Parenting with nutrition education and unconditional cash reduce maternal depressive symptoms and improve quality of life: findings from a cluster randomised controlled trial in urban Bangladesh.

IF 2.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global Health Action Pub Date : 2024-12-31 Epub Date: 2024-11-19 DOI:10.1080/16549716.2024.2426784

Sheikh Jamal Hossain, Fahmida Tofail, Anisur Rahman, Jane Fisher, Jena Derakhshani Hamadani, Syed Moshfiqur Rahman

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Abstract

Background: Maternal post-natal depression is a global public health problem. Parenting interventions targeting children's development may also bring benefits to mothers, but few parenting interventions have been studied thoroughly.

Objectives: The study aimed to measure the effect of a parenting intervention using culturally appropriate and locally made toys, along with nutrition education and unconditional cash, on maternal depressive symptoms (MDS) and quality of life (QoL).

Methods: The study was a cluster randomised controlled trial with two arms: i) intervention: parenting with nutrition education and unconditional cash and ii) comparison: unconditional cash in an urban setting in Bangladesh. Twenty clusters were randomised to either the intervention or control group. Community Health Workers (CHWs) delivered parenting and nutrition education sessions fortnightly in households for one year. The participants were mother-child (6-16 months) dyads. The MDS and QoL were measured using the Self-Reporting Questionnaire-20 and a brief version of the QoL questionnaire. Linear regression analysis was used to assess the treatment effects.

Results: After one year of intervention, 547 mothers (93%) completed the study. The mothers in the intervention group had lower MDS [Regression coefficient (β)=-1.53, Confidence interval (95% CI)=-2.28, -0.80] and higher QoL scores in physical health [β = 4.21 (95% CI = 1.71, 6.73)], psychological health [β = 3.14 (95% CI = 1.10, 5.19)], social relationships [β = 3.21 (95% CI = 0.76, 5.66)] and environment [β = 3.40 (95% CI = 1.37, 5.44)] compared with the comparison group.

Conclusion: Parenting interventions including nutrition education and unconditional cash, aimed at improving children's development, resulted in a reduction in maternal depressive symptoms and improvement in quality of life.

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育儿营养教育和无条件现金可减少产妇抑郁症状并提高生活质量：孟加拉国城市群组随机对照试验的结果。

背景：产妇产后抑郁症是一个全球性的公共卫生问题。针对儿童发展的育儿干预措施也可能给母亲带来益处，但很少有人对育儿干预措施进行过深入研究：本研究旨在衡量使用适合当地文化的玩具、营养教育和无条件现金的育儿干预措施对产妇抑郁症状（MDS）和生活质量（QoL）的影响：该研究是一项分组随机对照试验，分为两部分：i) 干预：在孟加拉国的城市环境中，通过营养教育和无条件现金进行育儿；ii) 对比：无条件现金。20 个群组被随机分配到干预组或对照组。社区保健工作者（CHWs）每两周在家庭中开展一次育儿和营养教育课程，为期一年。参与者为母婴（6-16 个月）组合。采用《自我报告问卷-20》和简短版的 QoL 问卷对 MDS 和 QoL 进行了测量。采用线性回归分析评估治疗效果：经过一年的干预，547 名母亲（93%）完成了研究。干预组母亲的 MDS 较低[回归系数 (β)=-1.53, 置信区间 (95% CI)=-2.28, -0.80]，身体健康 QoL 分数较高[β = 4.21 (95% CI = 1.71, 6.73)]。73）]、心理健康[β = 3.14（95% CI = 1.10，5.19）]、社会关系[β = 3.21（95% CI = 0.76，5.66）]和环境[β = 3.40（95% CI = 1.37，5.44）]方面的 QoL 分数高于对比组：结论：育儿干预措施包括营养教育和无条件现金，旨在改善儿童的发展，从而减少了母亲的抑郁症状，提高了生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Global Health Action PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

5.10

自引率

3.80%

发文量

108

审稿时长

16 weeks

期刊介绍： Global Health Action is an international peer-reviewed Open Access journal affiliated with the Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine at Umeå University, Sweden. The Unit hosts the Umeå International School of Public Health and the Umeå Centre for Global Health Research. Vision: Our vision is to be a leading journal in the global health field, narrowing health information gaps and contributing to the implementation of policies and actions that lead to improved global health. Aim: The widening gap between the winners and losers of globalisation presents major public health challenges. To meet these challenges, it is crucial to generate new knowledge and evidence in the field and in settings where the evidence is lacking, as well as to bridge the gaps between existing knowledge and implementation of relevant findings. Thus, the aim of Global Health Action is to contribute to fuelling a more concrete, hands-on approach to addressing global health challenges. Manuscripts suggesting strategies for practical interventions and research implementations where none already exist are specifically welcomed. Further, the journal encourages articles from low- and middle-income countries, while also welcoming articles originated from South-South and South-North collaborations. All articles are expected to address a global agenda and include a strong implementation or policy component.