- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03683706
Learning Through Play (LTP) in My Own Way Plus CBT (Umeed)
Feasibility Trial of Learning Through Play (LTP) in My Own Way Plus CBT A Parent-Based Intervention for Depressed Mothers With ID Children
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Having a child with a chronic medical problem or an intellectual disability increases anxiety and depression in parents. There is some growing evidence that families of ID children are able to meet the challenges. The purpose of the present study is to adapt LTP in my own way plus to test its acceptability and determine if it improves mothers knowledge about their child development and reduce their level of distress.
The study has two phases: quantitative phase and qualitative phase. Quantitative phase: A single blind randomised controlled trial in school settings in Karachi Pakistan.
Objectives:
- Help mothers cope better with their depression.
- Teach mothers play activities that will stimulate their children's development and improve mother-child interaction.
Qualitative Phase: This will help to determine acceptability of the intervention and identify perceived mechanisms of change and any barriers and facilitators to LTP in my own Plus intervention. In-depth digitally recorded interviews and focus groups will be conducted with the parents and teachers to understand their beliefs, views, and feelings about caring for ID children.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Karachi, Pakistan, 75500
- A private school in Karachi
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Mothers of ID children aged 3 to 6 years, screened positive for depression
- Ability to complete a baseline assessment
- Ability to communicate in Urdu or English
Exclusion Criteria:
- Have a diagnosed serious medical or psychiatric condition
- Mothers of children with other medical illness
- Temporary residents unlikely to be available for follow-up
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Active Comparator: Intervention
Participants in this arm will receive 12 sessions of LTP in My Own Way Plus interventions.
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LTP in My Own Way Plus is a 12-session integrated intervention-Learning through Play in My Own Way Plus Cognitive Behaviour Therapy (CBT).
LTP in My Own Way is the extension of the parent education program called 'Learning Through Play' developed by Toronto Public Health (1993) revised by The Hincks-Dellcrest Centre (2000).
LTP aims for the healthy growth of young children (birth to 6 years) using the stages of development incorporating Piaget's theory of cognitive development and Bowlby's theory of attachment.
The objective of this program is to strengthen parent-child attachment by encouraging parental involvement and teaching parents how to use play activities to enhance their children's development.
Second component of intervention is CBT adapted from Jeanne Miranda manual (Group CBT for Depression, group leaders guide book-2006) focusing on the three areas: thoughts and your mood, activities and your mood, people interaction and your mood.
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No Intervention: Treatment as Usual
Participants in this arm will be getting their usual treatment
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Session Log (Feasibility and acceptability)
Time Frame: change in baseline to 12 weeks
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sessions logs (attendance of each participant) will be maintained.
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change in baseline to 12 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient Health Questionnaire (PHQ-9) (Kroenke, Spitzer, & Williams, 2003):
Time Frame: change in baseline to 12 weeks
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The Patient health Questionnaire (PHQ-9) is 10 items self-report questionnaire for screening, diagnosing and measuring severity of depression which is easy to use and can be administered by a trained research worker.
Score ranges from 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe.
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change in baseline to 12 weeks
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Generalized Anxiety Disorder (GAD) 7 (Spitzer, Kroenke, Williams, & Löwe, 2006):
Time Frame: change in baseline to 12 weeks
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The GAD-7 is a 7-item scale used to screen for and measure severity of generalized anxiety disorder.
Scores of 5, 10 & 15 are taken as cut-off points for mild, moderate and high.
it takes about 5 minutes to administer this sca
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change in baseline to 12 weeks
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Vineland Adpative Behaviour Scales (VABS-II) VABS-II (Sparrow et al., 2005):
Time Frame: change in baseline to 12 weeks
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VABS-II measure adaptive behaviors of individuals from birth to 90 years.
The main domains are communication, daily living skills, socialization, and motor skills.
The parent/caregiver self-report form requires a completion time of 30-60 minutes and yields an adaptive behaviour composite score.
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change in baseline to 12 weeks
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Collaborators and Investigators
Investigators
- Principal Investigator: Nasim Chaudhry, Pakistan Institute of Living & Learning
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- LTP In My Own Way Plus
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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