NCT02538497

Brief Summary

Postpartum depression (PPD) is a prevalent disorder. Studying the factors related to PPD will help to identify families at risk and provide preventive interventions. This can in turn improve the developmental trajectories for the children. Several previous studies have investigated risk factors for PPD. However, few studies have focused on cognitive vulnerability factors. The first aim of the present study is to explore a range of protective and risk factors, including cognitive factors, for PPD, parent-infant interactions and child development. The second aim of the study is to evaluate the effectiveness of The Newborn Behavioral Observation (NBO) as a universal preventive intervention delivered in routine practice. The NBO is a brief relationship-enhancing intervention that may reduce depressive symptomatology in mothers.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
350

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Nov 2015

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 4, 2015

Completed
29 days until next milestone

First Posted

Study publicly available on registry

September 2, 2015

Completed
2 months until next milestone

Study Start

First participant enrolled

November 1, 2015

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2018

Completed
Last Updated

May 17, 2019

Status Verified

April 1, 2019

Enrollment Period

3.1 years

First QC Date

August 4, 2015

Last Update Submit

May 15, 2019

Conditions

Keywords

NBOThe Newborn Behavioral Observationpostpartum depressionpostnatal depressionchild developmentparent-child interaction

Outcome Measures

Primary Outcomes (1)

  • Levels of postpartum depression

    Mothers and fathers self-reported levels of postpartum depression measured with the Edinburgh Postnatal Depression Scale.

    Six weeks postpartum

Secondary Outcomes (13)

  • Levels of postpartum depression

    Four months postpartum

  • Levels of postpartum depression

    Six months postpartum

  • Parental reflective functioning

    Six weeks postpartum

  • Parental reflective functioning

    Four months postpartum

  • Bonding between parent and child

    Six weeks postpartum

  • +8 more secondary outcomes

Study Arms (2)

NBO plus routine care

EXPERIMENTAL

The Newborn Behavioral Observation

Behavioral: The Newborn Behavioral Observation (NBO)Behavioral: Routine care

Routine care

OTHER
Behavioral: Routine care

Interventions

The Newborn Behavioral Observation (NBO) is a flexible parental guidance methodology which takes between 20 and 40 minutes to administer. It consists of 18 neurobehavioral observations which give a profile of the infant´s behavioral repertoire along the dimensions: attentional-interactional, autonomic, motor and state organization. The intervention group will receive 3 NBO consultations: 1) Routine care plus the NBO at the hospital within two days post-delivery; 2) Routine home visit plus the NBO by a public health nurse when the infant is 7-10 days old; and 3) NBO at the well-baby clinic when the infant is about 4 weeks old.

Also known as: NBO
NBO plus routine care
Routine careBEHAVIORAL

The control group will receive routine care. Between 7 and 10 days after birth a public health nurse routinely visits the family at home. Six weeks after birth, the mother and the infant visit the well-baby clinic

NBO plus routine careRoutine care

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Pregnant woman and expecting fathers
  • Speak Norwegian

You may not qualify if:

  • Do not speak Norwegian

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

UiT The Arctic University of Norway

Tromsø, Norway

Location

Related Publications (2)

  • Hoifodt RS, Nordahl D, Landsem IP, Csifcsak G, Bohne A, Pfuhl G, Rognmo K, Braarud HC, Goksoyr A, Moe V, Slinning K, Wang CEA. Newborn Behavioral Observation, maternal stress, depressive symptoms and the mother-infant relationship: results from the Northern Babies Longitudinal Study (NorBaby). BMC Psychiatry. 2020 Jun 15;20(1):300. doi: 10.1186/s12888-020-02669-y.

  • Hoifodt RS, Nordahl D, Pfuhl G, Landsem IP, Thimm JC, Ilstad LKK, Wang CEA. Protocol for the Northern babies longitudinal study: predicting postpartum depression and improving parent-infant interaction with The Newborn Behavioral Observation. BMJ Open. 2017 Sep 27;7(9):e016005. doi: 10.1136/bmjopen-2017-016005.

MeSH Terms

Conditions

Depression, Postpartum

Condition Hierarchy (Ancestors)

Puerperal DisordersPregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesDepressive DisorderMood DisordersMental Disorders

Study Officials

  • Catharina EA Wang, Professor

    UiT The Arctic University of Norway

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 4, 2015

First Posted

September 2, 2015

Study Start

November 1, 2015

Primary Completion

December 1, 2018

Study Completion

December 1, 2018

Last Updated

May 17, 2019

Record last verified: 2019-04

Locations