MedPath

mHealth Mindfulness Intervention for Pregnant Black and Latina Women at Risk of Postpartum Depression

Phase 3
Active, not recruiting
Conditions
Post Partum Depression
Perinatal Depression
Registration Number
NCT05186272
Lead Sponsor
Kaiser Permanente
Brief Summary

Postpartum depression (PPD) is associated with significant health consequences for mothers and children, and the current COVID-19 pandemic has had a major impact on the mental health of particularly vulnerable populations including pregnant Black and Latina women. There is an urgent need for evidence-based, accessible, and scalable mental health care options for these high-risk, vulnerable women. This study aims to: (a) compare the effectiveness of two digitally-delivered self-paced stress reduction programs in pregnant Black and Latina women at increased risk of PPD; and (b) examine barriers and facilitators to implementation within a large healthcare system.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
Female
Target Recruitment
600
Inclusion Criteria
  • Age ≥18 years
  • Current Kaiser Permanente Permanente Northern California (KPNC) member
  • Pregnant woman receiving prenatal care at KPNC
  • Gestational age <30 weeks
  • Singleton pregnancy
  • Self-identify as Black and/or Latina
  • Moderate to moderately severe depressive symptoms (PHQ-9 score between 10 and 19) and no indication of suicidality
  • Owns a device with internet access
  • English- or Spanish-speaking
Exclusion Criteria
  • Regular stress reduction practice with a mindfulness component (e.g., meditation or yoga more than twice a week)
  • Deaf
  • Acting as gestational carrier/surrogate

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Patient Health Questionnaire-97 weeks postpartum

Depression scale; total score range of 0-27; higher scores indicate higher depression.

Secondary Outcome Measures
NameTimeMethod
Generalized Anxiety Disorder 7-item scale7 weeks postpartum

Anxiety scale; total score for the seven items ranges from 0 to 21; higher scores indicate greater anxiety.

Promis Sleep Disturbance - Short Form 6a7 weeks postpartum

Scale is composed of 6 items developed to assess the domain of sleep disturbances in the past 7 days. Scores range 6-30 with higher scores indicating greater sleep disturbance.

Perceived Stress Scale7 weeks postpartum

10-item stress scale; total score range of 0-40; higher scores indicate more perceived stress

Trial Locations

Locations (1)

Kaiser Permanente Northern California

🇺🇸

Oakland, California, United States

Kaiser Permanente Northern California
🇺🇸Oakland, California, United States

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