- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05129631
HEARTPrep: A Virtually-delivered Psychosocial Intervention for Mothers Expecting a Baby With Congenital Heart Disease (HEARTPrep)
August 9, 2023 updated by: Erica Sood, Nemours Children's Clinic
Congenital heart disease (CHD) is the most common birth defect and is increasingly diagnosed prenatally.
Mothers describe their prenatal experiences as highly stressful and traumatic after a diagnosis of CHD.
Maternal stress during pregnancy exerts a powerful influence on birth outcomes and developmental trajectories, particularly for children in underserved populations.
In partnership with diverse parent and clinician stakeholders, our team designed HEARTPrep, an innovative, virtually-delivered psychosocial intervention for mothers expecting a baby with CHD.
This project will pilot HEARTPrep with mothers expecting a baby with CHD to obtain preliminary data for a larger future trial.
This intervention has the potential to improve emotional wellbeing in mothers expecting a baby with CHD, thereby altering developmental trajectories for this large population of children.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
Congenital heart disease (CHD) is the most common birth defect and is increasingly diagnosed prenatally.
Mothers describe their prenatal experiences as highly stressful and traumatic after a diagnosis of CHD.
Maternal stress during pregnancy exerts a powerful influence on birth outcomes and developmental trajectories, particularly for children in underserved populations.
Targeted efforts to mitigate impacts of maternal stress for this highly vulnerable population are lacking.
In partnership with diverse parent and clinician stakeholders, the investigators designed HEARTPrep, an innovative, virtually-delivered psychosocial intervention for mothers expecting a baby with CHD.
HEARTPrep will be delivered through the Nemours App, an accessible tool for telehealth and patient education.
The investigators aim to determine whether HEARTPrep modules produce clinically significant improvements on outcomes in mothers expecting a baby with CHD (Proof-of-Concept).
This program of research has the potential to improve emotional wellbeing in mothers expecting a baby with CHD, thereby altering developmental trajectories for this large population of children.
Study Type
Interventional
Enrollment (Estimated)
20
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 Locations
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Delaware
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Wilmington, Delaware, United States, 19803
- Recruiting
- Nemours Children's Health
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Contact:
- Erica Sood, PhD
- Phone Number: 302-651-4000
- Email: erica.sood@nemours.org
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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
16 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Expectant mothers carrying a fetus with congenital heart disease expected to require cardiac surgery in the first year of life
- Partners of participating expectant mothers can also participate together with the mother
- Receiving fetal cardiac care at Nemours Children's Health
- Speaks English or Spanish fluently
- Age 18 or older
- Access to a computer, tablet or mobile device with internet access
Exclusion Criteria:
-Fetus has a genetic syndrome or other comorbid condition associated with a life expectancy of less than one year
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: Health Services Research
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: HEARTPrep
HEARTPrep is a virtually-delivered psychosocial intervention for mothers expecting a baby with CHD.
HEARTPrep consists of three distinct modules: Adjusting, Connecting, and Preparing.
Each module targets one distinct primary outcome (emotional distress, social isolation, parenting self-efficacy) and a common secondary outcome (hope) through a suite of evidence-based intervention elements (e.g., psychoeducation, cognitive restructuring, mindfulness) for addressing emotional problems in other populations, including pregnant women.
HEARTPrep elements include: a) telehealth with a psychosocial provider, b) recorded videos, c) educational tools, and d) links to resources.
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HEARTPrep is a virtually-delivered psychosocial intervention for mothers expecting a baby with CHD.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
HEARTPrep Evaluation Questionnaire - Session 3
Time Frame: 6 weeks (Session 3)
|
Assesses perceived acceptability and feasibility of HEARTPrep (item responses range from 0-4 with higher scores reflecting greater acceptability and feasibility; minimum score = 0; maximum score = 64)
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6 weeks (Session 3)
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HEARTPrep Evaluation Questionnaire - Session 6
Time Frame: 12 weeks (Session 6)
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Assesses perceived acceptability and feasibility of HEARTPrep (item responses range from 0-4 with higher scores reflecting greater acceptability and feasibility; minimum score = 0; maximum score = 64)
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12 weeks (Session 6)
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Change in Emotional Distress - Patient-Reported Outcomes Measurement Information System (PROMIS) Short-Form
Time Frame: Weeks 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
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Assesses change from baseline in feelings of anxiety and depression (item responses range from 1-5 with higher scores reflecting greater emotional distress; minimum score = 4; maximum score = 20)
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Weeks 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
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Change in Social Isolation - PROMIS Short-Form
Time Frame: Weeks 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
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Assesses change from baseline in feelings of social isolation (item responses range from 1-5 with higher scores reflecting greater social isolation; minimum score = 4; maximum score = 20)
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Weeks 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
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Change in Parenting Self-Efficacy - PROMIS Short-Form
Time Frame: Weeks 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
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Assesses change from baseline in feelings of parenting self-efficacy (item responses range from 1-5 with lower scores reflecting lower parenting self-efficacy; minimum score = 4; maximum score = 20)
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Weeks 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Hope - PROMIS Short-Form
Time Frame: Weeks 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
|
Assesses change from baseline in feelings of hope (item responses range from 1-5 with lower scores reflecting lower hope; minimum score = 4; maximum score = 20)
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Weeks 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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)
July 14, 2023
Primary Completion (Estimated)
July 1, 2024
Study Completion (Estimated)
December 1, 2024
Study Registration Dates
First Submitted
October 31, 2021
First Submitted That Met QC Criteria
November 9, 2021
First Posted (Actual)
November 22, 2021
Study Record Updates
Last Update Posted (Actual)
August 14, 2023
Last Update Submitted That Met QC Criteria
August 9, 2023
Last Verified
August 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1813613
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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