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Effect of Home-Based Peer Support on Maternal-Infant Interaction and Postpartum Depression

Primary Purpose

Postpartum Depression

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
mci guidance peer support
Sponsored by
Canadian Research Institute for Social Policy
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Postpartum Depression

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria: Eligible mothers will be identified as experiencing symptoms of PPD and scores >12 on the Edinburgh Postnatal Depression Scale. Mothers must speak English or French. Mothers will not be excluded for taking anti-depressant or anti-psychotic medication, using other interventions for PPD, or reporting a history of mental illness; The infant must be full-term, in the care of the mother and between 3 to 6 months of age at initial enrollment. Exclusion Criteria: Infants who have been admitted to the NICU Infants will be excluded if medicated with corticosteroids

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Sham Comparator

    Arm Label

    mci guidance & peer social support

    peer social support

    Arm Description

    home visits to promote maternal-child interaction & social support

    social support

    Outcomes

    Primary Outcome Measures

    maternal-infant interaction

    Secondary Outcome Measures

    cognitive development
    social development
    salivary cortisol
    depressive symptomatology
    social support

    Full Information

    First Posted
    March 1, 2006
    Last Updated
    August 3, 2017
    Sponsor
    Canadian Research Institute for Social Policy
    Collaborators
    Women's Health Research Unit, Social Support Research Program, University Health Network, Toronto, Edmonton Mental Health Services, Canadian Mental Health Association, Pediatric Rehabilitation Services, Department of Health and Wellness, NB
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00298311
    Brief Title
    Effect of Home-Based Peer Support on Maternal-Infant Interaction and Postpartum Depression
    Official Title
    An RCT to Evaluate the Effect of Home-Based Peer Support on Maternal-Infant Interaction, Infant Health Outcomes, and Postpartum Depression
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    November 2005 (undefined)
    Primary Completion Date
    February 2009 (Actual)
    Study Completion Date
    July 2010 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Canadian Research Institute for Social Policy
    Collaborators
    Women's Health Research Unit, Social Support Research Program, University Health Network, Toronto, Edmonton Mental Health Services, Canadian Mental Health Association, Pediatric Rehabilitation Services, Department of Health and Wellness, NB

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The objective of this study is to examine the impact of a home-based peer support intervention for mothers affected by postpartum depression (PPD) and for their infants.
    Detailed Description
    This controlled study will help establish the link between support for maternal caregiving, maternal-infant interaction, infant neuroendocrinology and infant cognitive and social development. The primary hypothesis predicts that home-based peer support will improve maternal-infant interactions. Secondary hypotheses predict that home-based peer support will: improve infants' cognitive development; improve infants' social development; decrease average daily salivary cortisol levels in infants; reduce maternal depressive symptomatology; and improve maternal perceptions of social support.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Postpartum Depression

    7. Study Design

    Primary Purpose
    Health Services Research
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    ParticipantOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    60 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    mci guidance & peer social support
    Arm Type
    Experimental
    Arm Description
    home visits to promote maternal-child interaction & social support
    Arm Title
    peer social support
    Arm Type
    Sham Comparator
    Arm Description
    social support
    Intervention Type
    Behavioral
    Intervention Name(s)
    mci guidance peer support
    Intervention Description
    12 weeks of home visits by peer mentor recovered from PPD and Keys to Caregiving (NCAST, 1990) program
    Primary Outcome Measure Information:
    Title
    maternal-infant interaction
    Time Frame
    12 months
    Secondary Outcome Measure Information:
    Title
    cognitive development
    Time Frame
    12 months
    Title
    social development
    Time Frame
    12 months
    Title
    salivary cortisol
    Time Frame
    12 months
    Title
    depressive symptomatology
    Time Frame
    12 months
    Title
    social support
    Time Frame
    12 months

    10. Eligibility

    Sex
    Female
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Eligible mothers will be identified as experiencing symptoms of PPD and scores >12 on the Edinburgh Postnatal Depression Scale. Mothers must speak English or French. Mothers will not be excluded for taking anti-depressant or anti-psychotic medication, using other interventions for PPD, or reporting a history of mental illness; The infant must be full-term, in the care of the mother and between 3 to 6 months of age at initial enrollment. Exclusion Criteria: Infants who have been admitted to the NICU Infants will be excluded if medicated with corticosteroids
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Nicole Letourneau, PhD
    Organizational Affiliation
    University of Calgary
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    34286512
    Citation
    Yonemoto N, Nagai S, Mori R. Schedules for home visits in the early postpartum period. Cochrane Database Syst Rev. 2021 Jul 21;7(7):CD009326. doi: 10.1002/14651858.CD009326.pub4.
    Results Reference
    derived

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    Effect of Home-Based Peer Support on Maternal-Infant Interaction and Postpartum Depression

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