Internet-based interpersonal psychotherapy for stress, anxiety, and depression in prenatal women: study protocol for a pilot randomized controlled trial

Autor: Sander Veldhuyzen van Zanten, Nicola Roy, Dawn Kingston, Muhammad Kashif Mughal, Abdul Wajid, Lindsay Murray, Deborah A. McNeil, Scott Stuart, Katherine S. Bright, Marie Lane-Smith
Rok vydání: 2019
Předmět:
Coping (psychology)
medicine.medical_treatment
Medicine (miscellaneous)
Pilot Projects
Anxiety
Alberta
law.invention
Study Protocol
0302 clinical medicine
Randomized controlled trial
Pregnancy
law
Medicine
Pharmacology (medical)
Online
lcsh:R5-920
Depression
Prenatal Care
Middle Aged
3. Good health
Distress
Treatment Outcome
Interpersonal psychotherapy
Female
Mental health
Patient Safety
medicine.symptom
lcsh:Medicine (General)
Internet-Based Intervention
Adult
medicine.medical_specialty
Psychological distress
Prenatal care
Stress
Young Adult
03 medical and health sciences
Perinatal women
Humans
Internet
business.industry
Repeated measures design
030227 psychiatry
Pregnancy Complications
Physical therapy
Feasibility Studies
business
Delivery of Health Care
Stress
Psychological
030217 neurology & neurosurgery
Zdroj: Trials, Vol 20, Iss 1, Pp 1-11 (2019)
Trials
ISSN: 1745-6215
0190-1796
Popis: Background Psychological distress, defined as depression, anxiety and perceived stress, during pregnancy is common, with 15–25% of women experiencing clinically significant levels of such distress. Despite the far-reaching impact of prenatal psychological distress on mothers and their children, and that women are receptive to screening, few providers routinely screen for prenatal psychological distress and less than one in five women will receive the mental health care that they require. There is a lack of certainty regarding the most effective treatments for prenatal psychological distress. No online interpersonal psychotherapy (IPT) trials have been conducted that focus on improving psychological distress in prenatal women. The purpose of this pilot randomized controlled trial is to evaluate the perspectives of pregnant women on the feasibility and acceptability of online IPT (e-IPT) delivered during pregnancy. Methods A pilot randomized controlled trial design with repeated measures will evaluate the feasibility and acceptability of e-IPT for pregnant women compared to routine prenatal care. Qualitative interviews with 15–30 individuals in the intervention group will provide further data on the feasibility and acceptability of the intervention. Assessment of feasibility will include the ease of accessing and completing the intervention. Women will also be asked about what barriers there were to starting and completing the e-IPT. Assessment of acceptability will inquire about the perception of women regarding the intervention and its various features. A sample size of 160 consenting pregnant women aged 18 years and older will be enrolled and randomized into the experimental (e-IPT) or control (routine care) condition. The secondary outcome measures include: depression, anxiety and stress symptoms; self-efficacy; self-mastery; self-esteem; relationship quality (spouse, immediate family members); coping; and resilience. All participants will complete the aforementioned measures at baseline during pregnancy (T1), 3 months postrandomization (T2), at 8 months of pregnancy (T3), and 3 months postpartum (T4). Discussion The results of this pilot randomized controlled trial will provide data on the feasibility and acceptability of the intervention and identify necessary adaptations. This study will allow for optimization of full trial processes and inform the evaluation strategy, including sample size calculations for the full randomized controlled trial. Trial registration ClinicalTrials.gov, NCT01901796. Registered on 18 December 2014.
Databáze: OpenAIRE
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