Healthy Moms-Healthy Kids: Reducing Maternal Depression for Better Outcomes in Head Start Children

NCT ID: NCT02145273

Last Updated: 2019-06-11

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

NA

Total Enrollment

208 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2018-09-30

Brief Summary

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Maternal depression is a pervasive problem that disproportionately affects low-income mothers. The effects of depression on mothers and their parenting result in many negative outcomes for children, particularly in terms of school readiness. The proposed research will build on a successful partnership between the University of Southern California School of Social Work (USC) and Children's Institute, Inc. (CII) to implement and evaluate an evidence-based intervention, interpersonal psychotherapy for group (IPT-G), for Head Start mothers with depression or dysphoric mood with the goal of reducing their depression and promoting positive changes for both mothers and children. The objectives of the study are: (1) adapt IPT-G for a Head Start population of mothers with depression; (2) implement IPT-G via a randomized controlled trial in Head Start centers in Los Angeles County operated by CII; (3) evaluate the effects of the intervention on maternal depression, parenting behaviors, goal-directed behavior, interpersonal relationships, physical health, and child behavior and school readiness; and (4) develop a manual for use of the intervention in Head Start and disseminate findings nationally. The study will feature 2 groups of 60 mothers each, randomized by Head Start site; one will receive the intervention and the other services as usual. Outcomes for both mothers and children will be tracked for 2 years after the intervention, allowing for the evaluation of short- and long-term effects. The intervention will be delivered by Head Start mental health workers under the supervision of Scott Stuart, a national trainer of the intervention. This intervention has the potential to be a low-cost, high-impact intervention that can be replicated to other Head Start sites across the country to improve the lives of Head Start children and families.

Detailed Description

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Conditions

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Maternal Depression Parenting Behavior Health Interpersonal Relationships Goal Directed Behavior Child Behavior Child School Readiness

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

There are 3 conditions that will be followed for up to 2 years: control, intervention and comparison. Randomization is by site. Half the sites are control half are intervention. all possible subjects are screened for depression. if the subject is depressed they are invited in to control or intervention based on site, all non depressed subjects are invited into the comparison.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention

Subjects screen positive for depression and are offered a group Therapy intervention for depression: Interpersonal Psychotherapy for Depression Group.

Group Type EXPERIMENTAL

Interpersonal Psychotherapy for Depression -Group

Intervention Type BEHAVIORAL

Control

Subjects screen positive for depression and are offered Treatment as usual: External referral.

Group Type NO_INTERVENTION

No interventions assigned to this group

comparison

Subjects screen negative for depression: no referral or intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Interpersonal Psychotherapy for Depression -Group

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Mothers of children in Head Start with scores on screening measure that are in depressed or possibly depressed range to be assigned to intervention or TAU. Also will have additional control group of non depressed mothers

Exclusion Criteria

* Not able to function in group environment
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Southern California

OTHER

Sponsor Role lead

Responsible Party

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Ferol Mennen

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Children's Institute, Inc.

Los Angeles, California, United States

Site Status

University of Southern California School of Social Work

Los Angeles, California, United States

Site Status

Countries

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United States

Other Identifiers

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90YR0074-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

90YR0074-01-00

Identifier Type: -

Identifier Source: org_study_id

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