Evidence map›Paper›PMID 34233989›Full record

ArticleBMJ open2021

Evaluating the impact of a common elements-based intervention to improve maternal psychological well-being and mother-infant interaction in rural Pakistan: study protocol for a randomised controlled trial.

Zill-E- Huma, Ayella Gillani, Fakhira Shafique, Alina Rashid, Bushra Mahjabeen, Hashim Javed, Duolao Wang, Atif Rahman, Syed Usman Hamdani

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04252807 (Evaluating the Impact of a Common Elements-based Intervention to Improve Maternal Psychological Well-being and Mother-infant Interaction in a Low Resource Community Setting of Rural Pakistan), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT04252807 nacompletednot on this map

Evaluating the Impact of a Common Elements-based Intervention to Improve Maternal Psychological Well-being and Mother-infant Interaction in a Low Resource Community Setting of Rural Pakistan

TypeinterventionalSponsorHuman Development Research Foundation, PakistanRan2020 to 2021Enrolled250ConditionsMaternal Distress, Perinatal Depression, Development Delay, Language DelayArmsIntervention arm, Treatment as Usual
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Zill-E- HumaImplementation Science, Human Development Research Foundation, Islamabad, Punjab, Pakistan zille.huma@hdrfoundation.org.ORCID 0000-0002-2681-1771
Ayella GillaniImplementation Science, Human Development Research Foundation, Islamabad, Punjab, Pakistan.
Fakhira ShafiqueImplementation Science, Human Development Research Foundation, Islamabad, Punjab, Pakistan.
Alina RashidImplementation Science, Human Development Research Foundation, Islamabad, Punjab, Pakistan.
Bushra MahjabeenImplementation Science, Human Development Research Foundation, Islamabad, Punjab, Pakistan.
Hashim JavedImplementation Science, Human Development Research Foundation, Islamabad, Punjab, Pakistan.
Duolao WangDepartment of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.ORCID 0000-0003-2788-2464
Atif RahmanDepartment of Primary Care and Mental Health, University of Liverpool Faculty of Health and Life Sciences, Liverpool, UK.
Syed Usman HamdaniImplementation Science, Human Development Research Foundation, Islamabad, Punjab, Pakistan.
Shifa Tameer-e-Millat University · PKUniversity of Liverpool · GBLiverpool School of Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMillions of children in low resource settings are at high risk of poor development due to factors such as under nutrition, inadequate stimulation and maternal depression. Evidence-based interventions to address these risk factors exist, but often as a separate and overlapping package. The current study aims to evaluate the effectiveness of a common elements-based intervention to improve mother-infant interaction at 12 months post-partum. METHOD AND ANALYSIS: A two-arm, single-blinded, individual randomised controlled trial is being carried out in the community settings of the rural subdistrict of Gujar Khan in Rawalpindi, Pakistan. 250 pregnant women in third trimester with distress (Self-Reporting Questionnaire, cut-off score >9) have been randomised on 1:1 allocation ratio into intervention (n=125) and treatment-as-usual arms (n=125). The participants in the intervention arm will receive 15 individual sessions of intervention on a monthly basis by non-specialist facilitators. The intervention involves components of early stimulation, learning through play, responsive feeding, guided discovery using pictures, behavioural activation and problem solving. The primary outcome is caregiver-infant interaction at 12 months postpartum. The secondary outcomes include maternal psychological well-being, quality of life, social support and empowerment. Infant secondary outcomes include growth, nutrition and development. The data will be collected at baseline, 6 and 12 months postpartum. A qualitative process evaluation will be conducted to inform the feasibility of intervention delivery. ETHICS: Ethics approval for the present study was obtained from the Human Development Research Foundation Institutional Review Board, Islamabad Pakistan. DISSEMINATION: If proven effective, the study will contribute to scale-up care for maternal and child mental health in low resource settings, globally. The findings of the present study will be published in peer-reviewed journals and presented at conferences and community forums. TRIAL REGISTRATION NUMBER: NCT04252807.

Indexed as

Cognitive Behavioral TherapyQuality of LifeChildFemaleHumansInfantMother-Child RelationsPakistanPregnancyRandomized Controlled Trials as TopicRural Populationanxiety disorderscommunity child healthdepression & mood disordersdevelopmental neurology & neurodisabilitymental healthpublic health

Identifiers

PMID34233989
PMCPMC8264893
OpenAlexW3180498482

What OpenQuestion holds

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LicenceCC BY
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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.