Video-based Family Therapy for Peripartum Depression in Home Visited Mothers

NCT03282448 | Completed

• 2 other identifiers: 29987UL1TR001086
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 2

Brief Summary

This pilot study will explore the feasibility and acceptability of implementing a family-based treatment, using HIPAA-compliant video-based communication technology, for adolescents (pregnant and post-delivery) with peripartum depressive symptoms within the context of home visiting.

Conditions

Peripartum Depression

Outcome Measures

Primary Outcomes (1)

• Maternal depressive symptoms

  Depressive symptoms will be measured using the Beck Depression Inventory (BDI-II; Beck, Steer, \& Brown, 1996)

  5 months

Secondary Outcomes (5)

• Therapist-family working alliance

  2.5 months

• Family Satisfaction

  2.5 months

• Parenting attitudes

  5 months

• Emotion regulation

  5 months

• Family functioning

  5 months

Study Arms (2)

Family therapy

EXPERIMENTAL

Adolescent mothers and their family members will receive a total of 10 weekly, 30-minute, video-based family therapy sessions.

Behavioral: family therapy

Historical comparison group

NO INTERVENTION

The Edinburgh Postnatal Depression Scale scores of adolescent mothers in the intervention group will be compared to those of adolescent mothers, who were previously enrolled in the home visiting programs, at the same time points.

Interventions

family therapy BEHAVIORAL

The family-based intervention is informed by Dialectical Behavior Therapy Skills Training for Adolescents (Rathus \& Miller, 2014).

Family therapy

Eligibility Criteria

• Age: 13 Years - 25 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Willingness to participate in the study;
• Intention to remain in current job for at least 12 months; and
• Fluency in English: The training, treatment model, implementation meetings, and supervision sessions will be carried out in English.
• Adolescent mothers, ages 13-25, in the first trimester of pregnancy through eighteen months postpartum;
• Adolescent mothers with Edinburgh Postnatal Depression Scale scores of ≥8;
• At least one of the adolescent mother's family members ("family member" is defined as a person she is biologically related to, or significant close others/partners with whom she is not biologically related) must be willing and available to participate in eight of the 10 video-based family therapy sessions;
• Fluency in English: The treatment will be carried out in English; and
• Consistent internet access (i.e., subscribe to an internet service provider and do not experience weekly disruptions in service) on a cell phone, tablet, or computer equipped with a camera and microphone.

You may not qualify if:

• Adolescent mothers with
• A current positive screen for problem alcohol use on the CAGE or TWEAK;
• A current positive screen on the drug abuse items on the home visiting interview;
• A current positive screen for domestic violence on the Relationship Assessment Tool;
• Current hallucinations and/or delusions;
• Current homicidal ideation;
• Current suicidal ideation;
• Current severe major depressive episode as measured by the SCID-V Depression Module for those over age 18, or NIMH DISC-Y \& DISC-P Mood Module for those under age 18; and/or
• Current self-injurious behavior (e.g., cutting arms on a weekly basis). Families with
• Current Child Protection Service involvement;
• Current family therapy service involvement; and/or
• Current or previous Dialectical Behavior Therapy (DBT) treatment.

Sponsors & Collaborators

• Fallon P. Cluxton-Keller: lead
• National Center for Advancing Translational Sciences (NCATS): collaborator
• Dartmouth-Hitchcock Medical Center: collaborator

Study Sites (2)

TLC Family Resource Center

Claremont, New Hampshire, 03743, United States

Location

The Family Resource Center at Gorham

Gorham, New Hampshire, 03581, United States

Location

Related Publications (1)

• Cluxton-Keller F, Donnelly CL, Williams M, Buteau J, Stolte P, Monroe-Cassel M, Bruce ML. An implementation-effectiveness hybrid trial of video-based family therapy for peripartum depression in home visited mothers: a protocol for a pilot trial. Pilot Feasibility Stud. 2017 Nov 13;3:55. doi: 10.1186/s40814-017-0203-2. eCollection 2017.

  PMID: 29158913 DERIVED

MeSH Terms

Interventions

Family Therapy

Intervention Hierarchy (Ancestors)

Psychotherapy, Group; Socioenvironmental Therapy; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Fallon P. Cluxton-Keller, Ph.D.

  Dartmouth College

  PRINCIPAL INVESTIGATOR

• Craig L. Donnelly, M.D.

  Dartmouth College

  PRINCIPAL INVESTIGATOR

• Martha L. Bruce, Ph.D.

  Dartmouth College

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Assistant Professor Psychiatry

Study Record Dates

• First Submitted: September 12, 2017
• First Posted: September 14, 2017
• Study Start: May 26, 2017
• Primary Completion: June 13, 2018
• Study Completion: June 13, 2018
• Last Updated: June 19, 2018

Record last verified: 2018-06

Locations

US (2)