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
The University of Hong Kong
60 participants
Aug 25, 2024
INTERVENTIONAL
Conditions
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
Inclusion Criteria4
- Pregnant women who are in their 20 to 28 weeks of gestation,
- Receiving regular antenatal care service in Hong Kong,
- Had a total score ≥7 in EPDS-10 (suggesting potential distress symptoms),
- Able to read and understand Chinese and use an instant messaging app weekly
Exclusion Criteria1
- \) Pregnant women who are undergoing psychiatric/psychological treatment.
Interventions
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.
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.
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.
A 45-minute telephone counselling based on CBT.
Locations(2)
View Full Details on ClinicalTrials.gov
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NCT06777563