Social Media, Teen Moms and PPD

Not Applicable

Completed

• Conditions: Postpartum Depression
• Interventions: Other: Use of internet based social marketing intervention; Other: No use of social media

• Registration Number: NCT01967394
• Lead Sponsor: University of Louisville

Brief Summary

Approximately 400,000 live births occur to adolescents in the United States annually. Of the 50% of adolescent mothers who experience depressive symptoms, less than 25% comply with referrals for depression evaluation and treatment due to lack of knowledge of depression symptoms (literacy), negative attitude towards mental health treatment, perception that individuals with depression are stigmatized (subjective norms), lack of understanding of health resources that are available to her and under her control (perceived control), and lack of time. Social media is a promising vehicle to reach and educate adolescent mothers since most adolescent mothers use social media for communication and to search for health information. Based upon the Theory of Planned Behavior, the investigators will target 11 counties in Kentucky with a social media ad campaign that will result in adolescent mothers (n=140) from those counties enrolling in an internet based intervention related to postpartum depression. The previously tested intervention includes vignettes from other adolescent mothers, questions and answers, resources, and an option to enroll in text message service. Before the intervention, after the intervention, and two weeks later the adolescent mothers will complete established questionnaires to determine if the intervention improved attitude and subjective norms towards depression and depression treatment, perceived control and intention related to seeking depression treatment, and the number of adolescent mothers with symptoms of depression who receive depression treatment. Data will be compared to scores on the same instruments from adolescent mothers (n=140) from the control group (18 other counties in Kentucky) that have not been targeted with the social media ad campaign or participated in the intervention. Data from the adolescent mothers in the control group will be collected in partnership with community agencies. The overall purpose of this trial is to test a cost effective and feasible method for reducing the cognitive and emotional barriers to accessing depression treatment in adolescent mothers. The specific aims are to (1) measure the extent to which a social media ad campaign is effective as a recruitment strategy; (2) test the effectiveness of an internet based social marketing intervention on both intention to seek treatment and rates of depression treatment, and (3) examine the dose effect of the intervention.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-06
• Study First Submitted: 2013-10-10
• Study First Submitted QC: 2013-10-17
• Study First Posted: 2013-10-22
• Status Verified: 2015-12
• Primary Completion: 2015-12
• Study Completion: 2015-12
• Last Update Submitted: 2015-12-25
• Last Update Posted: 2015-12-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 287

Inclusion Criteria

Adolescent mothers, 13-21 years of age, who delivered a live child within the last 12 months, and has their baby residing with them. For the adolescent mothers enrolled in the Internet-based social marketing intervention, they must reside in Kentucky counties of Fayette, Jefferson, Bullitt, Henry, Oldham, Shelby, Spencer, Trimble, Christian, Warren or Barren. The adolescent mothers enrolled in the control group must reside in Kentucky counties of Campbell, Casey, Daviess, Boone, Nelson, Russell, Carroll, Kenton, Hardin, Hancock, Henderson, McClean, Meade, Ohio, Union, Webster, Meade or Marion

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Intervention County	Use of internet based social marketing intervention	Use of internet based social marketing intervention
Control County	No use of social media	No use of social media

Primary Outcome Measures

Name	Time	Method
Effectiveness of Social Marketing Intervention	2 years	How many teen mothers are enrolled in treatment programs for their depression per county? Is there a difference between counties?

Secondary Outcome Measures

Name	Time	Method
Number of teens seeking depression treatment	2 years	Do the teens in counties with the social media campaigns seek depression treatment more than those in the control counties.

Trial Locations

Locations (8)

Three Rivers; 🇺🇸 Carrollton, Kentucky, United States

Hands Program of Kenton County (Young Families of Children, Inc); 🇺🇸 Covington, Kentucky, United States

St. Joseph Hospital; 🇺🇸 Lexington, Kentucky, United States

University of Louisville Hospital; 🇺🇸 Louisville, Kentucky, United States

Lincoln Trail Health Department; 🇺🇸 Elizabethtown, Kentucky, United States

Hands Program of Boone and Campbell Counties (Every Child Succeeds); 🇺🇸 Newport, Kentucky, United States

Three Rivers Health Department; 🇺🇸 Owensboro, Kentucky, United States

Lake Cumberland Health Department; 🇺🇸 Somerset, Kentucky, United States