Cognitive Behavioral Therapy Delivered Over the Internet for Women With Postpartum Depression

NCT ID: NCT00942721

Last Updated: 2013-11-25

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

PHASE1

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2013-04-30

Brief Summary

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This study will develop and test a Web-based program to treat women with postpartum depression.

Detailed Description

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After a woman gives birth, she will often feel anxious, depressed, or upset. For most women, these feelings go away within a week of giving birth, but for some, postpartum depression (PPD) can develop. PPD involves long-term, more severe feelings of anxiety, depression, and despair that impair normal functioning. Untreated PPD threatens both the mental health of mothers and the development of their infants, but many cases go untreated. This may be because of the stigma of mental health treatment, limited availability of programs, cost of treatment, or difficulty finding the time to schedule trips out of the home. Treatment through a Web-based program addresses all these concerns by providing a private, cost-efficient program available anywhere with computer access. This study will develop and test a Web-based version of cognitive behavioral therapy (CBT) to treat women with PPD to determine its feasibility and acceptability.

Participation in this study will last 3 months. All participants will be offered a Web-based version of CBT for PPD. The CBT program will include guided behavioral strategies for dealing with depression, online videos of women who have used these strategies, Web forums in which participants can ask questions of peers and experts, and periodic phone coaching. The program will last 6 weeks. All participants will complete assessments at baseline, post-treatment, and 3-month follow-up. Safety monitoring questionnaires will also be completed at Weeks 2 and 4 of treatment. Assessments will include clinical interviews and questionnaires related to the following: health; depression; demographics; maternal skills, stress, and self-efficacy; Internet use, experience, and self-efficacy; behavioral self-efficacy; and program acceptability.

Conditions

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Postpartum Depression

Keywords

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Web-based Intervention CBT Treatment

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Web-based CBT for PPD

Participants will receive Web-based CBT for PPD.

Group Type EXPERIMENTAL

Web-based CBT for PPD

Intervention Type BEHAVIORAL

A cognitive behavioral intervention that will provide participants with the following: online interactive tools to clarify their attitudes and reasons for wanting to change, information about some of the symptoms and mechanisms associated with feeling depressed during the postpartum period, and guidance on using behavioral and cognitive strategies proven to help reduce depressive symptoms

Interventions

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Web-based CBT for PPD

A cognitive behavioral intervention that will provide participants with the following: online interactive tools to clarify their attitudes and reasons for wanting to change, information about some of the symptoms and mechanisms associated with feeling depressed during the postpartum period, and guidance on using behavioral and cognitive strategies proven to help reduce depressive symptoms

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Within 6 months postpartum
* Home access to the Internet
* Use of personal e-mail
* Score from 12 to 20, inclusive, on the Edinburgh Postnatal Depression Scale
* Diagnosed as having postpartum depression

Exclusion Criteria

* Current diagnosis of substance abuse, bipolar disorder, or psychotic depression
* Currently receiving treatment for depressive symptoms, including antidepressant medication or psychotherapy
* Currently has suicidal intentionality, lethality, access to means, and history of suicide attempts
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Oregon Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Brian G. Danaher, PhD

Role: PRINCIPAL_INVESTIGATOR

Oregon Research Institute

Jeannette Milgrom, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Melbourne

Scott Stuart, MD

Role: PRINCIPAL_INVESTIGATOR

University of Iowa

Locations

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University of Iowa

Iowa City, Iowa, United States

Site Status

Oregon Research Institute

Eugene, Oregon, United States

Site Status

University of Melbourne

Heidelberg Heights, Victoria, Australia

Site Status

Countries

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United States Australia

References

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Danaher BG, Milgrom J, Seeley JR, Stuart S, Schembri C, Tyler MS, Ericksen J, Lester W, Gemmill AW, Lewinsohn P. Web-Based Intervention for Postpartum Depression: Formative Research and Design of the MomMoodBooster Program. JMIR Res Protoc. 2012 Nov 22;1(2):e18. doi: 10.2196/resprot.2329.

Reference Type BACKGROUND
PMID: 23612274 (View on PubMed)

Danaher BG, Milgrom J, Seeley JR, Stuart S, Schembri C, Tyler MS, Ericksen J, Lester W, Gemmill AW, Kosty DB, Lewinsohn P. MomMoodBooster web-based intervention for postpartum depression: feasibility trial results. J Med Internet Res. 2013 Nov 4;15(11):e242. doi: 10.2196/jmir.2876.

Reference Type RESULT
PMID: 24191345 (View on PubMed)

Other Identifiers

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R01MH084931

Identifier Type: NIH

Identifier Source: secondary_id

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1R01MH084931-01A1

Identifier Type: NIH

Identifier Source: secondary_id

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DSIR 83-ATP

Identifier Type: -

Identifier Source: secondary_id

R01MH084931

Identifier Type: NIH

Identifier Source: org_study_id

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