An RCT to Evaluate the Effect of Home-Based Peer Support on Maternal-Infant Interaction, Infant Health Outcomes, and Postpartum Depression
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 60
- Primary Endpoint
- maternal-infant interaction
Study Overview
Brief Summary
The objective of this study is to examine the impact of a home-based peer support intervention for mothers affected by postpartum depression (PPD) and for their infants.
Detailed Description
This controlled study will help establish the link between support for maternal caregiving, maternal-infant interaction, infant neuroendocrinology and infant cognitive and social development. The primary hypothesis predicts that home-based peer support will improve maternal-infant interactions. Secondary hypotheses predict that home-based peer support will: improve infants' cognitive development; improve infants' social development; decrease average daily salivary cortisol levels in infants; reduce maternal depressive symptomatology; and improve maternal perceptions of social support.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Health Services Research
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Eligible mothers will be identified as experiencing symptoms of PPD and scores >12 on the Edinburgh Postnatal Depression Scale.
- •Mothers must speak English or French.
- •Mothers will not be excluded for taking anti-depressant or anti-psychotic medication, using other interventions for PPD, or reporting a history of mental illness;
- •The infant must be full-term, in the care of the mother and between 3 to 6 months of age at initial enrollment.
Exclusion Criteria
- •Infants who have been admitted to the NICU
- •Infants will be excluded if medicated with corticosteroids
Arms & Interventions
mci guidance & peer social support
home visits to promote maternal-child interaction & social support
Intervention: mci guidance peer support (Behavioral)
peer social support
social support
Intervention: mci guidance peer support (Behavioral)
Outcomes
Primary Outcomes
maternal-infant interaction
Time Frame: 12 months
Secondary Outcomes
- cognitive development(12 months)
- social development(12 months)
- salivary cortisol(12 months)
- depressive symptomatology(12 months)
- social support(12 months)
Investigators
Dr. Nicole LeTourneau
Professor
University of Calgary