Mom: Managing Our Mood, Part of The Family Help Program (MOM)

September 1, 2016 updated by: IWK Health Centre

Evidence-based, Distance Treatment for Postpartum Depression, Mom: Managing Our Mood, Part of The Family Help Program

The purpose of the MOM: Managing Our Mood Program (part of Family Help) is to evaluate the effectiveness of the Family Help distance intervention compared to usual or standard care typically provided to women with mild to moderate postpartum depression symptomology. This is a single-center trial based at the IWK Health Center. The primary outcome is change in postpartum depression diagnosis.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The Family Help- MOM: Managing Our Mood Program is to deliver, primary care mental health services to mothers in the comfort and privacy of their own home. The purpose of this randomized control trial is to test the effectiveness of the Managing Our Mood (MOM) postpartum depression distance treatment program. This study is a single-centre trial based at the IWK Health Centre, similar to other Family Help Modules.

The goal of this study is to determine the effectiveness of the MOM cognitive-behavioural intervention as an alternative treatment for women suffering from postpartum depression. The intervention is delivered at a distance, using educational materials (handbooks, video-tapes/DVDs, and telephone consultation with a trained paraprofessional coach. Family Help coaches deliver consistent care based on written protocols, with on-going evaluation by a professional team. MOM is not designed to replace specialist care of complex multi-problem mothers.

Eligible participants will be randomly assigned to either active MOM treatment or to the Best Efforts control condition. Those participants assigned to Best Efforts receive printed information about postpartum depression that describes the illness, how it is caused and various treatment options; they are assigned a Coach who books their assessments and is available to answer any questions; they are encouraged to maintain contact and regular care with their family physician or public health nurse for both themselves and their baby. At the end of the 12-month follow-up (one year from randomization), these women will be offered the opportunity to take part in the MOM treatment if they are still depressed.

Study Type

Interventional

Enrollment (Actual)

62

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Canada
    • Nova Scotia
      • Halifax, Nova Scotia, Canada, B3K 6R8
        • IWK Health Centre

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

19 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  • Completed diagnostic measure (SCID), reviewed and signed off by a psychologist
  • Participant must meet DSM-IV criteria for postpartum depression
  • Significant depressive symptoms that have been present for at least 2 weeks
  • Participant must be within 1-12 months postpartum
  • Participant must have ready private access to a telephone
  • Participant must be between 19-45 years old
  • Participant has provided verbal telephone consent
  • Participants must speak, read and write in English
  • If they are taking medication they must be stabilized (have been on the medication for at least four weeks).

Exclusion Criteria:

  • Any condition that in the judgment of the psychologist may interfere with effective delivery of the treatment program (ie, Severe symptomology, challenging diagnostic dilemmas, families who are unmotivated or are in complete chaos)
  • Current reports of specific suicidal intentions
  • Actively suicidal; suicidal attempts in the previous 6 months
  • Participants who are not willing to commit to the demands of treatment
  • Participants who have had psychological treatment in the past 6 months for similar problems.
  • Participants who have a history of psychotic disorders
  • Participants who are cognitively impaired
  • Participants who are involved with child protection services
  • Participants who have significant substance dependency

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Distance Treatment
50% randomized to receive Distance Treatment for postpartum depression
Behavioral: Distance Treatment for postpartum depression
Evidence-based, cognitive behavioural intervention for women with postpartum depression
Other Names:
  • Family Help Program (listed below: other Modules registered)
  • Pediatric Anxiety (2234a) NCT00267566
  • Pediatric Disruptive Behaviour (2234b) NCT00267579
  • Pediatric ADHD NCT00267605
  • Pediatric Recurrent Headache/abdominal Pain NCT00267618
  • Pediatric Enuresis NCT00270621
  • Pediatric Sleep Disorder NCT00338429
No Intervention: Usual Care Services
50% randomized to receive usual care services for postpartum depression

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Diagnosis with SCID (Semi-structured diagnostic interview)
Time Frame: baseline, 120, 240, 365
baseline, 120, 240, 365

Secondary Outcome Measures

Outcome Measure
Time Frame
Edinburgh Postnatal Depression Scale
Time Frame: baseline, 120, 240, 365
baseline, 120, 240, 365
Sheehan Disability Scale
Time Frame: Baseline, 120, 240, 365
Baseline, 120, 240, 365
Satisfaction measure, designed by the investigator
Time Frame: end of intervention
end of intervention
Beck Depression Inventory-II
Time Frame: baseline, 120, 240 and 365 day follow-up
baseline, 120, 240 and 365 day follow-up

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

IWK Health Centre

Collaborators

Canadian Institutes of Health Research (CIHR)

Investigators

  • Principal Investigator: Patrick J McGrath, PhD, IWK Health Centre

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2006

Primary Completion (Actual)

February 1, 2010

Study Completion (Actual)

February 1, 2010

Study Registration Dates

First Submitted

November 19, 2008

First Submitted That Met QC Criteria

November 20, 2008

First Posted (Estimate)

November 21, 2008

Study Record Updates

Last Update Posted (Estimate)

September 2, 2016

Last Update Submitted That Met QC Criteria

September 1, 2016

Last Verified

September 1, 2016

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 3556

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

IPD Plan Description

Aggregate summary data would be made available but not individual data.

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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