Theory Construction and Effect of Intervention on Pregnant Women With Gestational Hypertension and Endocrine Disorders

NCT03499925 | Unknown

• 1 other identifier: 201801053RINB
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

Few reports have addressed mental health for women with pregnancy complication over a prolonged time period. Meanwhile, the caring model with intervention for women who have pregnancy complication needs to be developed. The aims of this study are to (1) describe and compare the differences in health indicators during pre-pregnancy, pregnancy and 1 year postpartum; (2) develop the theoretical framework of relationship among health indicators during perinatal period; (3) develop a telephone follow-up and consultation program and examine its effect on women's resilience, depression, anxiety and quality of life. In the first stage, a prospective longitudinal investigation will be performed in women at pregnancy and postpartum. Women with pregnancy-related complications will be recruited. All participants will complete questionnaires that assess demographic characteristics, obstetric and birth history, depression, anxiety, resilience and quality of life. Participants who are in early, middle, late pregnancy, 3-5 days, 1st, 3rd, and 6th month and 1 year postpartum will be contacted to complete the questionnaires by mail or at study site clinics. The sample size was estimated by drop rates and power calculation. Approximately 380 women in early pregnancy will be recruited at a medical center in northern Taiwan. The first stage of this study will be conducted over a 3-year period. In the second stage, randomized control trial with single blind will be used to recruit eligible subjects from women in the waiting room for prenatal examination at a medical center in Taipei. The eligible subjects will be randomized into a control or experimental group. The women in the control group will receive usual care and those in the experimental group will receive four instances of telephone follow-up or face-to-face consultation. Two groups will receive 3 times measurements of depressive symptom, anxiety, resilience and quality of life. Meanwhile, Investigators will assess the health indicators of women's newborn. Data will be analyzed by independent t-test and generalized estimating equations. Forty-eight subjects will be recruited in each group. Totally, 300 subjects will be approached in terms of including a 30% dropout rate. The second stage of this study will be conducted over a 2-year period.

Conditions

Pregnancy-related Complications

Keywords

mental health; intervention; pregnancy-related complications

Outcome Measures

Primary Outcomes (1)

• CES-D

  The Center for Epidemiological Studies-Depression (CES-D) scale asked the subject how often depressive symptoms had occurred in the past week. There were four frequencies: no, very few (less than one day per week), sometimes (every Monday to two days), and frequent (three to seven days per week). Options To assess each symptom, score 0 to 3 for each question. After the forward question is scored backwards, the total score for the 20 questions is between 0 and 60. Radloff Radloff suggested that the results should be explained by the total score of the scale. The total score is suggested to be interpreted by the total score of the scale. The total score is recommended to be explained by the total score of the scale, and the total score is recommended to be explained by the total score of the scale. The higher the total score, the more severe the depressive symptoms.

  one week

Study Arms (2)

Test Group

EXPERIMENTAL

Telephone consultation effectiveness and cognitive behaviors

Behavioral: cognitive behaviors; Behavioral: Telephone consultation

Comparison Group

NO INTERVENTION

Routine product inspection

Interventions

cognitive behaviors BEHAVIORAL

Telephone consultation effectiveness and cognitive behaviors

Test Group

Telephone consultation BEHAVIORAL

Telephone consultation effectiveness and cognitive behaviors

Test Group

Eligibility Criteria

• Age: 20 Years+
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• age less than or equal to 20
• pregnancy less than 35 weeks
• CES-D questionnaire score greater than or equal to 16 points or State-Trait Anxiety Inventory-State(STAI-S) questionnaire score greater than 40 points
• Ability to speak Chinese or Taiwanese, or willing to use translation services to help complete questionnaires and interventions
• Ability to complete follow-up visits and electronic surveys
• Agree to participate in the study and sign the consent form

You may not qualify if:

• People with chronic diseases or congenital diseases before pregnancy.
• Women who are not scheduled to continue to undergo probation or production at the study site.
• Those who have major mental illnesses and are unable to complete self-administered questionnaires.

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

National Taiwan University Hospital

Taipei, 10051, Taiwan

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Study Officials

• Shiow-Ru Chang, PHD

  PHD

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Shiow-Ru Chang

CONTACT

02-2312-3456; srchang@ntu.edu.tw

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 28, 2018
• First Posted: April 17, 2018
• Study Start: April 23, 2018
• Primary Completion: July 31, 2021
• Study Completion: July 31, 2021
• Last Updated: April 20, 2018

Record last verified: 2018-03

Locations

TW (1)