About this trial
The goal of this clinical trial is to learn if an integrated care program can help improve overall health and prevent repeat pregnancy in teen mothers in Barbados. The study focuses on young women ages 10 to 25 who became pregnant during their teenage years and are experiencing stress or mood-related symptoms. This study is currently pending ethics committee review and has not yet begun enrolling participants.
The main questions it aims to answer are:
* Does the THRIVE program improve participants' mental health and parenting skills? * Does the program help prevent repeat, unplanned pregnancies?
Researchers will compare participants who receive the THRIVE program to those who receive standard care to see if the program leads to better physical and emotional health.
Participants will:
* Take part in seven biweekly in-person or virtual sessions focused on reproductive and behavioral health; * Complete health checks and questionnaires about their mood, parenting stress, and support; * Receive follow-up contact after the sessions are completed.
The THRIVE program includes education on sexual health, mental health, parenting, and life skills. Participants will receive small incentives and support throughout the study. All study activities will begin only after full ethics approval is obtained.
Eligibility criteria
Qualifiers
Young mothers aged 10 to 25 years residing in Barbados
Experienced adolescent pregnancy between ages 10 and 19 years
Living in low-income households with annual income BDS $20,000 (~USD 10,000) or below
Screen positive for depressed mood symptoms using the Patient Health Questionnaire-2 (PHQ-2), indicating feeling "little interest or pleasure in doing things" and/or feeling "down, depressed, or hopeless" over the past 2 weeks
Disqualifiers
History of heart disease, head trauma, hypertension, diabetes, psychiatric, or neurological conditions
Severe cognitive or medical conditions preventing participation
Enrollment in conflicting interventional studies
Insufficient proficiency in study languages without access to interpretation (if applicable)
Trial design
Treatments tested in this trial
- THRIVE Integrated Care Program
Treatment groups
Sponsors and collaborators
Hada Fongha Ieong, PhD
Lead sponsor
Ross University School of Medicine
Sponsor institution
Rotary Club of Barbados
Collaborator