- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04741776
A Pilot Randomized Trial of Video-based Family Therapy for Depressed Home Visited Mothers
December 15, 2023 updated by: Fallon P. Cluxton-Keller, Dartmouth-Hitchcock Medical Center
A Pilot Randomized Trial of Video-based Family Therapy for Home Visited Mothers With Perinatal Depressive Symptoms
Depressed mothers (pregnant and post-delivery) make up a significant portion of Maternal, Infant, and Early Childhood Home Visiting (MIECHV) clients.
Home visited mothers often experience family conflict that precipitates or worsens their depressive symptoms.
This study uses an effectiveness-implementation hybrid type 1 design with a pilot randomized trial to test the feasibility, acceptability, tolerability, safety, and preliminary effectiveness of an innovative family therapy intervention that uses technology to bypass barriers to increase access to treatment for this vulnerable population.
Study Overview
Status
Completed
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
166
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: Fallon Cluxton-Keller, Ph.D.
- Phone Number: 603-650-4724
- Email: Fallon.P.Cluxton-Keller@dartmouth.edu
Study Locations
-
-
New Hampshire
-
Lebanon, New Hampshire, United States, 03756
- Dartmouth-Hitchcock Clinic
-
-
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
15 years and older (Child, Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Mothers in any trimester of pregnancy through 18 months postpartum who are enrolled in home visiting at a participating agency;
- Fluent in English;
- Mother and her family member have at least an 8th grade education;
- Mothers with Beck Depression Inventory-Second Edition scores of at least 20;
- Perceived Hostility Survey-Adult raw scores of at least 16 for the adult mother and her adult family member; Perceived Hostility Survey-Child raw scores of at least 14 for the adolescent mother and her adolescent intimate partner; and
- Consistent internet access on their cell phones, tablets, or computer equipped with a microphone and camera.
Exclusion Criteria:
- Suicidal ideation in the mother and/or her family member;
- Mothers with bipolar disorder symptoms;
- Psychotic symptoms in the mother and/or her family member;
- Mother is currently receiving individual therapy;
- Family is currently receiving family therapy;
- Mothers who have been taking an antidepressant for less than 2 months; and
- Families with domestic violence.
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: Resilience Enhancement Skills Training
video-based family therapy
|
Family therapy
|
Active Comparator: Standard of care
video-based individual therapy
|
Individual therapy
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Beck Depression Inventory-Second Edition
Time Frame: Change from baseline Beck Depression Inventory-Second Edition score at 6 months
|
Maternal depressive symptoms.
The Beck Depression Inventory-Second Edition scores range from 0 (no depressive symptoms) to 63 (severe depressive symptoms).
|
Change from baseline Beck Depression Inventory-Second Edition score at 6 months
|
Perceived Hostility Survey (Ages 18 + and Ages 8-17)
Time Frame: Change from baseline Perceived Hostility Survey score at 6 months
|
Family conflict.
The Perceived Hostility Survey (Ages 18 +) raw scores range from 8 (low hostility) to 40 (high hostility).
The Perceived Hostility Survey (Ages 8-17) raw scores range from 5 (low hostility) to 25 (high hostility).
|
Change from baseline Perceived Hostility Survey score at 6 months
|
Multidimensional Scale of Perceived Social Support - Family subscale
Time Frame: Change from baseline Multidimensional Scale of Perceived Social Support-Family subscale score at 6 months
|
Family cohesion.
The Multidimensional Scale of Perceived Social Support-Family subscale scores range from 7-28, and higher scores indicate greater cohesion.
|
Change from baseline Multidimensional Scale of Perceived Social Support-Family subscale score at 6 months
|
Emotion Regulation Questionnaire-Cognitive Reappraisal scale (Adult version, and Children and Adolescents version)
Time Frame: Change from baseline Emotion Regulation Questionnaire-Cognitive Reappraisal scale score at 6 months
|
Family cognitive reappraisal.
The Emotion Regulation Questionnaire-Cognitive Reappraisal scale (Adult version) scores range from 6 (infrequent use of cognitive reappraisal) to 42 (frequent use of cognitive reappraisal).
The Emotion Regulation Questionnaire-Cognitive Reappraisal scale (Children and Adolescents version) scores range from 6 (infrequent use of cognitive reappraisal) to 30 (frequent use of cognitive reappraisal).
|
Change from baseline Emotion Regulation Questionnaire-Cognitive Reappraisal scale score at 6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Maternal school enrollment/job attainment
Time Frame: Change from baseline maternal school enrollment/job attainment at 6 months
|
functional outcome
|
Change from baseline maternal school enrollment/job attainment at 6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Fallon Cluxton-Keller, Ph.D., Dartmouth-Hitchcock Clinic
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.
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 (Actual)
April 22, 2021
Primary Completion (Actual)
June 1, 2023
Study Completion (Actual)
November 14, 2023
Study Registration Dates
First Submitted
February 2, 2021
First Submitted That Met QC Criteria
February 3, 2021
First Posted (Actual)
February 5, 2021
Study Record Updates
Last Update Posted (Actual)
December 18, 2023
Last Update Submitted That Met QC Criteria
December 15, 2023
Last Verified
December 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- D21065
- 1R34MH124951 (U.S. NIH Grant/Contract)
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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