Adapting brief problem-solving therapy for pregnant women experiencing depressive symptoms and intimate partner violence in rural Ethiopia

Keynejad, Roxanne; Bitew, Tesera; Sorsdahl, Katherine; Myers, Bronwyn; Honikman, Simone; Mulushoa, Adiyam; Demissie, Mekdes; Deyessa, Negussie; Howard, Louise M.; Hanlon, Charlotte

doi:10.1080/10503307.2023.2222899

Cited by 3 publications

(4 citation statements)

References 81 publications

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“…According to certain studies, partnerships with other women who had experienced abuse could help them manage high-risk domestic violence situations more efficiently (19). The psychologist gave the women the tools to deal with the husband's rage and abuse, which has been shown in certain studies to be effective (20,21). Additionally, it appears that the short-term intervention package for the empowerment of women with IPV should be changed to incorporate factors such as self-esteem, self-efficacy, and women's decision-making capacity that positively influence the empowerment of women with domestic violence (22,23).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Short-Time Empowerment Intervention Package of the Ministry of Health and Medical Education of Iran to Reduce Domestic Violence

Taaki,

Ghahhari,

Lotfi

et al. 2023

Iran J Psychiatry Behav Sci

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Background: This study aimed to evaluate the effectiveness of the short-time empowerment intervention package for women with domestic violence developed at the Ministry of Health and Medical Education in Tehran. Methods: The method of this study was a historical cohort. The researcher-made tool consisted of 30 questions based on the materials contained in the short-time empowerment intervention package. It was provided to 200 women referred to comprehensive healthcare centers who had previously been screened for domestic violence. Of these, 100 people in the experimental group received telephone intervention from a psychologist, and 100 people in the control group received telephone intervention without receiving the intervention. They were asked questions about the tool. Results: The results showed that there were no significant differences between the two groups of women with intervention and women without intervention in 5 areas of safety capabilities, recognizing high-risk situations, designing strategies to deal with high-risk situations, skills to deal with spouse anger, reduce anxiety and stress for themselves and their children (P > 0.05). Conclusions: The findings indicate that the short-time empowerment intervention package for women with domestic violence could not empower women to prevent the recurrence of violence and needs revision.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Short-Time Empowerment Intervention Package of the Ministry of Health and Medical Education of Iran to Reduce Domestic Violence

Taaki,

Ghahhari,

Lotfi

et al. 2023

Iran J Psychiatry Behav Sci

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“…Studies from Tanzania [18], Pakistan [19,20], and Iran [21] support their potential benefits, but only one pilot RCT from Nepal focused specifically on pregnant women [22]. We therefore conducted qualitative research [23], identifying a South African model of brief problem-solving therapy [PST ; 24] as most contextually relevant to rural Ethiopia, and followed UK Medical Research Council (MRC)-affiliated 'ADAPT' guidance [25] to adapt it for the needs of pregnant women experiencing IPV in this setting.…”

Section: Brief Psychological Interventionsmentioning

confidence: 99%

“…All four sessions were delivered within eight weeks from the date of enrolment. The process by which we adapted PST-IPV [23] and standard PST [49] are described in detail elsewhere. Both active arms were four-session manualised interventions based on a model successfully implemented in South Africa [24].…”

Section: Interventionsmentioning

confidence: 99%

“…Pilot testing of hypothesised mediators. Through our formative work informing our adaptation of the intervention and articulating its 'theory of change,' we identified several hypothesised mediators, by which PST-IPV might improve perinatal depressive symptoms in women experiencing IPV in this context [23]. We therefore piloted the use of instruments measuring these constructs in baseline and outcome assessments.…”

Section: Outcome Measurementmentioning

confidence: 99%

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Problem-solving therapy for pregnant women experiencing depressive symptoms and intimate partner violence: A randomised, controlled feasibility trial in rural Ethiopia

Keynejad,

Bitew,

Sorsdahl

et al. 2023

PLOS Glob Public Health

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Evidence for the feasibility of brief psychological interventions for pregnant women experiencing intimate partner violence (IPV) in rural, low-income country settings is scarce. In rural Ethiopia, the prevalence of antenatal depressive symptoms and lifetime IPV are 29% and 61%, respectively. We aimed to assess the feasibility and related implementation outcomes of brief problem-solving therapy (PST) adapted for pregnant women experiencing IPV (PST-IPV) in rural Ethiopia, and of a randomised, controlled feasibility study design. We recruited 52 pregnant women experiencing depressive symptoms and past-year IPV from two antenatal care (ANC) services. Consenting women were randomised to PST-IPV (n = 25), ‘standard’ PST (not adapted for women experiencing IPV; n = 12) or enhanced usual care (information about sources of support; n = 15). Masked data collectors conducted outcome assessments nine weeks post-enrolment. Addis Ababa University (#032/19/CDT) and King’s College London (#HR-18/19-9230) approved the study. Fidelity to randomisation was impeded by strong cultural norms about what constituted IPV. However, recruitment was feasible (recruitment rate: 1.5 per day; 37% of women screened were eligible). The intervention and trial were acceptable to women (4% declined initial screening, none declined to participate, and 76% attended all four sessions of either active intervention). PST-IPV was acceptable to ANC providers: none dropped out. Sessions lasting up to a mean 52 minutes raised questions about the appropriateness of the model to this context. Competence assessments recommended supplementary communication skills training. Fidelity assessments indicated high adherence, quality, and responsiveness but assessing risks and social networks, and discussing confidentiality needed improvement. Adjustments to optimise a future, fully powered, randomised controlled trial include staggering recruitment in line with therapist availability, more training on the types of IPV and how to discuss them, automating randomisation, a supervision cascade model, and conducting post-intervention outcome assessments immediately and three months postpartum. Registration: Pan African Clinical Trials Registry #PACTR202002513482084 (13/12/2019): https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=9601.

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The Impact of Chronic Diseases on Mental Health: An Overview and Recommendations for Care Programs

Akif,

Qusar,

Islam

2024

Curr Psychiatry Rep

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Adapting brief problem-solving therapy for pregnant women experiencing depressive symptoms and intimate partner violence in rural Ethiopia

Cited by 3 publications

References 81 publications

Evaluation of the Short-Time Empowerment Intervention Package of the Ministry of Health and Medical Education of Iran to Reduce Domestic Violence

Evaluation of the Short-Time Empowerment Intervention Package of the Ministry of Health and Medical Education of Iran to Reduce Domestic Violence

Problem-solving therapy for pregnant women experiencing depressive symptoms and intimate partner violence: A randomised, controlled feasibility trial in rural Ethiopia

The Impact of Chronic Diseases on Mental Health: An Overview and Recommendations for Care Programs

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