Comparing Brief Internet-Based Compassionate Mind Training and Cognitive Behavioral Therapy for Perinatal Women: Study Protocol for a Randomized Controlled Trial

Alex R Kelman, Meagan L Stanley, Alinne Z Barrera, Michelle Cree, Yotam Heineberg, Paul Gilbert, Alex R Kelman, Meagan L Stanley, Alinne Z Barrera, Michelle Cree, Yotam Heineberg, Paul Gilbert

Abstract

Background: Depression that occurs during the perinatal period has substantial costs for both the mother and her baby. Since in-person care often falls short of meeting the global need of perinatal women, Internet interventions may function as an alternate to help women who currently lack adequate access to face-to-face psychological resources. However, at present there are insufficient empirically supported Internet-based resources for perinatal women.

Objective: The aim of this study is to compare the relative efficacy of Internet-based cognitive behavioral therapy (CBT) to a novel Internet-based compassionate mind training approach (CMT) across measures of affect, self-reassurance, self-criticizing, self-attacking, self-compassion, depression, and anxiety. While CBT has been tested and has some support as an Internet tool for perinatal women, this is the first trial to look at CMT for perinatal women over the Internet.

Methods: Participants were recruited through Amazon Mechanical Turk (MTurk) and professional networks. Following completion of demographic items, participants were randomly assigned to either the CBT or CMT condition. Each condition consisted of 45-minute interactive didactic and follow-up exercises to be completed over the course of two weeks.

Results: Post course data was gathered at two weeks. A 2x2 repeated measures analysis of variance will be conducted to analyze differences between conditions at post course.

Conclusions: The implications of the trial will be discussed as well as the strengths and limitations of MTurk as a tool for recruitment. We will also briefly introduce the future directions along this same line of research.

Trial registration: ClinicalTrials.gov NCT02469324; https://ichgcp.net/clinical-trials-registry/NCT02469324 (Archived by WebCite at http://www.webcitation.org/6fkSG3yuW).

Keywords: Amazon Mechanical Turk; Internet intervention; comparative trial; perinatal depression.

Conflict of interest statement

Conflicts of Interest: CMT was created by one of the collaborators on the study, Paul Gilbert, PhD. As such, Dr Gilbert will not be directly involved in the IC process or statistical analyses in order to avoid any conflicts of interest. Additionally, Ricardo Muñoz, PhD developed the CBT condition based on his previous written work and will not be directly involved in the IC process or statistical analyses.

Figures

Figure 1
Figure 1
Design of the study.

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