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CTRI Number  CTRI/2020/03/023848 [Registered on: 09/03/2020] Trial Registered Prospectively
Last Modified On: 28/07/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Preventive
Behavioral
Other (Specify) [Comprehensive Health literacy and Recorded Music on perinatal mental health and birth outcomes]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comprehensive Health-literacy And Recorded Music Intervention 
Scientific Title of Study   effectiveness of Comprehensive Health-literacy And Recorded Music (CHARM intervention)on perinatal mental health and birth outcomes among low risk primigravid women and neonatal dyads in a tertiary hospital, Udupi District, Karnataka-RCT 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Meena Konsam 
Designation  Ph.D. Scholar 
Affiliation  MAHE, University 
Address  Department of Obstetrics and Gynaecological Nursing 4th floor, room no. 405 Manipal College Of Nursing, MAHE, Manipal

Udupi
KARNATAKA
576104
India 
Phone  6364165228  
Fax    
Email  meenakonsam@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Meena Konsam 
Designation  Ph.D. Scholar 
Affiliation  MAHE, University 
Address  Department of Obstetrics and Gynaecological Nursing 4th floor, room no. 405 Manipal College Of Nursing, MAHE, Manipal

Udupi
KARNATAKA
576104
India 
Phone  6364165228  
Fax    
Email  meenakonsam@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sonia RB DSouza 
Designation  Professor & Head 
Affiliation  MAHE,University 
Address  Department of Obstetrics and Gynaecological Nursing 6th floor, room no. 603B Manipal College Of Nursing, MAHE, Manipal

Udupi
KARNATAKA
576104
India 
Phone  09844732883  
Fax    
Email  udupisony@gmail.com  
 
Source of Monetary or Material Support  
Manipal college of Nursing and Kasturba hospital, MAHE, Manipal 
 
Primary Sponsor  
Name  NA 
Address  NA 
Type of Sponsor  Other [NA] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Meena Konsam  Kasturba hospital  Kasturba Hospital Department of Obstetrics and Gynaecology, Kasturba Medical College, Antenatal Opd, ground floor room no. 1 & 2 and 3rd floor antenatal opd, Women and child block. Manipal, Udupi Dstrict- 576104, Karnataka
Udupi
KARNATAKA 
6364165228

meenakonsam@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O269||Pregnancy related conditions, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  CHARM intervention, Recorded music intervention , Comprehensive Health literacy information  Recorded music intervention includes recorded instrumental Indian Classical music ie Hindustani ragas, Comprehensive health literacy information includes care during third trimester, delivery care and maternal and neonates care. CHARM intervention include both package of recorded music and comprehensive health literacy information 
Comparator Agent  Standard of care  standard of care which includes antenatal care given by the treating physician 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Female 
Details  Low-risk primigravid women
above 28 weeks of gestation but also includes women who may have had a previous abortion of less than 20 weeks of gestation.
who can read and speak English and Kannada
who are having normal hearing ability
women who possess a smartphone
have a vertex or cephalic presentation
 
 
ExclusionCriteria 
Details  Primigravid women
with psychiatry disorder and endocrine disorders (like Gestational Diabetes mellitus, thyroid) and adrenal problems
multiple gestation pregnancy
In-vitro fertilization (IVF), assisted reproductive treatment pregnancies
diagnosed to be at risk for preterm delivery and who had delivered preterm neonate previously.
with pregnancy-related complications such as antepartum haemorrhage, preeclampsia, and pregnancy-induced hypertension, gestational hypertension and cervical incompetence.
with confirmation of congenital anomalies before 28 weeks of gestation
clinically identified as having Intrauterine growth restriction before 28 weeks of gestation
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Pregnancy related anxiety  baseline data , after 4 weeks of intervention 
 
Secondary Outcome  
Outcome  TimePoints 
perinatal mental health: quality of sleep, antenatal unipolar depression,
peirnatal birth outcome, health literacy, neonatal behaviour, LATCH score 
baseline, after 4 weeks of intervention , post delivery 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   12/03/2020 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="1"
Days="5" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  

Pregnancy is the period where most of the women change both physiological and psychological aspects. Normally fear and anxiety occur throughout her daily life concerning her state of health and her growing fetus

The present study aims to assess the effectiveness of Comprehensive Health-literacy and Relaxing Music (CHARM) intervention, only comprehensive health-literacy, and only relaxing music intervention on pregnancy-related anxiety, quality of sleep, health literacy and perinatal birth outcomes among low-risk primigravid women. Low-risk primigravid women are in need of necessary information regarding their pregnancy and required care. So, making their literate in health-related information in need of the hour. Similarly, they are also anxious respect to their pregnancy, so listening to recorded music will help them to alleviate their anxiety. Moreover CHARM in a cost-effective manner which may contribute to improve perinatal outcomes. If found effective, getting comprehensive and necessary health information and listening to recorded music as an intervention can be implemented among pregnant women throughout the pregnancy period to alleviate anxiety, improve health literacy about pregnancy and thereby improve perinatal outcomes. 

The hypotheses will be tested at 0.05 level of significance

 H1: there will be significant difference in perinatal mental health outcomes between the experimental group and control group

H2: there will be significant difference in birth outcomes between the experimental group  and control group

 
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