- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04442529
Mothers and Babies Qatar (MB-Q): A Postpartum Depression Intervention (MB)
April 19, 2021 updated by: Sidra Medical and Research Center
Qatar Mothers and Babies: Examining the Feasibility, Acceptability, and Preliminary Outcomes Associated With Integrating a Postpartum Depression Intervention Into Perinatal Services for Women
Qatar Mothers and Babies is a 4-year collaboration between Northwestern University Feinberg School of Medicine and Sidra Medicine in Doha, Qatar that will generate and evaluate a cultural and contextual adaptation of the Mothers and Babies intervention for pregnant Arabic-speaking women in Qatar.
The study will examine the feasibility and acceptability of the adapted intervention as well as its effectiveness in improving mental health outcomes among pregnant women receiving prenatal care at Sidra Medicine in Doha.
Additionally, given the high prevalence of diabetes among this study population, the investigators are also interested in seeing if the Mothers and Babies interventions helps improve the management of this disease.
Funded by the Qatar National Research Fund's National Priorities Research Program (NPRP), this project has the potential to guide future cultural adaptations of Mothers and Babies as well as other evidence-based interventions, and the delivery of Mothers and Babies to Arab and Arab-American women.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
Postpartum depression and anxiety are the two most common perinatal mental health disorders (mental health disorders occurring during pregnancy and the year after birth), with prevalence rates higher among women living in Qatar than in most western countries.
The negative outcomes associated with postpartum depression and anxiety are profound, and include poor birth outcomes, poor parenting practices, and compromised infant and young child development.
Although interventions exist to prevent postpartum depression and anxiety, to date there have been no studies that have attempted to prevent postpartum depression or anxiety among Arabic speaking women in the Middle East, including Qatar.
This project brings together a multidisciplinary team of researchers and clinicians from Sidra Medicine (Qatar) and Northwestern University Feinberg School of Medicine (USA) to conduct a first-of-its-kind study that examines the feasibility, acceptability, and outcomes associated with an evidence-based postpartum depression intervention-Mothers and Babies (MB).
MB has been widely used in the USA and has been linguistically translated into Arabic and successfully delivered to Arab-American women.
In Phase One of this project, the investigators will culturally and contextually adapt Mothers and Babies to ensure its suitability for use with women residing in Qatar.
In Phase Two, the investigators will conduct a small pilot study that examines the acceptability, appropriateness, and feasibility of the adapted Mothers and Babies intervention.
Specifically, the investigators will deliver the adapted intervention to 10 women receiving prenatal care at Sidra Medicine.
In Phase Three, the investigators will conduct a randomized controlled trial (n = 160) to determine the effectiveness of the adapted Mothers and Babies intervention on depressive symptoms, anxiety symptoms, and perceived stress among women receiving prenatal care at Sidra Medicine.
As part of the randomized controlled trial, the investigators will recruit a sub-group of 40 women with diabetes, given the high prevalence of diabetes among women in Qatar and the negative outcomes associated with diabetes on mother and child.
The investigators will explore whether the cognitive-behavioral techniques in Mothers and Babies are effective not only in promoting better mental health outcomes among this subgroup, but also better diabetes self-management.
Study Type
Interventional
Enrollment (Anticipated)
120
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
- Name: Sawssan Ahmed, PhD
- Phone Number: 974 4003-6506
- Email: sahmed2@sidra.org
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
18 years to 50 years (ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Description
Inclusion criteria are identical for the pilot study and RCT.
- Participants must be 18 years of age or older
- Participants should speak Arabic fluently
- Participants must be up to 28 + 0 weeks pregnant
- Participants should not be diagnosed with a fetal anomaly that is incompatible with life or whose anomalies will have significant physical or developmental morbidity
- Participants should not be currently receiving treatment for mental health difficulties,
- Participants should not have a history of a serious mental health condition and,
- Participants must screen between 7-12 on the Edinburgh Postpartum Depression Scale (EPDS) and/or 10-15 on the Generalized Anxiety and Depression Scale (GAD-7).
Exclusion criteria:
- Participants who do not meet these screening criteria but are experiencing mild to moderate symptoms of depression will be provided mental health resources including a link to the Mothers & Babies website with English and Arabic manuals for self-directed study.
- Screened women scoring > 15 on the GAD-7 and/or >12 on the EPDS and/or those currently receiving mental health treatment will be offered a referral to Sidra's Women's Mental Health Clinic for further evaluation and treatment, as needed.
- Anyone who endorses the suicidality question ideation (EPDS #10) will be offered same day review by a Sidra women's mental health clinician, who will ascertain the level of risk and offer assistance as clinically indicated.
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: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
NO_INTERVENTION: Control
Pregnant women will receive prenatal care as usual.
|
|
EXPERIMENTAL: Intervention
Pregnant women will receive the 12-session Mothers and Babies intervention
|
Mothers and Babies is an evidence-based postpartum depression prevention intervention.
It consists of 12 sessions which each last between 15-20 minutes.
Intervention sessions are to be delivered either in person or by phone.
The intervention is based on principles of cognitive-behavioral therapy (CBT).
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Depressive symptoms
Time Frame: Pre-Screening tool
|
First primary outcome of depressive symptoms is the Edinburgh Postpartum Depression Scale (EPDS).
Scores are determined by participant self-report on screening questions.
The total can range from 0 to 30 with higher scores indicating greater depressive symptoms.
|
Pre-Screening tool
|
Anxiety symptoms
Time Frame: Pre-Screening tool
|
Second primary outcome of anxiety symptoms is the Generalized Anxiety Disorder 7-Item Scale (GAD-7).
Scores are determined by participant self-report on screening questions.
The GAD-7 total score can range from 0-21 with higher scores indicating more anxiety symptoms.
|
Pre-Screening tool
|
Perceived stress
Time Frame: Baseline and six month follow-up
|
Third primary outcome of perceived stress is the Perceived Stress Scale 10-item version (PSS-10).
Scores are determined by participant self-report at baseline and six-month follow-up.
Scores range from 0-40 with higher scores indicate greater perceived stress.
|
Baseline and six month follow-up
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Behavioral Activation
Time Frame: Baseline and six month follow-up
|
Behavioral Activation will be measured using the Behavioral Activation Depression Scale (BADS).
The BADS assesses behaviors hypothesized to underlie depression and specifically targeted for change by behavioral activation strategies.
It examines changes in the following areas: activation, avoidance/ rumination, work/school impairment, and social impairment.
The BADS consists of 25 items, each rated on a seven point scale ranging from 0 (not at all) to 6 (completely).
The range of the scale is 0-64.
For the total scale, higher scores represent increased activation.
The BADS has demonstrated strong internal consistency, construct validity, and predictive validity (Kanter et al, 2007; Kanter et al., 2009).
|
Baseline and six month follow-up
|
Mood Regulation
Time Frame: Baseline and six month follow-up
|
Mood regulation will be measured using the 30-item Negative Mood Regulation Scale (NMRS) (Catanzaro & Means, 1990).
For each question, participants will use a 5-point scale to indicate participants' beliefs, or when participants are disappointed or experiencing a negative mood.
For the analyses, the study investigators will develop an average to these items to create a mean NMRS score (range 1-5).
Higher scores indicate a greater ability to regulate one's mood.
|
Baseline and six month follow-up
|
Social Support
Time Frame: Baseline and six month follow-up
|
Social support will be measured using the 19-item Medical Outcomes Study Social Support Survey (MOS-SSS) (Sherbourne & Stewart, 1991).
This brief self-administered survey includes an overall functional social support index, as well as four functional support subscales: affectionate, emotional/informational, tangible, and positive social interaction.
The range is 1-5 with greater scores indicating more perceived social support.
|
Baseline and six month follow-up
|
Decentering Thoughts
Time Frame: Baseline and six month follow-up
|
Secondary outcome of Decentering will be measured using the Experiences Questionnaire (EQ) (Fresco et al., 2007).
The EQ is a 20 item self-report scale designed to measure decentering and rumination, which has demonstrated strong internal consistency in a number of studies examining effects of interventions that incorporate cognitive restructuring techniques.
Response choices are on a 1-5 scale.
For the purposes of data analyses, study investigators will create a mean EQ score (range 1-5), with higher scores indicating more decentering/rumination.
|
Baseline and six month follow-up
|
Diabetes self-management
Time Frame: Baseline and six month follow-up
|
The Diabetes self-care will be assessed using the summary of Diabetes Self-Management questionnaire.
The tool contains 16 items, it is a reliable and valid instrument and enables an efficient assessment of self-care behaviors associated with glycemic control.
Scale scores were calculated as sums of item scores and then transformed to a scale ranging from 0 to 10 (raw score / theoretical maximum score * 10).
A transformed score of ten represents the highest self-rating of the assessed behavior.
|
Baseline and six month follow-up
|
Religious Coping- major life stressors
Time Frame: Baseline and six month follow-up
|
The Religious Coping- major life stressors tool is a continuous scale which contains 12 items of religious coping with major life stressors.
It has helped contributing to the growth of knowledge about the religion roles that serve in the process of dealing with crisis, trauma, and transition.
|
Baseline and six month follow-up
|
Mothers and Babies Skill Utilization
Time Frame: Six-month follow-up
|
The Mothers and Babies Skill Utilization is administered at the 6-month follow-up survey with higher scores indicating greater use of in daily life.
The instrument that will be utilized has been developed by the investigators.
|
Six-month follow-up
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
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)
May 1, 2021
Primary Completion (ANTICIPATED)
October 31, 2021
Study Completion (ANTICIPATED)
October 31, 2022
Study Registration Dates
First Submitted
June 18, 2020
First Submitted That Met QC Criteria
June 19, 2020
First Posted (ACTUAL)
June 22, 2020
Study Record Updates
Last Update Posted (ACTUAL)
April 21, 2021
Last Update Submitted That Met QC Criteria
April 19, 2021
Last Verified
June 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2019-0004
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
IPD Plan Description
The investigators anticipate making the individual participant data available to other researchers who submit a reasonable request to analyze study data.
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.
Clinical Trials on Diabetes
-
University of Colorado, DenverMassachusetts General Hospital; Beta Bionics, Inc.CompletedDiabetes Mellitus, Type 1 | Type 1 Diabetes | Diabetes type1 | Type 1 Diabetes Mellitus | Autoimmune Diabetes | Diabetes Mellitus, Insulin-Dependent | Juvenile-Onset Diabetes | Diabetes, Autoimmune | Insulin-Dependent Diabetes Mellitus 1 | Diabetes Mellitus, Insulin-Dependent, 1 | Diabetes Mellitus, Brittle | Diabetes Mellitus, Juvenile-Onset and other conditionsUnited States
-
Guang NingRecruitingType 2 Diabetes Mellitus | Type1 Diabetes Mellitus | Monogenetic Diabetes | Pancreatogenic Diabetes | Drug-Induced Diabetes Mellitus | Other Forms of Diabetes MellitusChina
-
University of Trás-os-Montes and Alto DouroCompletedType 2 Diabetes Mellitus | Diabetes-Related ComplicationsPortugal
-
Northern Care Alliance NHS Foundation TrustBrighter ABCompletedDiabetes type1 | Diabetes type2United Kingdom
-
VeraLight, Inc.InLight SolutionsUnknownGestational Diabetes | Insulin Dependent Diabetes | Non Insulin Dependent DiabetesUnited States
-
Garvan Institute of Medical ResearchWeizmann Institute of ScienceActive, not recruitingType 2 Diabetes Mellitus | Pre DiabetesAustralia
-
Oregon State UniversitySanofiCompletedType I or Type II Diabetes (Excludes Gestational Diabetes)
-
Taichung Veterans General HospitalNational Health Research Institutes, TaiwanRecruitingDiabetes Complications | Type 2 Diabetes | Maturity-Onset Diabetes of the Young (MODY)Taiwan
-
University of RoehamptonRecruitingType2 Diabetes Mellitus | Pre DiabetesUnited Kingdom
-
University of ReadingCompletedDiabetes, Type 2 | Diabetes Mellitus, Noninsulin-DependentUnited Kingdom, Kuwait
Clinical Trials on Mothers and Babies (MB)
-
Northwestern UniversityAnn & Robert H Lurie Children's Hospital of ChicagoActive, not recruiting
-
Northwestern UniversityNational Institute on Minority Health and Health Disparities (NIMHD)CompletedPostpartum Depression | Perinatal DepressionUnited States
-
Northwestern UniversityEunice Kennedy Shriver National Institute of Child Health and Human Development... and other collaboratorsRecruitingPostpartum Depression | Parenting | Child Development | Child Self-RegulationUnited States
-
Northwestern UniversityAnn & Robert H Lurie Children's Hospital of ChicagoCompletedPregnancy | Prenatal StressUnited States
-
Northwestern UniversityCompletedPerinatal Depression | PostPartum DepressionUnited States
-
Northwestern UniversityNational Institute of Mental Health (NIMH); Palo Alto UniversityActive, not recruiting
-
Duke UniversityCatholic Relief ServicesCompleted
-
Northwestern UniversityJohns Hopkins University; Palo Alto UniversityRecruiting
-
University of Missouri-ColumbiaFahs Beck Fund for Research and ExperimentationCompletedDepression | Anxiety Disorders GeneralizedUnited States
-
University of California, San FranciscoNational Institute of Mental Health (NIMH)CompletedDepression | Postpartum DepressionUnited States