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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06275217
Other study ID # HMRF17182481
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date January 8, 2021
Est. completion date December 31, 2025

Study information

Verified date February 2024
Source The Hong Kong Polytechnic University
Contact Jessie Lin, PhD
Phone +852 2766 6718
Email jx-jessie.lin@polyu.edu.hk
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a parallel-group randomized controlled trial. A total of 198 postpartum women with depressive symptoms (EPDS scoresā‰„8 at baseline) will be recruited and randomized into two groups: 10-week mindful yoga intervention and 10-week psychoeducation program. Clinical assessment of depression, self-report questionnaires and salivary cortisol tests will be performed at baseline, after 10-week intervention, and at 6-month and 12-month follow-ups. The investigators expected that the mindful yoga intervention will reduce depression after 10 weeks compared to psychoeducation. The mindful yoga intervention will further reduce anxiety, stress, improve quality of life and sleep, and steepen diurnal cortisol slopes. These effects will be maintained for at least six months.


Recruitment information / eligibility

Status Recruiting
Enrollment 198
Est. completion date December 31, 2025
Est. primary completion date July 15, 2025
Accepts healthy volunteers No
Gender Female
Age group 18 Years to 60 Years
Eligibility Inclusion Criteria: - Postpartum women aged 18-60 years old. - The scores of EPDS = 10. - At least 6 week and up to 1 year after childbirth. - Giving birth to a single full-term healthy baby (gestation between 37-41 weeks, body weight > 2.5kg, APGAR score at 5 minutes > 7). - Fewer than 10 hours of yoga/Qi gong/Tai Chi or mindfulness/meditation practice in the previous 3 months. Exclusion Criteria: - Severe complications after delivery, or their infants are admitted to NICU. - Regular psychiatric follow-up. - Currently taking antipsychotic drugs. - Known pragnancy, or other contraindications to physical exercise (e.g., wound healing situation) according to the body examination by O&G clinicians at 6 weeks after delivery.

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Mindfulness-based yoga program
The intervention includes mindfulness-based components and yoga practice. Once a week for 10 weeks, with 1.5 hours in each session (30 minutes mindfulness-based practice and 1 hour yoga practice). A well-trained research personnel will facilitate the mindfulness-based section, and a qualified yoga instructor will facilitate the yoga section.
Other:
Psychoeducation
Knowledge of perinatal mental health, stress-related management, postnatal nutrition, exercise habit and sleep hygiene will be provided to the participants in the psychoeducation group. It is a group-based intervention delivered in hybrid mode including face-to-face and online group-based class. Once a week for 10 weeks, with 1.5 hour in each session.

Locations

Country Name City State
Hong Kong The Hong Kong Polytechnic University Hong Kong

Sponsors (1)

Lead Sponsor Collaborator
The Hong Kong Polytechnic University

Country where clinical trial is conducted

Hong Kong, 

Outcome

Type Measure Description Time frame Safety issue
Primary Edinburgh Postnatal Depression Scale Measures postnatal depression. Each item scores 0-3, and the total score ranges from 0 to 30. Higher score means worse depressive symptoms. Baseline, 10 weeks, 6 months and 1 year follow-ups.
Secondary Depression Anxiety Stress Scale-Depression Measures depressive symptoms. Each item scores 0-3, the total score for depression ranges from 0 to 21. Higher score means worse symptoms of depression. Baseline, 10 weeks, 6 months and 1 year follow-ups.
Secondary Depression Anxiety Stress Scale-Anxiety Measures anxiety symptoms. Each item scores 0-3, the total score for anxiety ranges from 0 to 21. Higher score means worse symptoms of anxiety. Baseline, 10 weeks, 6 months and 1 year follow-ups.
Secondary Depression Anxiety Stress Scale-Stress Measures stress symptoms. Each item scores 0-3, the total score for stress ranges from 0 to 21. Higher score means worse symptoms of stress. Baseline, 10 weeks, 6 months and 1 year follow-ups.
Secondary Pittsburgh Sleep Quality Index Measures sleep quality. There are 8 components scores, and each component score ranges from 0 to 3. Higher score means worse sleep quality. Baseline, 10 weeks, 6 months and 1 year follow-ups.
Secondary 36 Item-Short Form Health Survey Questionnaire Measures quality of life including physical and mental health. Each item scores 0-100. There are eight subscores ranging from 0 to 100. Higher score means better quality of life. Baseline, 10 weeks, 6 months and 1 year follow-ups.
Secondary Five Facet Mindfulness Questionnaire Measures the level of mindfulness ability. Each item scores 1-5, and the total score ranges from 42 to 210. Higher score means better mindfulness ability. Baseline, 10 weeks, 6 months and 1 year follow-ups.
Secondary Pregnancy Symptom Inventory Measures physical pain and fatigue of postpartum women. Each item scores 0-3. The total score ranges from 0 to 24. Higher score means worse pregnancy symptoms. Baseline, 10 weeks, 6 months and 1 year follow-ups.
Secondary Cortisol concentration level Measures salivary cortisol concentration at baseline and post-intervention. Higher concentration means higher level of stress and depression. Baseline and 10 weeks (post-intervention).
Secondary Physical fitness 6-minute walking test is used for physical fitness measure. The total distance walked during 6 minutes is recorded. Higher score means better fitness. Baseline and 10 weeks (post-intervention).
Secondary Balance Single-leg standing test is used to measure the balance. The time to keep the posture is recorded. Higher score means better balance ability. Baseline and 10 weeks (post-intervention).
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