Trial reportBMJ open2020
Community psychosocial music intervention (CHIME) to reduce antenatal common mental disorder symptoms in The Gambia: a feasibility trial.
Trial report in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Reported problems and responses during the conduct of stepped-wedge cluster randomized trials in healthcare settings: a qualitative systematic review.International journal of epidemiology · 2026Pooled it
- Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries.The Cochrane database of systematic reviews · 2023Pooled it
- The effect of the music-supported education program on the awareness and health beliefs of Roma women about cervical cancer and screening.BMC public health · 2025Trial
- Development and reporting of a specialised antenatal music therapy intervention using the MRC framework and TIDieR checklist.Frontiers in psychiatry · 2026Article
- Community health intervention through musical engagement (CHIME) in South Africa: A formative exploration of the feasibility and development of a music-based intervention to support perinatal mental health.PLOS global public health · 2026Article
- Unseen and underserved: A scoping review of perinatal mental health interventions in Sub-Saharan Africa.PLOS mental health · 2026Article
- The landscape of musical care during the beginning of life in the United Kingdom: a mixed-methods survey study.BMC complementary medicine and therapies · 2025Article
- Reporting guidelines for music-based interventions checklist: Explanation and elaboration guide.Integrative medicine research · 2025Article
- Implementation of singing groups for postnatal depression: experiences of participants and professional stakeholders in the SHAPER-PND randomised controlled trial.Frontiers in health services · 2025Article
- Reporting Guidelines for Music-based Interventions checklist: explanation and elaboration guide.Frontiers in psychology · 2025Review
- Effectiveness of smartphone-based music intervention on perinatal depression: protocol for a randomized controlled trial.BMC psychology · 2024Article
- The effect of music intervention on depression in perinatal women: A systematic review.Heliyon · 2024Review
- Predominant approaches to measuring pregnancy-related anxiety in Sub-saharan Africa: a scoping review.BMC public health · 2024Article
- Effectiveness of health literacy and relaxing music on quality of sleep and risk for antenatal depression.Indian journal of psychiatry · 2023Article
- Expression of antenatal symptoms of common mental disorders in The Gambia and the UK: a cross-sectional comparison study.BMJ open · 2023Article
- Art-based interventions for women's mental health in pregnancy and postpartum: A meta-analysis of randomised controlled trials.Frontiers in psychiatry · 2023Review
- The experience of maternal mental distress in The Gambia: A qualitative study identifying idioms of distress, perceptions of contributing factors and the supporting role of existing cultural practices.PLOS global public health · 2023Article
- Social singing, culture and health: interdisciplinary insights from the CHIME project for perinatal mental health in The Gambia.Health promotion international · 2022Article
- How music may support perinatal mental health: an overview.Archives of women's mental health · 2021Review
- Reporting Guidelines for Music-Based Interventions Checklist: Explanation and Elaboration Guide: Secondary publication.Global advances in integrative medicine and healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 5 institutions in 3 countries.
Funding
Abstract
objectivesExamine the feasibility of a Community Health Intervention through Musical Engagement (CHIME) in The Gambia to reduce common mental disorder (CMD) symptoms in pregnant women.
designFeasibility trial testing a randomised stepped-wedge cluster design.
settingFour local antenatal clinics.
participantsWomen who were 14-24 weeks pregnant and spoke Mandinka or Wolof were recruited into the intervention (n=50) or control group (n=74).
interventionMusic-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. OUTCOMES: 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.
resultsAll 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.
conclusionResults 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. TRIAL REGISTRATION NUMBER: Pan African Clinical Trials Registry (PACTR201901917619299).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.