy child visits
  • Unmet family planning need: interested in using contraception but currently not doing so
  • Living in study villages (Mafraq or Al-Ghour)
  • Migrant, refugee, or underserved Jordanian women Exclusion Criteria
  • Currently using a modern contraceptive method
  • Unmarried women
  • Unable to provide informed consent
  • Planning to leave the study area within 7 months

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Двойное слепое
Основная цель
Организация здравоохранения

Центры проведения

Иордания · 2 центра
  • Alsheikh Hussein — Irbid
  • Alkhaldieh — Al Mafraq

Идентификаторы

NCT: NCT07659509 · 110529 - 001

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗