Treatment of Severe Fear of Childbirth With CBT, Comparison of ICBT With Traditional Live Therapy
NCT ID: NCT02266186
Last Updated: 2018-03-08
Study Results
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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COMPLETED
NA
60 participants
INTERVENTIONAL
2013-10-31
2018-01-31
Brief Summary
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Detailed Description
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In this project we want to examine the effect of CBT on SFOC given in two different ways. We compare these results with a group receiving support given traditionally on the clinics. But also a group without S-FOC. In case there is a significant effect of CBT, that is comparable given live as well as ICBT, we should have developed an adequate way of treatment that could be implemented in ordinary health care.
Hypothesis: S-FOC decreases in same extent (30 units on the W-DEQ) in both of the treatment groups. The group with S-FOC,that gets treatment as usual is consuming more healthcare than the groups receiving therapy.
One hundred and twenty pregnant women with severe fear of childbirth (S-FOC) according to their sum score on the Wijma Expectancy/Experience Questionnaire (W-DEQ vers. A) ≥85, and 40 women without S-FOC (W-DEQ \<85) are recruited at 7 participating clinics in Sweden. In a first baseline measuring phase 40 women with S-FOC and 40 women without S-FOC are followed as control groups, receiving, if necessary, treatment according to the local routine. In the intervention part of the study 80 women with S-FOC are randomized either into ICBT or live CBT.
1. ICBT is as effective as traditional live therapy.
2. ICBT is as efficient as traditional live therapy
.
3. The effect will remain after the childbirth The successful therapy leads to
* less fear after childbirth
* less traumatic events during delivery
* less cesareans or instrumental deliveries
* less postpartum depressions
* less appointments in urgency during pregnancy
* better Mother-child relation at 3 months
* better self-estimated quality of life
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Internet CBT
Intervention:Internet-based cognitive behavioural therapy.
Internet based Cognitive behavioural therapy
Internetbased CBTwith limited therapist support
Traditional CBT
Intervention:Traditional CBT given by a therapist following given modules.
Traditional Cognitive behavioural therapy
Therapist supported live therapy
Care as usual
Childbirth preparation according to local routine
No interventions assigned to this group
Interventions
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Traditional Cognitive behavioural therapy
Therapist supported live therapy
Internet based Cognitive behavioural therapy
Internetbased CBTwith limited therapist support
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Able to read and write Swedish language
* having the possibility to use the internet during the therapy.
Exclusion Criteria
* Not motivated to work with their fear.
* Ongoing psychological therapy because of fear of childbirth
* Non Swedish- speaking women
18 Years
50 Years
FEMALE
No
Sponsors
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Linkoeping University
OTHER_GOV
Responsible Party
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Klaas Wijma
Professor
Principal Investigators
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Klaas WIjma, Professor
Role: STUDY_DIRECTOR
Linkoeping University
Locations
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Kvinnokliniken, Vrinnevisjukhuset
Norrköping, , Sweden
Countries
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Related Links
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Other Identifiers
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Dnr2012/375-31
Identifier Type: -
Identifier Source: org_study_id
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