Evidence map›Paper›PMID 40537871›Full record

ArticlePilot and feasibility studies2025

Supporting the mental health of adolescent mothers in Kenya and Mozambique: pilot protocol for the Thriving Mamas programme.

Tatiana Taylor Salisbury, Maria Suzana Bata Maguele, Fernando Chissale, Málica de Melo, Margrette Hanselmann, Kethakie Lamahewa, Evaline Lang'at, Flávio Mandlate, Lucy Nyaga, Nadine Seward and 1 more

Registry-linked trialAbstract read
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In one paragraph

Article in Pilot and feasibility studies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06040359 (Pilot Evaluation of the Thriving Mamas Programme for Adolescent Perinatal Mental Health), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT06040359 nacompletednot on this map

Pilot Evaluation of the Thriving Mamas Programme for Adolescent Perinatal Mental Health

TypeinterventionalSponsorKing's College LondonRan2023 to 2024Enrolled141ConditionsPerinatal Mental HealthArmsThe Thriving Mamas programme, Usual care
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

11 authors.

Tatiana Taylor SalisburyHealth Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, London, SE5 8AF, UK. tatiana.salisbury@kcl.ac.uk.ORCID http://orcid.org/0000-0002-8249-3886
Maria Suzana Bata MagueleInternational Centre for Reproductive Health Mozambique, Rua das Flores 34, Impasse 1085/87, Maputo, Mozambique.
Fernando ChissaleInternational Centre for Reproductive Health Mozambique, Rua das Flores 34, Impasse 1085/87, Maputo, Mozambique.
Málica de MeloInternational Centre for Reproductive Health Mozambique, Rua das Flores 34, Impasse 1085/87, Maputo, Mozambique.
Margrette HanselmannCentre of Excellence in Women and Child Health, Aga Khan University - East Africa, 3rd Parklands Avenue, PO Box 30270, Nairobi, 00100, Kenya.
Kethakie LamahewaHealth Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, Denmark Hill, London, SE5 8AF, UK.
Evaline Lang'atCentre of Excellence in Women and Child Health, Aga Khan University - East Africa, 3rd Parklands Avenue, PO Box 30270, Nairobi, 00100, Kenya.
Flávio MandlateDepartment of Mental Health, Ministry of Health, Avenida Eduardo Mondlane 1008, C.P. 264, Maputo, Mozambique.
Lucy NyagaCentre of Excellence in Women and Child Health, Aga Khan University - East Africa, 3rd Parklands Avenue, PO Box 30270, Nairobi, 00100, Kenya.
Nadine SewardCentre for Clinical Brain Sciences, University of Edinburgh, 49 Little France Crescent, Edinburgh, EH16 4SB, UK.
Marleen TemmermanCentre of Excellence in Women and Child Health, Aga Khan University - East Africa, 3rd Parklands Avenue, PO Box 30270, Nairobi, 00100, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoor mental health among adolescent girls during pregnancy and the year after birth (the perinatal period) has been found to have a significant detrimental effect on girls and their children. The Innovative approaches to adolescent perinatal wellbeing (INSPIRE) project co-designed an intervention (Thriving Mamas) to improve adolescent perinatal mental health in Kenya and Mozambique. The aim of the current study is to pilot test the co-designed intervention to understand how it can be adapted for further testing or scale-up.

methodsA mixed-method, pilot cluster-randomised, effectiveness-implementation Hybrid Type II trial will be conducted among 80 adolescent girls (aged 15-19 years) attending health facilities in Kenya and Mozambique. Girls attending health facilities randomised to the intervention arm will be recruited to receive the intervention in addition to usual care. Girls attending control arm facilities will receive usual care only. Implementation data on feasibility, acceptability, appropriateness, and fidelity of intervention training and delivery will be collected from providers and adolescents. Additional data on provider knowledge, attitudes, and competency will be collected pre- and post-training. Adolescent girls will provide assessments of depression, anxiety, quality of life, social support, parenting competency, and health behaviours before, during, and after delivery of the intervention. At the end of the study, qualitative interviews will be conducted to collect further data on perceptions of the intervention, its implementation, and its impact. Implementation data will be analysed to determine its potential for delivery and success within each context. Individual outcome data analyses will be reported to gain a better understanding of the initial impact of the intervention. DISCUSSION: The Thriving Mamas intervention addresses the challenges to maintaining positive mental health during the perinatal period. It was co-designed with adolescents and their communities to address local priorities and needs. The results of this study will provide information on its potential for sustainable implementation as well as initial data on its impact on mental health, parenting, and health behaviour outcomes. These results will inform the further refinement of the intervention and implementation strategies as well as the design of a full trial to test their effectiveness.

trial registrationEthical approval for this feasibility study has been obtained in Kenya (Aga Khan University Institutional Scientific and Ethics Review Committee, ref: 2023/ISERC-23 (v2)), Mozambique ( Tete Inter-Institutional Health Bioethics Committee, ref: 24/CIBST/23), and the UK (Psychiatry, Nursing and Midwifery Research Ethics Committee, King's College London, ref: HR/DP-22/23-37,125). It was registered at Clinicaltrials.gov (NCT06040359) on September 15, 2023 ( https://clinicaltrials.gov/study/NCT06040359?intr=Thriving%20mamas&rank=1  ), prior to the beginning of the study.

Indexed as

Adolescent mental healthInterventionPerinatal mental health

Identifiers

PMID40537871
PMCPMC12180160

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