Social Media, Teen Moms and PPD

NCT01967394 | Completed DMC

• 2 other identifiers: 1R15NR013563-01A1R15NR013563
• Study Type: interventional
• Target: 287
• Locations: 1 country
• Sites: 8

Brief Summary

Approximately 400,000 live births occur to adolescents in the United States annually. Of the 50% of adolescent mothers who experience depressive symptoms, less than 25% comply with referrals for depression evaluation and treatment due to lack of knowledge of depression symptoms (literacy), negative attitude towards mental health treatment, perception that individuals with depression are stigmatized (subjective norms), lack of understanding of health resources that are available to her and under her control (perceived control), and lack of time. Social media is a promising vehicle to reach and educate adolescent mothers since most adolescent mothers use social media for communication and to search for health information. Based upon the Theory of Planned Behavior, the investigators will target 11 counties in Kentucky with a social media ad campaign that will result in adolescent mothers (n=140) from those counties enrolling in an internet based intervention related to postpartum depression. The previously tested intervention includes vignettes from other adolescent mothers, questions and answers, resources, and an option to enroll in text message service. Before the intervention, after the intervention, and two weeks later the adolescent mothers will complete established questionnaires to determine if the intervention improved attitude and subjective norms towards depression and depression treatment, perceived control and intention related to seeking depression treatment, and the number of adolescent mothers with symptoms of depression who receive depression treatment. Data will be compared to scores on the same instruments from adolescent mothers (n=140) from the control group (18 other counties in Kentucky) that have not been targeted with the social media ad campaign or participated in the intervention. Data from the adolescent mothers in the control group will be collected in partnership with community agencies. The overall purpose of this trial is to test a cost effective and feasible method for reducing the cognitive and emotional barriers to accessing depression treatment in adolescent mothers. The specific aims are to (1) measure the extent to which a social media ad campaign is effective as a recruitment strategy; (2) test the effectiveness of an internet based social marketing intervention on both intention to seek treatment and rates of depression treatment, and (3) examine the dose effect of the intervention.

Conditions

Postpartum Depression

Keywords

Health Care Quality; Access; Evaluation

Outcome Measures

Primary Outcomes (1)

• Effectiveness of Social Marketing Intervention

  How many teen mothers are enrolled in treatment programs for their depression per county? Is there a difference between counties?

  2 years

Secondary Outcomes (1)

• Number of teens seeking depression treatment

  2 years

Other Outcomes (1)

• Intention of a adolescent to seek depression treatment

  2 years

Study Arms (2)

Intervention County

EXPERIMENTAL

Use of internet based social marketing intervention

Other: Use of internet based social marketing intervention

Control County

PLACEBO COMPARATOR

No use of social media

Other: No use of social media

Interventions

Use of internet based social marketing intervention OTHER

Eleven counties in Kentucky will be targeted with ads on Google and Facebook that direct adolescent mothers to an Internet-based social marketing intervention. The ads will be implemented using Facebook's and Google's ad network. The ads are setup, configured, and adjusted online. Facebook has identified key words that are recommended for adolescent mothers: "16 and pregnant," "teen mom,' and names of television shows with subject matter specific to adolescent mothers. We will target the ads to correspond to a geographical area that specifies a distance from the largest city in each county, and we will specify county lines. Ads will only appear on the Internet in the counties that are targeted for the intervention.

Intervention County

No use of social media OTHER

No social media ads will be available in these counties.

Control County

Eligibility Criteria

• Age: 13 Years - 21 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Adolescent mothers, 13-21 years of age, who delivered a live child within the last 12 months, and has their baby residing with them. For the adolescent mothers enrolled in the Internet-based social marketing intervention, they must reside in Kentucky counties of Fayette, Jefferson, Bullitt, Henry, Oldham, Shelby, Spencer, Trimble, Christian, Warren or Barren. The adolescent mothers enrolled in the control group must reside in Kentucky counties of Campbell, Casey, Daviess, Boone, Nelson, Russell, Carroll, Kenton, Hardin, Hancock, Henderson, McClean, Meade, Ohio, Union, Webster, Meade or Marion

Sponsors & Collaborators

• University of Louisville: lead
• National Institute of Nursing Research (NINR): collaborator

Study Sites (8)

Three Rivers

Carrollton, Kentucky, 41008, United States

Location

Hands Program of Kenton County (Young Families of Children, Inc)

Covington, Kentucky, 41011, United States

Location

Lincoln Trail Health Department

Elizabethtown, Kentucky, 42701, United States

Location

St. Joseph Hospital

Lexington, Kentucky, United States

Location

University of Louisville Hospital

Louisville, Kentucky, United States

Location

Hands Program of Boone and Campbell Counties (Every Child Succeeds)

Newport, Kentucky, 41072-0325, United States

Location

Three Rivers Health Department

Owensboro, Kentucky, 42303, United States

Location

Lake Cumberland Health Department

Somerset, Kentucky, 42501, United States

Location

MeSH Terms

Conditions

Depression, Postpartum

Condition Hierarchy (Ancestors)

Puerperal Disorders; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Depressive Disorder; Mood Disorders; Mental Disorders

Study Officials

• Mimia C Logsdon, PhD

  University of Louisville

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: October 10, 2013
• First Posted: October 22, 2013
• Study Start: June 1, 2013
• Primary Completion: December 1, 2015
• Study Completion: December 1, 2015
• Last Updated: December 29, 2015

Record last verified: 2015-12

Locations

US (8)