Community psychosocial music intervention (CHIME) to reduce antenatal common mental disorder symptoms in The Gambia: a feasibility trial
Sanfilippo KRM, McConnell B, Cornelius V, Darboe B, Huma HB, Gaye M, Ceesay H, Ramchandani P, Cross I, Glover V, Stewart L
BMJ open · 28 citations
How it was studied
- Design
- Randomized controlled trial (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Government
- Arts and Humanities Research Council
- Government
- Medical Research Council
- Government
- Economic and Social Research Council
- Grants
- Medical Research Council (MR/R024618/1); Economic and Social Research Council (ES/V010158/1); Economic and Social Research Council (ES/V010158/1); Medical Research Council (MC_PC_MR/R024618/1)
Based on 3 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2020-11-01 · BMJ Open · vol. 10 · issue 11 · p. e040287
- Publisher
- BMJ
- Cited
- 41 citations · more than 90% of similar papers · 2.7× the field average
- Impact
- Top 10% most cited in its field
- References
- 61 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Music Therapy and Health · Maternal Mental Health During Pregnancy and Postpartum · Infant Development and Preterm Care
- Keywords
- Medicine, Psychosocial, Edinburgh Postnatal Depression Scale, Intervention (counseling), Mental health, Randomized controlled trial, Thematic analysis, Mood, Family medicine, Psychiatry, Qualitative research, Anxiety
- MeSH
- humans, music therapy, feasibility studies, mental disorders, pregnancy, music, gambia, female
11 authors
From GB, AU, GM
- Katie Rose M. Sanfilippo · correspondingGoldsmiths University of London
- Bonnie B. McConnellAustralian National University
- Victoria R. CorneliusImperial College London
- Buba DarboeMinistry of Health and Social Welfare
- Hajara B HumaMinistry of Health and Social Welfare
- Malick GayeMinistry of Health and Social Welfare
Abstract
Objectives
Examine the feasibility of a Community Health Intervention through Musical Engagement (CHIME) in The Gambia to reduce common mental disorder (CMD) symptoms in pregnant women.
Design
Feasibility trial testing a randomised stepped-wedge cluster design.
Setting
Four local antenatal clinics.
Participants
Women who were 14-24 weeks pregnant and spoke Mandinka or Wolof were recruited into the intervention (n=50) or control group (n=74).
Intervention
Music-based psychosocial support sessions designed and delivered by all-female fertility societies. Sessions lasted 1 hour and were held weekly for 6 weeks. Delivered to groups of women with no preselection. Sessions were designed to lift mood, build social connection and provide health messaging through participatory music making. The control group received standard antenatal care.
Outcomes
Demographic, feasibility, acceptability outcomes and the appropriateness of the study design were assessed. Translated measurement tools (Self-Reporting Questionnaire (SRQ-20); Edinburgh Postnatal Depression Scale (EPDS)) were used to assess CMD symptoms at baseline, post-intervention and 4-week follow-up.
Results
All clinics and 82% of women approached consented to take part. A 33% attrition rate across all time points was observed. 72% in the intervention group attended at least three sessions. Audio and video analysis confirmed fidelity of the intervention and a thematic analysis of participant interviews demonstrated acceptability and positive evaluation. Results showed a potential beneficial effect with a reduction of 2.13 points (95% CI (0.89 to 3.38), p<0.01, n=99) on the SRQ-20 and 1.98 points (95% CI (1.06 to 2.90), p<0.01, n=99) on the EPDS at the post-intervention time point for the intervention group compared with standard care.
Conclusion
Results demonstrate that CHIME is acceptable and feasible in The Gambia. To our knowledge, CHIME is the first example of a music-based psychosocial intervention to be applied to perinatal mental health in a low- and middle-income country context.
Trial registration number
Pan African Clinical Trials Registry (PACTR201901917619299).
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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