Keynejad 2020.
| Study name | Problem‐solving therapy (PST) tailored for intimate partner violence (IPV) versus standard PST and enhanced usual care for pregnant women experiencing IPV in rural Ethiopia |
| Methods |
Study design: RCT Country: Ethiopia |
| Participants | Pregnant women experiencing intimate partner violence (IPV), with depressive symptoms and functional impact Inclusion criteria: a. speak Amharic (the official regional language); b. aged 16 years or over; c. between 12 and 34 weeks gestation of pregnancy; d. intending to reside in the study area for the duration of the study; e. score 5 or more on PHQ‐9 with functional impairment (tenth question); f. report IPV in the past year (in a current or previous relationship) during screening; g. consent to participate, including to accept enhanced usual care or to attend four sessions of PST‐IPV or PST (if randomised to a treatment arm). Exclusion criteria: a. acutely unwell; b. require emergency treatment; c. identified by the ANC provider during pre‐screening as having possible psychotic symptoms; d. unable to understand the interview (e.g. diagnosed with severe intellectual disability or dementia, or unable to speak Amharic); e. expect to move away from the study area before the study is completed. Stated purpose: to determine the feasibility and acceptability of the intervention and study design to inform a future fully powered RCT |
| Interventions |
Intervention: Intervention 1: PST‐IPV Intervention 2: standard PST Both PST‐IPV and standard PST intervention arms follow the same structure of four sessions: session 1 focuses on basic psychoeducation, introduction to PST; session 2 focuses on revising session 1, coping strategies for ‘group A’ problems and the six‐step problem‐solving method for ‘group C’ problems; session 3 focuses on revising session 2, coping strategies for ‘group B’ problems and psychoeducation about the phases of coping with bereavement and loss; session 4 focuses on revising session 3, using problem‐solving skills in everyday life and reviewing how the coping strategies worked in practice. PST‐IPV content and materials are adapted to address the needs and experiences of women affected by IPV, whilst standard PST content and materials are generic. Adaptations for women experiencing IPV include training staff using content and materials from the new WHO curriculum on caring for women subjected to violence, attention to safety and sensitivity where women list IPV‐related problems during sessions (including training with worked examples of problem‐solving focused on IPV), and adaptation of PST case studies to reflect common problems associated with IPV. Control: Enhanced usual care (standard clinical care and information only about sources of support) |
| Outcomes |
Participants'outcomes of interest for this review
Economic outcomes Nil Time points: baseline, post‐intervention (9 weeks after baseline: > 1 month post‐intervention) |
| Starting date | Recruitment of participants has not yet commenced. |
| Contact information | Charlotte Hanlon, charlotte.hanlon@kcl.ac.uk |
| Notes |
Source of funding: National Institute of Health Research (NIHR) Global Health Research Unit on Health System Strengthening in sub‐Saharan Africa (ASSET), King’s College London (GHRU 16/136/54) using UK aid from the UK Government and other sources of support specified for all authors Prospective trial registration number: PACTR202002513482084 |