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Идёт набор NCT06862193

Effectiveness of Digital Intervention (HM4MH-app) on Perinatal Psychological Wellbeing

Без фазы С лечением Mobile Application Behavior Perinatal Mental Health

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: HealthyMoms4MentalHealth, HealthyMoms.
Кому может быть актуально
Состояния в реестре: Mobile Application, Behavior, Perinatal Mental Health. Базовые параметры: от 18 лет · Женщины.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Швеция
Следующий шаг
Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Официальное название

The Effectiveneness of a Digital Intervention (the HM4MH-app) on Perinatal Psychological Wellbeing: Randomized Controlled Trial

Обзор

As many as 25% of pregnant women report mental health problems such as depressiveness and anxiety. This is a major concern as mental illness during pregnancy can have severe and long-lasting consequences for the pregnant woman, the baby, as well as the partner. Digital interventions (e.g., apps) have shown to be promising in promoting mental wellbeing, at scale, however, the majority of tools have been developed and evaluated in a general population rather than tailored for pregnancy. The objective of this trial is to investigate the effectiveness of a new digital tool (HealthyMoms4MentalHealth-app) on mental health outcomes during the perinatal period.

Подробное описание

As many as 25% of pregnant women report mental health problems such as depressiveness and anxiety. This is a major concern as mental illness during pregnancy can have severe and long-lasting consequences for the pregnant woman, the baby, as well as the partner. Digital interventions (e.g., apps) have shown to be promising in promoting mental wellbeing, at scale, however, the majority of tools have been developed and evaluated in a general population rather than tailored for pregnancy. The objective of this trial is therefore to investigate the effectiveness of a new digital tool (HealthyMoms4MentalHealth-app) on mental health outcomes during the perinatal period. The tool has been developed tailored to the pregnancy and postpartum period.

The study is a two-arm parallel groups multi-centre randomised controlled trial where pregnant women (n=750) will be randomised (1:1) to either an intervention (HealthyMoms4MentalHealth-app) or control group (HealthyMoms-app). Primary outcome (mental wellbeing) and secondary outcomes (resilience, depressiveness, attachment, fear of childbirth) together with mediators (self-compassion and physical activity) will be measured at baseline (gestational week 10-12), timepoint 1 (gestational week 35-38) and timepoint 2 (8-10 weeks postpartum). Baseline will also assess demographic data (age, employment, education, birth country, living situation and number of children). Stressful life events will also be measured as potential confounding variable at baseline and timepoint 2 (8-10 weeks postpartum). In addition, information on obstetric and neonatal outcomes will be collected as continuous variables or incidence from medical records (Obstetrix®Cerner). They include gestational weight gain, caesarean section, infant birth weight and length and incidence of large-for gestational-age infant (birth weight \>90th percentile for gestational age and gender).

Вмешательства

  • Поведенческое HealthyMoms4MentalHealth
    The intervention is a mobile application targeting women during the perinatal period, aiming to promote mental wellbeing.
  • Поведенческое HealthyMoms
    Digital intervention focusing on lifestyle behaviours during the perinatal period.

Первичные конечные точки

  • Resilience [Срок оценки: Baseline (gestational weeks 12-14); timepoint 1 (gestational week 35-37); timepoint 2 (8-9 weeks post-partum)]
Вторичные конечные точки (6)
  • Depressive symptoms [Срок оценки: Baseline (gestational week 12-14); timepoint 1 (gestational week 35-37); timepoint 2 (8-9 weeks post-partum)]
  • Mental wellbeing [Срок оценки: Baseline (gestational week 12-14); timepoint 1 (gestational week 35-37); timepoint 2 (8-9 weeks post-partum)]
  • Prenatal attachment [Срок оценки: Timepoint 1 (gestational week 35-37)]
  • Postpartum attachment [Срок оценки: Timepoint 2 (8-9 weeks post-partum)]
  • Parental self-efficacy [Срок оценки: Timepoint 2 (8-9 weeks post-partum)]
  • Fear of childbirth [Срок оценки: Mid-intervention (gestational week 32)]

Критерии участия

Критерии включения

(i) pregnant women attending a participating maternity health care centre who (ii) have access to their own mobile phone and BankID and is (iii) currently in gestational week 8-15 and (iv) is 18 years or older.

Критерии исключения

  • Previous psychotic disorder

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Открытое
Основная цель
Профилактика

Центры проведения

Швеция · 4 центра
  • Region Jönköping — Jönköping
  • Region Kalmar — Kalmar
  • Region Skåne — Malmö
  • Region Stockholm — Stockholm

Идентификаторы

NCT: NCT06862193 · HM4MH

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗