Effectiveness of 'Parentbot - a Digital Healthcare Assistant (PDA)', a Mobile Application-based Intervention, in Improving Parental Psychosocial Outcomes During the Perinatal Period: a Randomized Controlled Trial and Process Evaluation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 236
- 试验地点
- 2
- 主要终点
- Parenting self-efficacy
研究概览
简要总结
The Parentbot - a Digital healthcare Assistant (PDA) is a mobile application-based psychosocial parenting intervention with integrated chatbot features, intended for couples to use during the perinatal period. It provides parents with multimedia educational materials (text files, audio files and videos), discussion forum, guided mindfulness-based meditation videos, guided reflection and gratitude journals and a chatbot to answer their queries related to perinatal care in real-time.
This study aims to:
- Develop a theory-based perinatal intervention with integrated chatbot features for both first-time and experienced parents
- Examine the effectiveness of the PDA intervention in improving parenting self-efficacy (primary outcome), stress, depression, anxiety, social support, parent-child bonding and parenting satisfaction (secondary outcomes) among parents during the perinatal period
- Examine the perceptions of parents from both the intervention and control group after the intervention
- Collate suggestions for further improvement from the participants and members of the research team
The hypotheses of this study are:
The PDA intervention group will have significantly higher scores for parenting self-efficacy, social support, parent-child bonding and parenting satisfaction, as well as lower scores for stress, depression and anxiety compared to the control group receiving standard care after the intervention at one-month postpartum (post-test 1) and three-months postpartum (post-test 2).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Heterosexual married couples who are first-time parents or experienced parents are included if they:
- •Are at least 21 years old
- •Are fluent in English
- •Own a smartphone with internet access
- •Intend to stay in Singapore until three months postpartum
- •Are having a low-risk singleton or multiple pregnancy at > 24 gestational weeks (age of viability).
排除标准
- •Couples will be excluded if either parent has:
- •Any self-reported psychiatric disorders, visual, auditory, cognitive impairment and/or any major medical condition that can affect their abilities to participate in the trial
- •High-risk pregnancy including placenta previa major, pre-eclampsia, intrauterine growth restriction etc
- •Suffer from a miscarriage or made the decision to abort their child
- •Give birth to still-birth newborn
- •Give birth to a newborn with congenital anomalies or medical complications (require intensive care, severe jaundice, Down's syndrome)
- •Single parents will also be excluded. If either the mother or father declines to participate in the study while their partner agrees, the couple will not be allowed to participate in the study.
结局指标
主要结局
Parenting self-efficacy
时间窗: 3 months postpartum
10-item Parenting Efficacy Scale (PES): Score ranges from 10-40, with higher scores indicating a higher level of perceived parenting self-efficacy
次要结局
- Anxiety(3 months postpartum)
- Depression(3 months postpartum)
- Social support(3 months postpartum)
- Parent-child bonding(3 months postpartum)
- Parenting satisfaction(3 months postpartum)
- Stress(3 months postpartum)
研究者
Shefaly Shorey
Associate Professor
National University of Singapore