The goal of this clinical trial is to learn whether a maternal mental health support program can improve maternal mental health and child development when delivered through routine child healthcare services in community health centers in China. The study will also examine how the program works and whether it can be successfully integrated into the child healthcare system. The main questions it aims to answer are: * Does the maternal mental health support program improve maternal mental health and well-being? * Does the program improve child development outcomes? * Through what pathways does the program influence maternal mental health and child development? * Can the program be successfully integrated and delivered within the child healthcare system? Researchers will compare the maternal mental health support program with usual child healthcare services. Participants will: * Receive either the maternal mental health support program or usual child healthcare services * Attend program sessions delivered in community health centers * Complete questionnaires and assessments related to maternal well-being, parenting, and child development * Participate in follow-up assessments during the study period
Age range
18 Years
Sex
FEMALE
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The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Depressive symptoms measured by the Patient Health Questionnaire-8 (PHQ-8)
Timeframe: Baseline, 6 months, and 12 months (2 months for pilot study)
Parenting stress measured by the Parenting Stress Index (PSI)
Timeframe: Baseline, 6 months, and 12 months (2 months for pilot study)
Depressive symptoms measured by the Hamilton Depression Rating Scale (HAMD)
Timeframe: 12 months (2 months for pilot study)
Depressive symptoms measured by the Center for Epidemiological Studies Depression Scale (CES-D)
Timeframe: Baseline, 6 months, 12 months (2 months for pilot study)
Child social-emotional development measured by the Brief Infant-Toddler Social and Emotional Assessment (BITSEA)
Timeframe: Baseline, 6 months, 12 months ( 2 months for pilot study)
Child cognitive development measured by the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III)
Timeframe: Baseline, 6 months, 12 months ( 2 months for pilot study)