Reducing Symptoms of Depression in Low-Income Mothers

NCT ID: NCT00074789

Last Updated: 2013-06-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

226 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-06-30

Study Completion Date

2009-01-31

Brief Summary

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This study will test the effectiveness of a short-term intervention in treating depressed young mothers with young children enrolled in Early Head Start Programs.

Detailed Description

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Limited resources, poor social support, and complex life problems contribute to the high prevalence and severity of depressive symptoms in low-income mothers. As depressive symptoms persist, they often rob young mothers of the energy they need for school, job training, and positive interaction with their children, which can negatively affect a child's language acquisition, intellectual development, and social conduct. This study will design and implement a home-based treatment to help young mothers manage their depressive symptoms, increase their social support, manage or resolve life issues, and effectively parent their infant or toddler through the use of EHS resources.

Mothers will be randomly assigned to receive either home-based interpersonal depression treatment or an attention control/usual care condition for 26 weeks. Assessments will be made at study start and Weeks 14, 22, and 26. Depression scales, interviews, and analyses of videotaped mother-child interactions will be used to assess participants. Stress, social support, and use of EHS services will be assessed.

Conditions

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Depression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Participants will receive home-based interpersonal depression treatment for 26 weeks

Group Type EXPERIMENTAL

Modified Interpersonal Therapy

Intervention Type BEHAVIORAL

Psychiatric mental health nurses will meet with participants 10 times, an hour each time, over a period of 14 weeks. The nurses will continue to work with the mothers over the next 8 weeks by phone, conducting 5 fifteen minute phone sessions.

2

Participants will receive attention control/usual care for 26 weeks

Group Type ACTIVE_COMPARATOR

Attention control/usual care

Intervention Type BEHAVIORAL

Participants will receive the usual care for depression.

Interventions

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Modified Interpersonal Therapy

Psychiatric mental health nurses will meet with participants 10 times, an hour each time, over a period of 14 weeks. The nurses will continue to work with the mothers over the next 8 weeks by phone, conducting 5 fifteen minute phone sessions.

Intervention Type BEHAVIORAL

Attention control/usual care

Participants will receive the usual care for depression.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Score of 16 or higher on the Center for Epidemiological Studies Depression (CES-D) Scale
* Child who is 6 weeks to 30 months old
* Child who is enrolled in an Early Head Start program

Exclusion Criteria

* Regular use of psychotropic medication
* Regular use of psychotherapy or drug/alcohol treatment
Minimum Eligible Age

15 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role lead

Responsible Party

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Linda Beeber

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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P.E.A.C.E, Inc. Early Head Start

Syracuse, New York, United States

Site Status

Asheville City Schools Preschool-Early Head Start Program

Asheville, North Carolina, United States

Site Status

Chapel Hill Training Outreach Project, Inc. Early Head Start

Chapel Hill, North Carolina, United States

Site Status

University of North Carolina, Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

W.A.G.E.S., Inc. Early Head Start Program

Goldsboro, North Carolina, United States

Site Status

United Child Development Services, Inc. Early Head Start

Greensboro, North Carolina, United States

Site Status

Countries

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United States

References

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Salomon RE, Muscatell KA, Crandell J, Anderson RA, Beeber LS. A Preliminary Investigation of Psychoneurological Symptoms in Low-Income Mothers. Nurs Res. 2021 Set/Oct 01;70(5):325-333. doi: 10.1097/NNR.0000000000000518.

Reference Type DERIVED
PMID: 33935214 (View on PubMed)

Other Identifiers

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R01MH065524

Identifier Type: NIH

Identifier Source: secondary_id

View Link

DSIR 83-ATAS

Identifier Type: -

Identifier Source: secondary_id

HILDA

Identifier Type: -

Identifier Source: secondary_id

R01MH065524

Identifier Type: NIH

Identifier Source: org_study_id

View Link

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