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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT04617132
Other study ID # H20-01884
Secondary ID
Status Active, not recruiting
Phase
First received
Last updated
Start date October 20, 2020
Est. completion date September 2023

Study information

Verified date February 2023
Source British Columbia Children's Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The aim of this study is to explore the feasibility of delivering clinical mindfulness groups for families affected with postpartum depression and anxiety (PPDA). Families with PPDA are a vulnerable population who already face challenges during the postpartum period, but now the Covid-19 era has brought extra challenges - lower availability of family members or support systems to help in person, older children at home as childcare facilities are closed, etc. Clinical mindfulness groups are now being run online to support this population, with the current barriers of having to stay at home. Through this study, we want to capture the challenges that both clinicians and participants might face using virtual platforms (e.g. technical difficulties), to see whether online delivery of clinical mindfulness groups is feasible.


Description:

Postpartum depression and anxiety (PPDA) is a prevalent condition, affecting about every 1 in 5 families. This not only impacts the parent diagnosed with PPDA but also affects relationships with the rest of the family, ability to bond with her child, and can cause tension between the parents. Thus, it is important that steps are taken to effectively treat and support families affected by PPDA in a timely manner. On top of the struggles with a newborn baby, the Covid era has brought along some new challenges. One such challenge is that many healthcare providers and clinics have limited capacities or the care they provide may be limited due to lockdown and Covid-19. Another challenge is the decreased in-person support from family and other support systems, as well as having older children at home all the time due to childcare facilities being closed. As it is important to offer this population some support, this study is being conducted to see if continuing the clinical groups and turning them onto a distant, online format would be possible, and if it would work for both clinicians and the postpartum population. The aim of the study is to determine the feasibility of running online clinical mindfulness groups, particularly examining whether patients are able to access and continue with the online sessions. Feasibility will be assessed by frequency of technical difficulties faced by patients or clinicians and number of disruptions or episodes of parents leaving their screens (e.g. to calm their child), self-report items of how participants found attending online sessions and following the program, and attendance and drop-out rates. Secondary outcomes of this study include reasons for drop-outs, satisfaction and acceptability, couple interactions, and mental health outcomes. The mindfulness groups will be rooted in the evidence-based 8-week programs, including Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), and adapted for this population needs. The mindfulness groups will run once a week, totalling 8 sessions over the course of 8 weeks. These groups will be run by trained clinicians and mindfulness facilitators and will be a part of the RMH clinical program.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 40
Est. completion date September 2023
Est. primary completion date September 2023
Accepts healthy volunteers
Gender All
Age group 19 Years and older
Eligibility Inclusion Criteria: - Are able to read and write in English. - Are in a cohabiting relationship - woman with PPDA and partner living together. - Woman with PPDA has been diagnosed with MDD and/or GAD as per the DSM-5 criteria, up to 12 months postpartum. Exclusion Criteria: - Are younger than 19 years old. - Women with PPDA assessed to currently have a substance use disorder, psychotic disorder, or suicidality.

Study Design


Intervention

Behavioral:
MBCT/MBSR
This intervention teaches the practice of mindfulness - being aware of the present moment without judgement - to help reduce the emotional reactivity to thoughts and bodily sensations, which prevents downward spirals into depression, anxiety, or fear.

Locations

Country Name City State
Canada Reproductive Mental Health Program, BC Children's Hospital Vancouver British Columbia

Sponsors (1)

Lead Sponsor Collaborator
British Columbia Children's Hospital

Country where clinical trial is conducted

Canada, 

Outcome

Type Measure Description Time frame Safety issue
Other Demographics Demographics questionnaire sent to participants Week 1
Primary Feasibility Assessed via participant attendance and clinician survey about technological difficulties Weekly (Week 1-8)
Secondary Acceptance & Satisfaction Self-report questionnaire completed by participants Week 8
Secondary Relationship & Interactions This is a newly developed self-report measure that explores couple interactions and relationship satisfaction Week 1, 4, 8, and Follow-up
Secondary PHQ-9 Week 1, 4, 8, and Follow-up
Secondary GAD-7 Week 1, 4, 8, and Follow-up
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