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Effect of Home-Based Peer Support on Maternal-Infant Interaction and Postpartum Depression

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ClinicalTrials.gov Identifier: NCT00298311
Recruitment Status : Completed
First Posted : March 2, 2006
Last Update Posted : August 7, 2017
Sponsor:
Collaborators:
Women's Health Research Unit
Social Support Research Program
University Health Network, Toronto
Edmonton Mental Health Services
Canadian Mental Health Association
Pediatric Rehabilitation Services
Department of Health and Wellness, NB
Information provided by (Responsible Party):
Dr. Nicole LeTourneau, University of Calgary

Brief Summary:
The objective of this study is to examine the impact of a home-based peer support intervention for mothers affected by postpartum depression (PPD) and for their infants.

Condition or disease Intervention/treatment Phase
Postpartum Depression Behavioral: mci guidance peer support Not Applicable

Detailed Description:
This controlled study will help establish the link between support for maternal caregiving, maternal-infant interaction, infant neuroendocrinology and infant cognitive and social development. The primary hypothesis predicts that home-based peer support will improve maternal-infant interactions. Secondary hypotheses predict that home-based peer support will: improve infants' cognitive development; improve infants' social development; decrease average daily salivary cortisol levels in infants; reduce maternal depressive symptomatology; and improve maternal perceptions of social support.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: An RCT to Evaluate the Effect of Home-Based Peer Support on Maternal-Infant Interaction, Infant Health Outcomes, and Postpartum Depression
Study Start Date : November 2005
Actual Primary Completion Date : February 2009
Actual Study Completion Date : July 2010

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: mci guidance & peer social support
home visits to promote maternal-child interaction & social support
Behavioral: mci guidance peer support
12 weeks of home visits by peer mentor recovered from PPD and Keys to Caregiving (NCAST, 1990) program

Sham Comparator: peer social support
social support
Behavioral: mci guidance peer support
12 weeks of home visits by peer mentor recovered from PPD and Keys to Caregiving (NCAST, 1990) program




Primary Outcome Measures :
  1. maternal-infant interaction [ Time Frame: 12 months ]

Secondary Outcome Measures :
  1. cognitive development [ Time Frame: 12 months ]
  2. social development [ Time Frame: 12 months ]
  3. salivary cortisol [ Time Frame: 12 months ]
  4. depressive symptomatology [ Time Frame: 12 months ]
  5. social support [ Time Frame: 12 months ]


Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Eligible mothers will be identified as experiencing symptoms of PPD and scores >12 on the Edinburgh Postnatal Depression Scale.
  • Mothers must speak English or French.
  • Mothers will not be excluded for taking anti-depressant or anti-psychotic medication, using other interventions for PPD, or reporting a history of mental illness;
  • The infant must be full-term, in the care of the mother and between 3 to 6 months of age at initial enrollment.

Exclusion Criteria:

  • Infants who have been admitted to the NICU
  • Infants will be excluded if medicated with corticosteroids

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00298311


Sponsors and Collaborators
Canadian Research Institute for Social Policy
Women's Health Research Unit
Social Support Research Program
University Health Network, Toronto
Edmonton Mental Health Services
Canadian Mental Health Association
Pediatric Rehabilitation Services
Department of Health and Wellness, NB
Investigators
Principal Investigator: Nicole Letourneau, PhD University of Calgary

Responsible Party: Dr. Nicole LeTourneau, Professor, University of Calgary
ClinicalTrials.gov Identifier: NCT00298311     History of Changes
Other Study ID Numbers: PPD MOD
First Posted: March 2, 2006    Key Record Dates
Last Update Posted: August 7, 2017
Last Verified: August 2017

Additional relevant MeSH terms:
Depression
Depressive Disorder
Depression, Postpartum
Behavioral Symptoms
Mood Disorders
Mental Disorders
Puerperal Disorders
Pregnancy Complications