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. 2021 Jul 7;11(7):e047609. doi: 10.1136/bmjopen-2020-047609

Table 1.

Description of intervention sessions

Sessions Content Timing Recipients
1: Introduction and rapport building
  • Introducing programme and engaging mother and her family

  • Developing empathetic relationship with mother

  • Ensuring family support system

Beginning of 7th month of pregnancy Mother and family members
2: Maternal well-being
  • Assessment of psychosocial problems of mother

  • Use of guided discovery and behavioural activation for improving mother’s health (strategies for improving overall well-being, including diet, rest, relaxation and sleep)

7th month of pregnancy Mother and family members
3: Improving mother relationship with significant others
  • Thought challenging and behaviour activation using guided discovery (strategies for improving interpersonal relationships and mobilising social support)

  • Awareness about complication during pregnancy

8th month of pregnancy Mother and family members
4: Improving mother relationship with infant during pregnancy
  • Thought challenging and behaviour activation using guided discovery (strategies for improving bond with the infant during pregnancy. Knowledge and planning of safe delivery and importance of colostrum)

9th month of pregnancy Mother
4: Follow-up session after delivery
  • Following up after child birth

  • Psychoeducation about child development

Immediate postdelivery Mother
5: Improving child’s physical health
  • Thought challenging and behaviour activation using guided discovery (strategies for awareness on benefits of exclusive breastfeeding)

  • Responsive breast feeding

  • Addressing the concept of child crying because of insufficient milk

  • Increasing breast milk by diet and improved frequency- addressing insufficiency of milk

  • Family support for breast feeding

  • Assessment of postpartum psychosocial problems of mother

8 weeks postnatal Mother
5A: Improving maternal health
  • Assessment of psychosocial problems of mother

  • Use of guided discovery and behavioural activation for improving mother’s health

9 weeks postnatal Mother
5B: Improving maternal health
  • Use of guided discovery and behavioural activation for improving mother’s relationship with others

10 weeks postnatal Mother
5C: Improving maternal health
  • Use of guided discovery and behavioural activation for improving mother’s relationship with child

11 weeks postnatal Mother
6: Importance of mother–child interaction
  • Exclusive breast feeding (EBF) for 6 months

  • Birth spacing

  • Suitable environment-birth spacing

  • Interaction, love and care for child

  • Selecting play activity and conducting with mother and child

12 weeks postnatal Mother and infant
7: Follow-up on early stimulation activities
  • Revision of activities discussed in session 6

  • Importance of vaccination

16 weeks postnatal Mother and Child
8: Awareness on birth spacing; improving child’s health Thought challenging and behaviour activation using guided discovery (strategies for awareness on birth spacing and its relation to child’s health)
  • EBF for 6 months

  • Birth spacing

  • Suitable environment-birth spacing

  • Modern methods of contraception

  • Interaction, love and care for child


Selecting play activity and conducting with mother and child
20 weeks postnatal Mother
9: Introduction to solid food
  • Interaction and play with child

  • Selecting play activity and conducting with mother and child

  • Introduction to solid food and concept of super food

  • Food and hygiene

  • Continuation of breastfeeding with weaning at 6 months

  • Importance of vaccination

24 weeks postnatal Mother
10: Introduction to mother–child interaction. Improving mother–child interaction through responsiveness and praise
  • Skill-based activities to promote mother–child interaction

  • Homework charts are given to monitor the activity

  • Learning through play activities are reinforced

28 weeks postnatal Mother and infant
11: Importance of following child’s interest
  • Skill-based activities to promote mother–child interaction

  • Homework charts are given to monitor the activity

  • Learning through play activities are reinforced

32 weeks postnatal Mother and infant
12: Importance of following child’s lead
  • Skill-based activities to promote mother–child interaction

  • Homework charts are given to monitor the activity

  • Learning through play activities are reinforced

36 weeks postnatal Mother and infant
13: Promote child language development
  • Skill-based activities to promote mother–child interaction

  • Homework charts are given to monitor the activity

  • Learning through play activities are reinforced

40 weeks postnatal Mother and infant
14: Scaffolding
  • Skill-based activities to promote mother–child interaction

  • Homework charts are given to monitor the activity

  • Learning through play activities are reinforced

44 weeks postnatal Mother and infant
15: Review of all five strategies Revision of all strategies and next line of action.
Learning through play activities are reinforced.
48 weeks postnatal Mother and infant