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Healthy Moms-Healthy Kids: Reducing Maternal Depression for Better Outcomes in Head Start Children

Not Applicable
Completed
Conditions
Goal Directed Behavior
Child Behavior
Maternal Depression
Parenting Behavior
Interpersonal Relationships
Child School Readiness
Health
Interventions
Behavioral: Interpersonal Psychotherapy for Depression -Group
Registration Number
NCT02145273
Lead Sponsor
University of Southern California
Brief Summary

Maternal depression is a pervasive problem that disproportionately affects low-income mothers. The effects of depression on mothers and their parenting result in many negative outcomes for children, particularly in terms of school readiness. The proposed research will build on a successful partnership between the University of Southern California School of Social Work (USC) and Children's Institute, Inc. (CII) to implement and evaluate an evidence-based intervention, interpersonal psychotherapy for group (IPT-G), for Head Start mothers with depression or dysphoric mood with the goal of reducing their depression and promoting positive changes for both mothers and children. The objectives of the study are: (1) adapt IPT-G for a Head Start population of mothers with depression; (2) implement IPT-G via a randomized controlled trial in Head Start centers in Los Angeles County operated by CII; (3) evaluate the effects of the intervention on maternal depression, parenting behaviors, goal-directed behavior, interpersonal relationships, physical health, and child behavior and school readiness; and (4) develop a manual for use of the intervention in Head Start and disseminate findings nationally. The study will feature 2 groups of 60 mothers each, randomized by Head Start site; one will receive the intervention and the other services as usual. Outcomes for both mothers and children will be tracked for 2 years after the intervention, allowing for the evaluation of short- and long-term effects. The intervention will be delivered by Head Start mental health workers under the supervision of Scott Stuart, a national trainer of the intervention. This intervention has the potential to be a low-cost, high-impact intervention that can be replicated to other Head Start sites across the country to improve the lives of Head Start children and families.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
208
Inclusion Criteria
  • Mothers of children in Head Start with scores on screening measure that are in depressed or possibly depressed range to be assigned to intervention or TAU. Also will have additional control group of non depressed mothers
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Exclusion Criteria
  • Not able to function in group environment
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
InterventionInterpersonal Psychotherapy for Depression -GroupSubjects screen positive for depression and are offered a group Therapy intervention for depression: Interpersonal Psychotherapy for Depression Group.
Primary Outcome Measures
NameTimeMethod
Beck Depression InventoryAt entry, completion of intervention, and every 6 months for 2 years
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (2)

Children's Institute, Inc.

🇺🇸

Los Angeles, California, United States

University of Southern California School of Social Work

🇺🇸

Los Angeles, California, United States

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