RecruitingNot ApplicableNCT06777563

EMA and mHealth in Preventing Postpartum Depression

Ecological Momentary Assessment Combined mHealth-based Psychosocial Intervention to Prevent Postpartum Depression in Pregnant Women: a Pilot Randomized Controlled Trial

Sponsor

The University of Hong Kong

Enrollment

60 participants

Start Date

Aug 25, 2024

Study Type

INTERVENTIONAL

Conditions

Postpartum Depression (PPD)Ecological Momentary Assessment mHealth Intervention

Summary

This proposed study aims to develop and examine the feasibility, acceptability, and preliminary effectiveness of a proactive intervention model that combines brief psychological counselling, Ecological Momentary Assessment (EMA), mHealth-based psychological support, and CBT-guided telephone counselling to prevent postpartum depression (PPD).

Eligibility

Sex: FEMALEMin Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether a combination of mood tracking via a smartphone app and regular check-in messages can help prevent postpartum depression in pregnant women who are showing early signs of emotional distress. The app asks about mood and feelings throughout the day, and provides personalized support based on responses. **You may be eligible if...** - You are pregnant, between 20 and 28 weeks along - You are receiving regular prenatal care in Hong Kong - You scored 7 or higher on a standard depression/anxiety screening (EPDS-10), suggesting some distress - You can read and understand Chinese - You can use an instant messaging app on a smartphone weekly **You may NOT be eligible if...** - You are already receiving psychiatric or psychological treatment during your pregnancy Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALBrief psychological counselling and health education

This is a brief 1-on-1 psychological counselling, including potential mood fluctuation during pregnancy, possible prepartum depressive symptoms, and available psychiatric consultation and medication in Hong Kong with self-help psychoeducational materials.

BEHAVIORAL2 Weeks of Ecological Momentary Assessment (EMA)

The 2-week EMA period will start the next day. Participants will be prompted to answer questions about emotion (e.g. worry, enjoyment, anxiety, etc.) and other lifestyle and environmental triggers through the smartphone notification function. There will be a 2-hour window for each assessment before expiration and total 5 assessments a day.

BEHAVIORAL10 weeks of mobile health psychological support

A total of 20 regular instant messages (e.g., via WhatsApp) personalised by baseline demographic characteristics (current pregnancy details, history of postpartum mental illness) and results of EMA will be sent to the participants in multi-media formats.

BEHAVIORALCBT-guided telephone counselling booster

A 45-minute telephone counselling based on CBT.

Locations(2)

School of Nursing, The University of Hong Kong

Hong Kong, Pokfulam, Hong Kong

The Queen Mary Hospital

Hong Kong, Pokfulam, Hong Kong

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NCT06777563

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