NCT03158649

Brief Summary

The identification and treatment of the disorders connected to the perinatal period has traditionally catalyzed the researchers' attention. Nevertheless, since the World Health Organization has recently coined the concept of positive pregnancy experience, which includes not only treatment of diseases, but also health education, and health promotion, research on antenatal care has expanded to a salutogenic perspective. In the wake of this perspective, a growing number of research have been examining the potential benefits of positive aspects and protective factors on maternal prenatal well-bein. This salutogenic perspective is supported by the emerging field of Positive Psychology. Evidence from Positive Psychology studies has shown that it is possible to build and enhance personal strengths, sense of meaning and positive feelings by practicing some brief positive exercises, called Positive Psychology Interventions (PPIs). Recently, researchers have started to investigate the effects of a PPI on women's prenatal well-being, reporting promising findings in terms of potential direct effects of the positive intervention on women's prenatal stress in comparison to a treatment-as-usual control condition. In the past decade, many web-based delivered interventions have been designed and documented to be effective for the promotion of mental health and for the prevention and treatment of different disorders. Indeed, recent systematic reviews provides preliminary evidence that web-based interventions can be a promising and advisable form of intervention during the perinatal period. PPIs have been translated also in the online format. Preliminary evidence suggests that online positive psychology interventions can effectively enhance well-being and reduce depressive symptoms. The research team have developed the protocol for a web-based positive psychology programme addressed to promote and enhance women's prenatal well-being. This intervention programme will last five weeks and will be completely self-administered. It is intend to study the effect of the intervention on levels of mental well-being, depression, pregnancy related anxiety and other relevant variables, and the results will be compared to a waiting list control group.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
164

participants targeted

Target at P50-P75 for not_applicable pregnancy

Timeline
Completed

Started Jun 2020

Shorter than P25 for not_applicable pregnancy

Geographic Reach
1 country

1 active site

Status
unknown

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 2, 2015

Completed
1.9 years until next milestone

First Posted

Study publicly available on registry

May 18, 2017

Completed
3 years until next milestone

Study Start

First participant enrolled

June 1, 2020

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2020

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2020

Completed
Last Updated

November 27, 2017

Status Verified

November 1, 2017

Enrollment Period

3 months

First QC Date

July 2, 2015

Last Update Submit

November 22, 2017

Conditions

Keywords

PregnancyPrenatal well-beingMental maternal prenatal well-beingPositive PsychologyPositive Psychology InterventionWeb-based intervention

Outcome Measures

Primary Outcomes (1)

  • Changes in Mental well-being

    Warwick-Edinburgh Mental Well-Being Scale (WEMWBS; Tennant et al., 2007)

    Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)

Secondary Outcomes (8)

  • Changes in Social support

    Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)

  • Changes in Future directed thinking

    Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)

  • Changes in Affect

    Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)

  • Changes in Depression

    Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)

  • Changes in Pregnancy related anxiety

    Baseline, post- training (5-weeks) and at follow-up (5-weeks after post-training)

  • +3 more secondary outcomes

Study Arms (2)

Positive Psychology Internet-based Intervention condition

EXPERIMENTAL

Internet-based positive psychology training

Other: "Embarazo y Bienestar"

Waiting List condition

NO INTERVENTION

Waiting List control condition

Interventions

The intervention programme is called "Embarazo y Bienestar" ("Pregnancy and Well-being"). Embarazo y Bienestar is a modular, self-placed program mainly designed to foster women's prenatal well-being by practicing some positive psychology-based exercises. The intervention programme consist of four modules of intervention, one welcome module, and a final resume page.

Positive Psychology Internet-based Intervention condition

Eligibility Criteria

Age11 Years - 45 Years
Sexfemale
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • being pregnant
  • have regular access to Internet
  • decided to be the mother of the baby
  • Spanish-speaker

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Valencia

Valencia, 46010, Spain

Location

Related Publications (9)

  • WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience. Geneva: World Health Organization; 2016. Available from http://www.ncbi.nlm.nih.gov/books/NBK409108/

    PMID: 28079998BACKGROUND
  • Bos SC, Macedo A, Marques M, Pereira AT, Maia BR, Soares MJ, Valente J, Gomes AA, Azevedo MH. Is positive affect in pregnancy protective of postpartum depression? Braz J Psychiatry. 2013 Mar;35(1):5-12. doi: 10.1016/j.rbp.2011.11.002.

    PMID: 23567594BACKGROUND
  • McManus MA, Khalessi AA, Lin J, Ashraf J, Reich SM. Positive feelings during pregnancy, early feeding practices, and infant health. Pediatr Int. 2017 May;59(5):593-599. doi: 10.1111/ped.13209. Epub 2017 Feb 14.

    PMID: 27914182BACKGROUND
  • Voellmin A, Entringer S, Moog N, Wadhwa PD, Buss C. Maternal positive affect over the course of pregnancy is associated with the length of gestation and reduced risk of preterm delivery. J Psychosom Res. 2013 Oct;75(4):336-40. doi: 10.1016/j.jpsychores.2013.06.031. Epub 2013 Jul 9.

    PMID: 24119939BACKGROUND
  • Seligman ME, Steen TA, Park N, Peterson C. Positive psychology progress: empirical validation of interventions. Am Psychol. 2005 Jul-Aug;60(5):410-21. doi: 10.1037/0003-066X.60.5.410.

    PMID: 16045394BACKGROUND
  • Matvienko-Sikar K, Dockray S. Effects of a novel positive psychological intervention on prenatal stress and well-being: A pilot randomised controlled trial. Women Birth. 2017 Apr;30(2):e111-e118. doi: 10.1016/j.wombi.2016.10.003. Epub 2016 Oct 31.

    PMID: 27810284BACKGROUND
  • Ashford MT, Olander EK, Ayers S. Computer- or web-based interventions for perinatal mental health: A systematic review. J Affect Disord. 2016 Jun;197:134-46. doi: 10.1016/j.jad.2016.02.057. Epub 2016 Mar 9.

    PMID: 26991368BACKGROUND
  • Lee EW, Denison FC, Hor K, Reynolds RM. Web-based interventions for prevention and treatment of perinatal mood disorders: a systematic review. BMC Pregnancy Childbirth. 2016 Feb 29;16:38. doi: 10.1186/s12884-016-0831-1.

    PMID: 26928898BACKGROUND
  • Bolier L, Abello KM. Online positive psychological interventions: State of the art and future directions. In Parks AC, Schueller SM editors. The Wiley Blackwell handbook of positive psychological interventions. Chichester, UK: John Wiley & Sons, Ltd; 2014. p. 286-309.

    BACKGROUND

Study Officials

  • Rosa Maria Baños, PhD

    University of Valencia

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD

Study Record Dates

First Submitted

July 2, 2015

First Posted

May 18, 2017

Study Start

June 1, 2020

Primary Completion

September 1, 2020

Study Completion

December 1, 2020

Last Updated

November 27, 2017

Record last verified: 2017-11

Locations