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Clinical Trial Details — Status: Enrolling by invitation

Administrative data

NCT number NCT05186272
Other study ID # 1693692
Secondary ID
Status Enrolling by invitation
Phase Phase 3
First received
Last updated
Start date June 14, 2022
Est. completion date March 1, 2025

Study information

Verified date May 2024
Source Kaiser Permanente
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial 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.


Recruitment information / eligibility

Status Enrolling by invitation
Enrollment 600
Est. completion date March 1, 2025
Est. primary completion date March 1, 2025
Accepts healthy volunteers No
Gender Female
Age group 18 Years to 99 Years
Eligibility Inclusion Criteria: - Women seeking prenatal care at KPNC - Identify as Black or Latina - Current prenatal PHQ-9 score 10-19 - Gestational age <30 weeks - Owns a smartphone or computer with internet access - English- or Spanish-speaking Exclusion Criteria: - Regular (3 times per week or more) stress reduction practice - Cognitively impaired - Deaf

Study Design


Intervention

Behavioral:
Stress reduction program 'A'
Participants will use stress reduction program 'A' app 10-20 min per day for 6 weeks.
Stress reduction program 'B'
Participants will use stress reduction program 'B' app 10-20 min per day for 6 weeks.

Locations

Country Name City State
United States Kaiser Permanente Northern California Oakland California

Sponsors (1)

Lead Sponsor Collaborator
Kaiser Permanente

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Patient Health Questionnaire-9 Depression scale; total score range of 0-27; higher scores indicate higher depression. Baseline
Primary Patient Health Questionnaire-9 Depression scale; total score range of 0-27; higher scores indicate higher depression. 6-week follow-up
Primary Patient Health Questionnaire-9 Depression scale; total score range of 0-27; higher scores indicate higher depression. 4 weeks postpartum
Secondary Perceived Stress Scale 10-item stress scale; total score range of 0-40; higher scores indicate more perceived stress Baseline
Secondary Perceived Stress Scale 10-item stress scale; total score range of 0-40; higher scores indicate more perceived stress 6-week follow-up
Secondary Perceived Stress Scale 10-item stress scale; total score range of 0-40; higher scores indicate more perceived stress 4 weeks postpartum
Secondary Generalized Anxiety Disorder 7-item scale Anxiety scale; total score for the seven items ranges from 0 to 21; higher scores indicate greater anxiety. Baseline
Secondary Generalized Anxiety Disorder 7-item scale Anxiety scale; total score for the seven items ranges from 0 to 21; higher scores indicate greater anxiety. 6-week follow-up
Secondary Generalized Anxiety Disorder 7-item scale Anxiety scale; total score for the seven items ranges from 0 to 21; higher scores indicate greater anxiety. 4 weeks postpartum
Secondary Promis Sleep Disturbance - Short Form 6a 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. Baseline
Secondary Promis Sleep Disturbance - Short Form 6a 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. 6-week follow-up
Secondary Promis Sleep Disturbance - Short Form 6a 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. 4 weeks postpartum
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