- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07627373
Mental Health Support Interventions for Mothers of Infants and Young Children
Integrating Maternal Mental Health Support Into Child Healthcare System in China: A Randomized Trial
The goal of this clinical trial is to learn whether a maternal mental health support program can improve maternal mental health and child development when delivered through routine child healthcare services in community health centers in China. The study will also examine how the program works and whether it can be successfully integrated into the child healthcare system.
The main questions it aims to answer are:
- Does the maternal mental health support program improve maternal mental health and well-being?
- Does the program improve child development outcomes?
- Through what pathways does the program influence maternal mental health and child development?
- Can the program be successfully integrated and delivered within the child healthcare system?
Researchers will compare the maternal mental health support program with usual child healthcare services.
Participants will:
- Receive either the maternal mental health support program or usual child healthcare services
- Attend program sessions delivered in community health centers
- Complete questionnaires and assessments related to maternal well-being, parenting, and child development
- Participate in follow-up assessments during the study period
Panoramica dello studio
Stato
Intervento / Trattamento
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Luoghi di studio
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Shanghai, Cina
- 5 Community Health Centers in Pudong District, Shanghai
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Contatto:
- Study Team
- Numero di telefono: 6505099006
- Email: yuyinx@stanford.edu
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Mothers aged 18 years or older with an infant aged 0 to 12 months
- Living in or near the study area and planning to remain in the area for the next 12 months
- Screen positive for mild to moderate depressive symptoms based on the study screening assessment
- Able and willing to provide informed consent
Exclusion Criteria:
- Mothers or infants with serious medical conditions that would prevent participation in the study
- Mothers or infants with severe congenital disorders, infectious diseases, genetic or metabolic disorders, or severe disabilities
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
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Sperimentale: THEP
Participants attend group-based sessions twice a month.
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The Thinking Healthy Extended Programme (THEP) is a group-based psychosocial intervention developed for caregivers of children aged 0-3 years in China.
Building on the core principles of the World Health Organization's Thinking Healthy Programme (THP), THEP adapts simplified cognitive behavioral therapy strategies to support caregiver mental health and parenting well-being.
THEP aims to improve mental health through three core mechanisms: promoting healthy thinking patterns, encouraging positive and rewarding daily activities, and strengthening peer support through group discussion, shared experiences, and mutual support among participants.
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Nessun intervento: Control
Participants will receive usual care, defined as the routine services currently available through the public health service system.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Depressive symptoms measured by the Patient Health Questionnaire-8 (PHQ-8)
Lasso di tempo: Baseline, 6 months, and 12 months (2 months for pilot study)
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The PHQ-8 is an 8-item self-report measure of depressive symptoms.
Scores range from 0 to 24, with higher scores indicating more severe depressive symptoms.
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Baseline, 6 months, and 12 months (2 months for pilot study)
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Parenting stress measured by the Parenting Stress Index (PSI)
Lasso di tempo: Baseline, 6 months, and 12 months (2 months for pilot study)
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The PSI assesses stress related to parenting and caregiver-child interactions.
Higher scores indicate greater parenting stress.
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Baseline, 6 months, and 12 months (2 months for pilot study)
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Depressive symptoms measured by the Hamilton Depression Rating Scale (HAMD)
Lasso di tempo: 12 months (2 months for pilot study)
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The Hamilton Depression Rating Scale (HAMD) is a clinician-administered measure of depressive symptoms.
Higher scores indicate more severe depressive symptoms.
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12 months (2 months for pilot study)
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Depressive symptoms measured by the Center for Epidemiological Studies Depression Scale (CES-D)
Lasso di tempo: Baseline, 6 months, 12 months (2 months for pilot study)
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The CES-D is a self-report measure of depressive symptoms.
Higher scores indicate more severe depressive symptoms.
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Baseline, 6 months, 12 months (2 months for pilot study)
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Child social-emotional development measured by the Brief Infant-Toddler Social and Emotional Assessment (BITSEA)
Lasso di tempo: Baseline, 6 months, 12 months ( 2 months for pilot study)
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The BITSEA assesses social-emotional competencies and behavioral problems in young children.
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Baseline, 6 months, 12 months ( 2 months for pilot study)
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Child cognitive development measured by the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III)
Lasso di tempo: Baseline, 6 months, 12 months ( 2 months for pilot study)
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The Bayley-III assesses cognitive, language, and motor development in infants and young children.
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Baseline, 6 months, 12 months ( 2 months for pilot study)
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Mental health literacy measured by the Mental Health Literacy Scale, Chinese version (MHLS-C)
Lasso di tempo: Baseline, 6 months, 12 months ( 2 months for pilot study)
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The Mental Health Literacy Scale, Chinese version (MHLS-C), is a self-report measure assessing knowledge and understanding of mental health conditions, their recognition, management, and help-seeking.
Higher scores indicate greater mental health literacy.
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Baseline, 6 months, 12 months ( 2 months for pilot study)
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Stimulative parenting practices measured by the Family Care Indicators (FCI)
Lasso di tempo: Baseline, 6 months, 12 months ( 2 months for pilot study)
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Baseline, 6 months, 12 months ( 2 months for pilot study)
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Caregiver-child relationship measured by the Mother's Object Relations Scale-Short Form (MORS-SF)
Lasso di tempo: Baseline, 6 months, 12 months ( 2 months for pilot study)
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Baseline, 6 months, 12 months ( 2 months for pilot study)
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Parenting self-efficacy measured by the Brief Parenting Self-Efficacy Scale (BPSES)
Lasso di tempo: Baseline, 6 months, 12 months ( 2 months for pilot study)
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Baseline, 6 months, 12 months ( 2 months for pilot study)
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Perceived social support measured by the Multidimensional Scale of Perceived Social Support (MSPSS)
Lasso di tempo: Baseline, 6 months, 12 months ( 2 months for pilot study)
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Baseline, 6 months, 12 months ( 2 months for pilot study)
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Anxiety symptoms measured by the Anxiety Subscale of the Depression Anxiety Stress Scales-21 (DASS-A)
Lasso di tempo: Baseline, 6 months, 12 months ( 2 months for pilot study)
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Baseline, 6 months, 12 months ( 2 months for pilot study)
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Health-related quality of life measured by the EuroQol 5-Dimension questionnaire (EQ-5D)
Lasso di tempo: Baseline, 6 months, 12 months ( 2 months for pilot study)
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Baseline, 6 months, 12 months ( 2 months for pilot study)
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Collaboratori e investigatori
Sponsor
Collaboratori
Studiare le date dei record
Studia le date principali
Inizio studio (Stimato)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- 83406
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