Men Engagement in Women Empowerment for Improving Maternal Mental Health Through Cash Transfer and Life Skills Building

Browse trials for

• Empowerment 46
• Depression 8,245

Keywords

• Maternal Depression
• Women Empowerment
• Life Skills Building

Empowerment

46 studies on the registry are indexed under Empowerment; 18 are open to participants now.

This study's enrollment of 1,696 is above the median of 120 across 41 interventional studies indexed under Empowerment.

Lead sponsor

Aga Khan University is the lead sponsor of 293 studies on the registry; 44 are open to participants now.

Study arms

• Active comparator
  BISP,CT & LSB to Couples

  In this arm 1, the LSB intervention will be offered to the BISP-CT beneficiary women and their spouses

  Behavioral: Life Skills Building Training

• Active comparator
  BISP,CT & LSB to Women

  In this arm, the LSB intervention will be offered to the BISP-CT beneficiary women only.

  Behavioral: Life Skills Building Training

• No intervention
  BISP,CT & No LSB

  This is the control group, where neither BISP-CT beneficiary women nor their spouses will be offered the LSB intervention

Interventions

• BehavioralLife Skills Building Training

  The Life Skills Building intervention is a curriculum based on 10-12 sessions. The sessions will include the skills essential for family harmony and improving overall mental health of the participants

Primary outcomes

1. Decreased Maternal Depression

   The Patient Health Questionnaire (PHQ) is a self-administered instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day), over the last two weeks. PHQ-9 total score for the nine items ranges from 0 to 27. Scores of 5, 10, 15, and 20 represent cut points for mild, moderate, moderately severe and severe depression, respectively.

   Time frame: Base-line, and End-line (5 months post-intervention)

2. Decreased Domestic Violence

   The revised conflict tactics scale (CTS) consists of 20-item and is self-administered. The scale includes items regarding Negotiation (1-4), Psychological aggression (5-8), Physical assault (9-12), Sexual coercion (13-16) and Injury (17-20). The scoring criteria consists of a scale from 1-8, 1-6 indicates the frequency of conflict happened in the past year ranging from once to more than 20 times. 7 indicates conflict happened not in the past year but happened before that. If it never happened, 8 will be marked. There are many ways to score the CTS: Respondents who reported being a victim of or perpetrating an item or items (Prevalence). The number of times an item occurred in the past year (Frequency). Classifying each case into three categories: none, minor only, or severe (severity level). Classifying each case as respondent only, partner only, or both (mutuality types).

   Time frame: Base-line, and End-line (5 months post-intervention)

3. Improved General Self-Efficacy

   The General Self-Efficacy Scale (GSE) is a 10-item instrument to assess a general sense of perceived self-efficacy with the aim to predict coping and adaptation after stressful life events. Responses to each item are made on a 4-point scale: 1=Not at all true, 2=Hardly true, 3=moderately true, 4=exactly true. For the GSE, the total score ranges between 10 and 40, with a higher score indicating more self-efficacy.

   Time frame: Base-line, and End-line (5 months post-intervention)

Secondary outcomes

1. Improved Household Food Security

   A six-item food security questionnaire (FSQ) is used to assess the food security in a household. The scale is valid, reliable and sensitive screening tool of food security in the household in the last 4 weeks, and whether the household was able to afford the food they needed. The total score ranges between 0-6, where score 0-1 shows high or marginal food security, score 2-4 shows low food security, score 5-6 shows very low food security.

   Time frame: Base-line, and End-line (5 months post-intervention)

2. Increased Resilience

   The validated Wagnild's resilience scale in Pakistani context will be used. The resilience scale comprise of five core characteristics of resilience that include: purposeful life, perseverance, equanimity, self-reliance and existential loneliness. It comprise of validated 14 items with 7-point Likert scale to rate the individual's evaluation ranging from 1 (Strongly Disagree) to 7 (Strongly Agree). Item scores are summed to yield a total score ranging from 14 to 98, with higher scores suggestive of greater perceived resilience categorized as very low (14-56), low (57-64), on the low end (65-73), moderate (74-81), moderately high (82-90), and high (91-98).

   Time frame: Base-line, and End-line (5 months post-intervention)

3. Improved Gender Attitude

   The Gender Equitable Attitude Scale (GEAS) is a 21 item Likert scale ranging from 4 (strongly agree) to 1 (strongly disagree). It has been adapted from 34-item original "The Gender-Equitable Men Scale (GEM Scale)" and 13-item "Gender Equitable Men Scale" adapted in the context of Pakistan. The total score ranges from 21-84, where higher score shows more gender equitable attitudes.

   Time frame: Base-line, and End-line (5 months post-intervention)

Study documents

• Study protocol · Jan 20, 2021
• Informed consent form · Jul 19, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — The IPD will be analyzed using unique identifiers and only the study results will be shared through publications