An evaluation of a combined psychological and parenting intervention for HIV-positive women depressed in the perinatal period, to enhance child development and reduce maternal depression: Study Protocol for the Insika Yomama Cluster Randomised Controlled

South Africa, 2018 - 2023

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AHRI.Insika.Yomama.dataset

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Tamsen Rochat, Alan Stein, Samukelisiwe Dube, Kobus Herbst, Cecilia A. Hoegfeldt, Stephanie Redinger, Thandeka Khoza, Ruth Margret Bland, Linda Richter, Louise Linsell, Chris Desmond, Aisha K. Yousafzai, Michelle Craske, Ed Juszczak, Melanie Abas, Taygen Edwards, David Ekers

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Apr 10, 2026

Last modified

Apr 13, 2026

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Data file: AHRI.InsikaYomama.AssessmentWithoutVaccine.20241117

Cases:	320
Variables:	1246

Variables

post_12m_suicidal

You stated on item on the EPDS that the thought of harming yourself has occurred

post_12m_suicidal_today

Do you feel this way today?

post_12m_suicidal_plans

Have you thought about how you might go about harming yourself or have you made

post_12m_gad_1

Feeling nervous, anxious, or on edge

post_12m_gad_2

Not being able to stop or control worrying

post_12m_gad_3

Worrying too much about different things

post_12m_gad_4

Trouble relaxing

post_12m_gad_5

Being so restless that it's hard to sit still

post_12m_gad_6

Becoming easily annoyed or irritable

post_12m_gad_7

Feeling afraid as if something awful might happen

post_12m_gad_diff

If you checked off any problems, how difficult have these made it for you to do

post_12m_rumination_1

How much do you think about how alone you feel?

post_12m_rumination_2

How much do you think about your feelings of fatigue and achiness?

post_12m_rumination_3

How much do you think about how sad you feel?

post_12m_rumination_4

How much do you think about all your mistakes and failures?

post_12m_rumination_5

How much do you think about how angry you are with yourself?

post_12m_psi_13

My child rarely does things that make me feel good

post_12m_psi_14

Most times I feel that my child does not like me and does not want to be close t

post_12m_psi_15

My child smiles at me much less than I expected

post_12m_psi_16

When I do things for my child, I get the feeling that my efforts are not appreci

post_12m_psi_17

When playing, my child doesnt often giggle or laugh

post_12m_psi_18

My child doesnt seem to learn as quickly as most children

post_12m_psi_19

My child doesnt seem to smile as much as most children

post_12m_psi_20

My child is not able to do as much as I expected

post_12m_psi_21

It takes a long time and it is very hard for my child to get used to new things

post_12m_psi_22

I expected to have closer and warmer feelings for my child than I do and this bo

post_12m_psi_23

Sometimes my child does things that bother me just to be mean

post_12m_psi_24

My child seems to cry or fuss more often than most children

post_12m_psi_25

My child generally wakes up in a bad mood

post_12m_psi_26

I feel that my child is very moody and easily upset

post_12m_psi_27

My child does a few things which bother me a great deal

post_12m_psi_28

My child reacts very strongly when something happens that he/she doesnt like

post_12m_psi_29

My child gets upset easily over the smallest thing

post_12m_psi_30

My childs sleeping or eating schedule was much harder to establish than I expect

post_12m_psi_31

There are some things my child does that really bother me a lot

post_12m_psi_32

My child turned out to be more of a problem than I had expected

post_12m_psi_33

My child makes more demands on me than most children

post_12m_psi_34

Think carefully and count the number of things which your child does that bother

post_12m_psi_35

I feel that I am:

post_12m_psi_36

I have found that getting my child to do something or stop doing something is:

post_12m_psi_37

If score > X then ask: can I check has the child suffered from colic or allergi

ecd_resources_1

How many children's books or picture books do you have for [child_name]?

ecd_resources_toys1

Homemade toys (such as dolls, cars or other toys made at home)?

ecd_resources_toys2

Toys from a shop or manufactured toys?

ecd_resources_toys3

Household objects (such as bowls or pots) or objects found outside (such as stic

ecd_resources_care_1

In the last week, have you left your child alone for more than an hour?

ecd_resources_care_2

If yes, on how many days in the past week did you leave your child alone for mor

ecd_resources_care_3

In the last week, have you left your child in the care of another child (someone

ecd_resources_care_4

If yes, on how many days in the past week did you leave your child in the care o

ecd_resources_act_1___1

Read books to or look at picture books with the child? - Mother

ecd_resources_act_1___2

Read books to or look at picture books with the child? - Father

ecd_resources_act_1___3

Read books to or look at picture books with the child? - Someone

ecd_resources_act_1___4

Read books to or look at picture books with the child? - None

ecd_resources_act_2___1

Told stories to the child? - Mother

ecd_resources_act_2___2

Told stories to the child? - Father

ecd_resources_act_2___3

Told stories to the child? - Someone

ecd_resources_act_2___4

Told stories to the child? - None

ecd_resources_act_3___1

Sang songs to the child? - Mother

ecd_resources_act_3___2

Sang songs to the child? - Father

ecd_resources_act_3___3

Sang songs to the child? - Someone

ecd_resources_act_3___4

Sang songs to the child? - None

ecd_resources_act_4___1

Took the child outside the home, yard or enclosure? - Mother

ecd_resources_act_4___2

Took the child outside the home, yard or enclosure? - Father

ecd_resources_act_4___3

Took the child outside the home, yard or enclosure? - Someone

ecd_resources_act_4___4

Took the child outside the home, yard or enclosure? - None

ecd_resources_act_5___1

Played with the child? - Mother

ecd_resources_act_5___2

Played with the child? - Father

ecd_resources_act_5___3

Played with the child? - Someone

ecd_resources_act_5___4

Played with the child? - None

ecd_resources_act_6___1

Named, counted, or drew things with the child? - Mother

ecd_resources_act_6___2

Named, counted, or drew things with the child? - Father

ecd_resources_act_6___3

Named, counted, or drew things with the child? - Someone

ecd_resources_act_6___4

Named, counted, or drew things with the child? - None

post_12m_vf_task

Did the participant complete the baby voices and faces task on the tablet?

post_12m_videorecording

Did the you complete the video-recording of the mother-infant interactions?

post_12m_social_feelings

Any problems with your feelings?

post_12m_social_confid

Any problems with the confidentiality of your status?

post_12m_social_fam

Any problems with your partner or your family?

post_12m_social_stigma

Any problems with stigma or harm in your community?

post_12m_unblinded

I became unblinded:

post_12m_unblinded_des

If yes, details of what happened?

post_12m_rhc_photo

Are you able to photograph the Road to Healthcard ?

post_12m_dob_rhc

What is the date of birth of the child? (see page 1 of the Road to health card)

post_12m_rhc_confirm

Have you uploaded all the pictures required from the road to health card?

post_12m_rhc_delete

Have you deleted all the pictures from the tablet after you have uploaded the pi

p24m_completion_date_11a

Form Completion Date

post_24m_assesment_setting_11a

Is this assessment done

post_24m_assesment_session_11a

Is this assessment session done

post_24m_assesment_session_o_11a

Please explain where the assessment was done

post_24m_vital_status

Note whether baby is alive

post_24m_living_child

Are you currently living with your child?

post_24m_new_pregnancy

Have you become pregnant since we interviewed you at the 12 month postnatal asse

post_24m_new_pregnancy2

If yes, are you currently pregnant?

post_24m_pregnancy_ended

If no, what is the reason why you are no longer pregnant?

post_24m_pregnancy_ended_gest

Gestation at time of termination or miscarriage

post_24m_pregnancy_ended_date

Date of termination or miscarriage

post_24m_new_pregnancy_gest

If currently pregnant, how may weeks pregnant are you currently?

md_infantage_months

How old is your baby now (in months)

md_ever_breastfed

Did you ever breastfeed?

post_24m_md_ebf_stop

How long did you give your baby breastmilk ONLY when feeding?

post_24m_md_ebf_other_period

If other period, how long did the mother exclusively breastfeed for (specify num

post_24m_md_breastfeed_stop

How old was your child when you stopped breastfeeding completely? (This includes

post_24m_smoked

In the last 12 months, have you smoked?

post_24m_smoked_nu

If yes, can you tell me the maximum number of cigarettes you smoked on any one

post_24m_alcohol1

In the last 12 months, have you had any alcohol to drink?

post_24m_alcohol

If yes, on average, how many units of alcohol per week have you had?

post_24m_traditional

Have you used traditional medicines on either yourself or your child?

post_24m_trad_meds

If using traditional medicines, do you use

post_24m_confirm_hivtreatment

Are you currently on HIV treatment?

mnth24_arv

Are you still taking ARVs?

post_24m_arv_visits

In the last 12 months, have you been able to attend all of your treatment follow

post_24m_arv_adherence

In the last 12 months, have you managed to adhere to taking your HIV treatment?

post_24m_arv_complication

Have you had any ART treatment complications (but not hospitalisation) in the la

mnth24_mom_hosp

Since we last interviewed you when your child was 12 months old, have you been h

post_24m_maternal_hosp_times

If yes, how many times have you been hospitalised?

post_24m_maternal_hosp_date

Date of hospitalisation

post_24m_maternal_hosp_length

episode2_date24

Date of hospitalisation

episode2_diag_24

episode2_length_24

episode3_date24

Date of hospitalisation

episode3_diag_24

episode3_length_24

episode4_diag_24

episode4_length24

episode4_date_24

Date of hospitalisation

post_24w_diarrhoea

diar_days24

If yes, how many days of diarrhoea did your child have over the past 14 days?

hosp_baby24

At the 12 month visit, you reported that your child had been hospitalised [mnth1

hosp_times24

If yes, how many times has he/she been hospitalised?

hosp1_reason24

Reason for hospitalisation

post_24m_baby_hosp_date

Date of hospitalisation

post_24m_baby_hosp_length

hosp2_reason24

Reason for hospitalisation

hosp2_other24

If other, please specify

hosp2_date24

Date of hospitalisation

hosp2_length24

a24_hosp3_reason

Reason for hospitalisation

a24_hosp3_other

If other, please specify

a24_hosp3_date

Date of hospitalisation

a24_hosp3_length

a24mnth_hosp4_reason

Reason for hospitalisation

a24mnth_hosp4_other

If other, please specify

a24mnth_hosp4_date

Date of hospitalisation

a24mnth_hosp4_length

a24mnth_hosp5_reason

Reason for hospitalisation

a24mnth_hosp5_other

If other, please specify

a24mnth_hosp5_date

Date of hospitalisation

a24mnth_hosp5_length

a24mnth_child_hiv_test

How many HIV tests has the child had to date?

a24mnth_child_test1_date

Date of HIV test

a24mnth_child_test1_result

Result of HIV test

a24mnth_child_test2_date

Date of HIV test

a24mnth_child_test2_result

Result of HIV test

a24mnth_child_test3_date

Date of HIV test

a24mnth_child_test3_result

Result of HIV test

a24mnth_child_test4_date

Date of HIV test

a24mnth_child_test4_result

Result of HIV test

a24mnth_child_test5_date

Date of HIV test

a24mnth_child_test5_result

Result of HIV test

a24mnth_child_arv

Has the child started taking ARV treatment?

post_24m_baby_hiv16

Since we last spoke to you when your child was 12 months old, are you still givi

post_24m_baby_hiv17

If no, when did you stop?

post_24m_units

post_24m_baby_hiv18

Are you giving any other milk to your baby?

a24mnth_feeding_solids

When did you introduce solids?

post_24m_food_security

Thinking about how to manage food with your current resources, have there been d

post_24m_adult_wk

If yes, does this happen every week?

post_24m_child_food

Have there been days in the past 4 weeks where there has not been enough food fo

post_24m_child_wk

If yes, does this happen every week?

mnth24_rthc_measles

Measles2 received

mnth24_rthc_measles_date

If yes, date given

post_24m_paid_empl

Do you have paid employment?

post_24m_full_part

If yes, is this employment:

post_24m_who_income

Who is the main provider of income for your household?

post_24m_income_type

Does anyone in this household have access to a support grant?

post_24m_grant_type

If yes, is it a

post_24m_fridge

Does this household own a fridge?

post_24m_hh_finance

How would this household classify its financial situation these days?

post_24m_debt_6m

During the last 6 months, have you found that you are in so much debt that you d

post_24m_money

During the last 6 months have you or your family had too little money for basics

post_24m_support

If you had a really big problem and needed help with, for example money, the chi

post_24m_confidante_y_n

Do you have a confidante, someone you can talk to about almost anything?

post_24m_confidante_who

What is the relationship of this person to you?

post_24m_living_change

Has your living situation changed since the last interview when your baby was 12

post_24m_living

If yes, how would you describe your current family situation?

post_24m_gend_head_prev

Previously you stated that [baseline_gend_head] was the head of this household,

post_24m_gend_head

If no, what is the gender of the head of the household?

post_24m_res_prev

Previously you stated that there were [baseline_res_hh] resident adults and chil

post_24m_res_hh

If no, how many residents are there in this household?

post_24m_res_adults_prev

Previously you stated that there were [baseline_res_adults_2] resident adults in

post_24m_res_adults_2

If no, how many resident adults (i.e .>18 years) are there in this household?

post_24m_res_adolescents_prev

Previously you stated that there were [baseline_res_adolescents] resident adoles

post_24m_res_adolescents

If no, how many resident adolescents (i.e. 11 to 18 years) are there in this hou

post_24m_res_children_prev

Previously you stated that there were [baseline_res_child] resident children in

post_24m_res_child

If no, how many resident children (i.e. 0 to 10 years) are there in this househo

post_24m_crim_past12m

Has anyone in this family been a victim of crime in the last 12 months?

post_24m_life_events

Have you experienced any negative life events in the last year (bereavement, acc

mnth_fam_geton

Your family get on well together

post_24m_rpcs_20

That your family have frequent conflicts

post_24m_rpcs_adult_2

That your family often resolve conflict by talking about the problem?

post_24m_rpcs_adult_1

That your family try to find solutions that are acceptable to all of you?

post_24m_relationship

What best describes your current relationship?

post_24m_s1000_fam

That your current family makes your life harder?

post_24m_fath_supp

Has the father of the baby been supportive of the child in the last 12 months?

post_24m_fath_fin

Does the father of the child contribute financially?

post_24m_fath_live

Does your partner live with you in this household?

post_24m_fath_supp2

Has your partner been supportive of your child in the last 12 months?

post_24m_fath_fin2

Does the father of your child still contribute financially?

post_24m_fath_hiv3

Do you know your current partner's HIV status?

post_24m_fath_hiv4

If yes, what is his HIV status?

post_24m_fath_disc_2

Have you disclosed your HIV status to your current partner?

post_24m_hiv_disc_2

If yes, what level of disclosure?

mnth_part_geton

You and your partner get on well together

post_24m_freq_con

That you and your partner have frequent conflicts?

post_24m_rpcs_2

That you both often resolve conflict by talking about the problem?

post_24m_rpcs_1

That you try to find solutions that are acceptable to both of you?

post_24m_s1000

That your current partner makes your life harder?

post_24m_epds_1

Have you been able to laugh and see the funny side of things - how does this com

post_24m_epds_2

Have you been able to look forward to things with enjoyment - how does this comp

post_24m_epds_3

Have you been feeling guilty about things that you have done?

post_24m_epds_4

Have you been anxious or worried for no good reason?

post_24m_epds_5

Have you been feeling scared or panicky for no good reason?

post_24m_epds_6

Have you been feeling that things were getting on top of you?

post_24m_epds_7

Have you been so unhappy that you have been having difficulty sleeping?

post_24m_epds_8

Have you been feeling sad or miserable?

post_24m_epds_9

Have you been so unhappy that you have been crying?

post_24m_epds_10

Has the thought of harming yourself occurred to you?

post_24m_suicidal

You stated on item on the EPDS that the thought of harming yourself has occurred

post_24m_suicidal_today

Do you feel this way today?

post_24m_suicidal_plans

Have you thought about how you might go about harming yourself or have you made

post_24m_gad_1

Feeling nervous, anxious, or on edge

post_24m_gad_2

Not being able to stop or control worrying

post_24m_gad_3

Worrying too much about different things

post_24m_gad_4

Trouble relaxing

post_24m_gad_5

Being so restless that it's hard to sit still

post_24m_gad_6

Becoming easily annoyed or irritable

post_24m_gad_7

Feeling afraid as if something awful might happen

post_24m_gad_diff

If you checked off any problems, how difficult have these made it for you to do

post_24m_rumination_1

How much do you think about how alone you feel?

post_24m_rumination_2

How much do you think about your feelings of fatigue and achiness?

post_24m_rumination_3

How much do you think about how sad you feel?

post_24m_rumination_4

How much do you think about all your mistakes and failures?

post_24m_rumination_5

How much do you think about how angry you are with yourself?

mnth24_rhc_photo

Are you able to photograph the Road to Healthcard ?

mnth24_dob_rhc

What is the date of birth of the child? (see page 1 of the Road to health card)

mnth24_rhc_confirm

Have you uploaded all the pictures required from the road to health card?

mnth24_rhc_delete

Have you deleted all the pictures from the tablet after you have uploaded the pi

mnth24_unblinded

I became unblinded

p24m_completion_date_11b

Form Completion Date

post_24m_assesment_setting_11b

Is this assessment done

post_24m_assesment_session_11b

Is this assessment session done

post_24m_assesment_session_o_11b

Please explain where the assessment was done

post_24m_report

Is the report on the child being given by the child's mother or alternative care

weight1_final

weight1_date_final

Date of weight measure 1

weight2_final

weight2_date_final

Date of weight measure 2

weight3_final

weight3_date_final

Date of weight measure 3

weight4_final

weight4_date_final

Date of weight measure 4

length1_final

lengtht1_date_final

Date of Length Measure 1

length2_final

lengtht2_date_final

Date of Length Measure 2

length3_final

lengtht3_date_final

Date of Length Measure 3

length4_final

lengtht4_date_final

Date of Length Measure 4

post_24m_cbcl_1

Aches or pains (without medical cause, do not include stomach or headaches)

post_24m_cbcl_2

Acts too young for age

post_24m_cbcl_3

Afraid to try new things

post_24m_cbcl_4

Avoids looking others in the eye

post_24m_cbcl_5

Can't concentrate, can't pay attention for long

post_24m_cbcl_6

Can't sit still, restless, or hyperactive

post_24m_cbcl_7

Can't stand having things out of place

post_24m_cbcl_8

Can't stand waiting; wants everything now

post_24m_cbcl_9

Chews on things that aren't edible

post_24m_cbcl_10

Clings to adults or too dependent

post_24m_cbcl_11

Constantly seeks help

post_24m_cbcl_12

Constipated, doesn't move bowels (when not sick)

post_24m_cbcl_13

post_24m_cbcl_14

Cruel to animals

post_24m_cbcl_15

post_24m_cbcl_16

Demands must be met immediately

post_24m_cbcl_17

Destroys his/her own things

post_24m_cbcl_18

Destroys things belonging to his/her family or other children

post_24m_cbcl_19

Diarrhea or loose bowels (when not sick)

post_24m_cbcl_20

post_24m_cbcl_21

Disturbed by any change in routine

post_24m_cbcl_22

doesn't want to sleep alone

post_24m_cbcl_23

doesn't answer when people talk to him/her

post_24m_cbcl_24

doesn't eat well

post_24m_cbcl_25

doesn't get along with other children

post_24m_cbcl_26

doesn't know how to have fun; acts like a little adult

post_24m_cbcl_27

doesn't seem to feel guilty after misbehaving

post_24m_cbcl_28

doesn't want to go out of home

post_24m_cbcl_29

Easily frustrated

post_24m_cbcl_30

Total: 1246

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