A Novel Web-based Positive Psychology Intervention Addressed to Pregnant Women

November 22, 2017 updated by: Rosa María Baños Rivera, University of Valencia

The identification and treatment of the disorders connected to the perinatal period has traditionally catalyzed the researchers' attention. Nevertheless, since the World Health Organization has recently coined the concept of positive pregnancy experience, which includes not only treatment of diseases, but also health education, and health promotion, research on antenatal care has expanded to a salutogenic perspective. In the wake of this perspective, a growing number of research have been examining the potential benefits of positive aspects and protective factors on maternal prenatal well-bein. This salutogenic perspective is supported by the emerging field of Positive Psychology. Evidence from Positive Psychology studies has shown that it is possible to build and enhance personal strengths, sense of meaning and positive feelings by practicing some brief positive exercises, called Positive Psychology Interventions (PPIs). Recently, researchers have started to investigate the effects of a PPI on women's prenatal well-being, reporting promising findings in terms of potential direct effects of the positive intervention on women's prenatal stress in comparison to a treatment-as-usual control condition. In the past decade, many web-based delivered interventions have been designed and documented to be effective for the promotion of mental health and for the prevention and treatment of different disorders. Indeed, recent systematic reviews provides preliminary evidence that web-based interventions can be a promising and advisable form of intervention during the perinatal period. PPIs have been translated also in the online format. Preliminary evidence suggests that online positive psychology interventions can effectively enhance well-being and reduce depressive symptoms.

The research team have developed the protocol for a web-based positive psychology programme addressed to promote and enhance women's prenatal well-being. This intervention programme will last five weeks and will be completely self-administered. It is intend to study the effect of the intervention on levels of mental well-being, depression, pregnancy related anxiety and other relevant variables, and the results will be compared to a waiting list control group.

Study Overview

Status

Unknown

Intervention / Treatment

Detailed Description

Objective: The aim of this study is to examine the effectiveness of a positive psychology online-based intervention on indices of prenatal wellbeing. Hypotheses: Specifically, the primary hypothesis is that women that would participate to the intervention would report higher levels of mental well-being comparing to the ones reported by women assigned to the control group (i.e., waiting list, WL). Secondly, it is expected that women that would be involve in the positive intervention would report higher levels of positive affect, perceived social support, positive future thinking, and self-acceptance, comparing to the ones reported by the WL group. Moreover it is expected that participants assigned to the intervention condition would report lower levels of negative affect, depression symptoms, pregnancy related anxiety and negative future thinking, comparing to the ones reported by the WL group.

Study Type

Interventional

Enrollment (Anticipated)

164

Phase

  • Not Applicable

Contacts and Locations

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

Study Contact

Study Locations

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

11 years to 45 years (Child, Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

Inclusion Criteria:

  • being pregnant
  • have regular access to Internet
  • decided to be the mother of the baby
  • Spanish-speaker

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: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Positive Psychology Internet-based Intervention condition
Internet-based positive psychology training
The intervention programme is called "Embarazo y Bienestar" ("Pregnancy and Well-being"). Embarazo y Bienestar is a modular, self-placed program mainly designed to foster women's prenatal well-being by practicing some positive psychology-based exercises. The intervention programme consist of four modules of intervention, one welcome module, and a final resume page.
No Intervention: Waiting List condition
Waiting List control condition

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Changes in Mental well-being
Time Frame: Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Warwick-Edinburgh Mental Well-Being Scale (WEMWBS; Tennant et al., 2007)
Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Changes in Social support
Time Frame: Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Multidimensional Scale of Perceived Social Support (MSPSS; Zimet et al., 1988)
Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Changes in Future directed thinking
Time Frame: Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Subjective Probability Task (SPT; MacLeod et al., 1996)
Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Changes in Affect
Time Frame: Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Scale of Positive and Negative Experience (SPANE; Diener et al., 2010)
Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Changes in Depression
Time Frame: Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Patient Health Questionnaire-9 (PHQ-9; Kroenke, & Spitzer, 2002)
Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Changes in Pregnancy related anxiety
Time Frame: Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Pregnancy Related Anxiety Scale (PRAS; Rini et al., 1999)
Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Changes in Psychological well-being
Time Frame: Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Psychological Well-Being Scale (PWBS-29; Ryff, 1989)
Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Changes in Self-compassion
Time Frame: Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Self-Compassion Scale -Short Form (SCS-SF; Raes et al., 2011)
Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Changes in Satisfaction with life
Time Frame: Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)
Satisfaction With Life Scale (SWLS; Diener, et al., 1985)
Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)

Collaborators and Investigators

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

Investigators

  • Study Director: Rosa Maria Baños, PhD, University of Valencia

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 (Anticipated)

June 1, 2020

Primary Completion (Anticipated)

September 1, 2020

Study Completion (Anticipated)

December 1, 2020

Study Registration Dates

First Submitted

July 2, 2015

First Submitted That Met QC Criteria

May 17, 2017

First Posted (Actual)

May 18, 2017

Study Record Updates

Last Update Posted (Actual)

November 27, 2017

Last Update Submitted That Met QC Criteria

November 22, 2017

Last Verified

November 1, 2017

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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