SMART Mom for Stress, Psychological

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
Stony Brook University, Department of Psychiatry, Stony Brook, NY
Stress, Psychological+4 More
SMART Mom - Behavioral
Eligibility
18+
Female
Eligible conditions
Select

Study Summary

This study is evaluating whether internet-delivered programs may help reduce stress and anxiety for pregnant women.

See full description

Eligible Conditions

  • Stress, Psychological
  • Anxiety
  • Perinatal Depression
  • Pregnancy Related

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether SMART Mom will improve 2 primary outcomes, 4 secondary outcomes, and 2 other outcomes in patients with Stress, Psychological. Measurement will happen over the course of Chart review occurring at 6 week postpartum visit..

Week 6
Birthweight
Gestational Age
Week 8
Change in prenatal maternal distress as indexed by Prenatal Distress Questionnaire (NuPDQ) score
Week 20
Change in perceived stress as indexed by Perceived Stress Scale (PSS) score
Cognitive and Affective Mindfulness Scale-Revised (CAMS-R)
Measure of Current Status-Form A (MOCS-A)
Patient-Reported Outcomes Measurement Information System (PROMIS) V.1 Emotional Distress-Anxiety
Patient-Reported Outcomes Measurement Information System (PROMIS) V.1 Emotional Distress-Depression

Trial Safety

Trial Design

2 Treatment Groups

Treatment as usual
1 of 2
Intervention
1 of 2
Active Control
Experimental Treatment

This trial requires 60 total participants across 2 different treatment groups

This trial involves 2 different treatments. SMART Mom is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Intervention
Behavioral
Participants (n = 30) will be randomized to receive the SMART Pregnancy stress management program via an online portal.
Treatment as usual
Behavioral
Participants (n = 30) will be randomized to receive treatment as usual, including referrals to community based support groups and individual mental health providers.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline, 8 weeks post enrollment, 20 weeks post enrollment
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly baseline, 8 weeks post enrollment, 20 weeks post enrollment for reporting.

Who is running the study

Principal Investigator
B. L. M.
Prof. Brittain Lynn Mahaffey, Assistant Professor
Stony Brook University

Closest Location

Stony Brook University, Department of Psychiatry - Stony Brook, NY

Eligibility Criteria

This trial is for female patients aged 18 and older. There are 3 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
<21 weeks pregnant with medically confirmed viability
Speak, read and write in English fluently
Endorse elevated levels of prenatal maternal stress (PNMS; i.e., New Prenatal Distress Questionnaire Score > 19).

Patient Q&A Section

What causes stress, psychological?

"Stress is a major cause of psychological problems. Stress can result from internal and external sources. The interaction of the effects of different sources can create different types of stress: some may cause psychological problems while others may be protective." - Anonymous Online Contributor

Unverified Answer

How many people get stress, psychological a year in the United States?

"There are many factors that influence stress levels and psychological responses to stress situations. Although stress response is not the only determinant of a person's feelings, it is an important part. Stress levels could be lessened if there was more knowledge about stress and the responses to stress and more health facilities available to reduce the stress levels." - Anonymous Online Contributor

Unverified Answer

What is stress, psychological?

"Stress is an interdisciplinary concept that includes a variety of emotional and physical reactions, as well as behavioral and cognitive changes. While stress can be construed as an environmental stressor, it also includes internal processes. For example, stress induced by the experience of chronic poverty, for example, can play a role in the development of disease or disorders. Chronic stress also may undermine physical and mental health by inhibiting the immune response or by inducing illnesses such as depression and anxiety, among other causes. The present findings suggest that socioeconomic status plays a significant correlation with the psychological burden of stress." - Anonymous Online Contributor

Unverified Answer

What are common treatments for stress, psychological?

"Stress, psychological is often treated through a variety of coping strategies; however, most importantly, behavioral approaches are most effective. Psychological and behavioral treatments for stress can reduce symptoms of depression. Treating these disorders can significantly improve prognosis and quality of life, but this strategy may be limited in scope, given the high prevalence of stress, psychological." - Anonymous Online Contributor

Unverified Answer

Can stress, psychological be cured?

"A significant percentage of the U.S. population may experience distress or other problems related to stress. Stress, psychological problems and the stress of the task itself may not be a "cure" in and of itself. The problem is not stress; it is a psychological problem—particularly depression, in the U.S., at least." - Anonymous Online Contributor

Unverified Answer

What are the signs of stress, psychological?

"One of the common signs of stress may be to exhibit a facial expression of fear or alarm at a mere noise or sound, or to exhibit a facial expression that seems uncharacteristic: anxious, angry, nervous, or worried. There are other signs of stress including a tremor of the hands, increased pacing, and fatigue.\n" - Anonymous Online Contributor

Unverified Answer

How serious can stress, psychological be?

"Findings from a recent study supports findings showing the link between stress and depressive symptoms in patients with breast cancer. Future longitudinal studies are needed to confirm these findings on associations between stress and breast cancer-related symptoms." - Anonymous Online Contributor

Unverified Answer

Has smart mom proven to be more effective than a placebo?

"A smart mom improves stress in both mothers and preschoolers. However, a mother that does not actively work on improving the relationship with their child, as shown in the studies, does not result in any effect on stress of either the mother or child." - Anonymous Online Contributor

Unverified Answer

Does stress, psychological run in families?

"In a recent study, findings provide preliminary evidence that in families with psychological problems, and particularly a parental history of trauma, stressful life events such as major transitions are associated with more internalizing symptoms and a higher risk for depression for a young adult." - Anonymous Online Contributor

Unverified Answer

How does smart mom work?

"[Self-efficacy moderates the link between stressors and motherhood responsibilities on adolescent girls' involvement in family-focused preventive health practices; specifically, family- and gender-focused preventive health practices (e.g., breastfeeding and vaccinations) to boost their perceived self-efficacy. Although self-efficacy had little impact on the relationship between negative reinforcement (support) and family preventive health behaviors (e.g., noncompliance), the current study illustrates that supportive interventions (in this case, family self-efficacy messages that encourage mothers to be supportive to their adolescent daughters) can help adolescents feel empowered to take up preventive health practices in the name of strengthening the family unit and nurturing children (Schniech et al." - Anonymous Online Contributor

Unverified Answer

What does smart mom usually treat?

"Women with smart mom were more likely to report treating SIBO, but fewer women reported treating SIBO than were women who had not seen their doctor. Results must be validated and generalizable before they can assist with counseling and treatment decisions." - Anonymous Online Contributor

Unverified Answer

What is the latest research for stress, psychological?

"The present results do not confirm that chronic occupational stress is related to cardiovascular disease and/or its risk factors. Rather, the findings are consistent with the idea that stress affects cognition. On the other hand, studies with a short follow-up time frame and low number of subjects are limited and should be interpreted with caution." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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