Video-Feedback Interaction Guidance for Postpartum Depression

(VID-KIDS Trial)

Overseen By Nicole L Letourneau, RN, PhD

Age: Any Age

Sex: Female

Trial Phase: Academic

Sponsor: University of Calgary

Disqualifiers: Other parenting services

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 3

Duration: 9 weeks

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if a program called VID-KIDS can improve interactions between mothers with postpartum depression (PPD) and their infants. PPD can hinder mothers from connecting with their babies, potentially affecting the baby's brain development and stress levels. The trial compares usual care with the VID-KIDS program, where nurses provide video feedback to help mothers respond more effectively to their babies. Mothers diagnosed with PPD who have infants aged 2-6 months may be suitable for this study. As an unphased trial, this study offers a unique opportunity for mothers to explore new ways to enhance their connection with their infants.

Will I have to stop taking my current medications?

The trial does not require you to stop taking your current medications, including anti-depressants or other interventions for postpartum depression.

What prior data suggests that the VID-KIDS Intervention Program is safe for mothers and infants?

Research shows that the VID-KIDS program is safe and effective for participants. Studies have found that this program helps mothers with postpartum depression (PPD) interact better with their babies. No health problems have been reported as a result of the program. Instead, mothers who participated reported improved understanding of their babies' needs and increased confidence in supporting their babies' social and emotional development. This suggests that the VID-KIDS program is a safe choice for mothers seeking to enhance interactions with their babies while managing PPD symptoms. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the VID-KIDS Intervention Program for postpartum depression because it offers a unique, interactive approach that focuses on enhancing mother-infant interactions. Unlike standard treatments like medication or traditional therapy, this program uses video feedback to help mothers become more attuned to their babies' cues and needs. By providing real-time feedback and positive reinforcement, this method aims to strengthen the emotional bond between mother and child, potentially improving outcomes for both. This innovative approach could offer a more engaging and supportive experience for mothers, leading to more effective management of postpartum depression.

What evidence suggests that the VID-KIDS Intervention Program is effective for postpartum depression?

Research shows that the VID-KIDS program, which participants in this trial may receive, has promising results for mothers with postpartum depression (PPD). In earlier studies, mothers who joined VID-KIDS improved in understanding their babies' needs and supported their babies' social and emotional growth. The program uses video feedback to teach mothers how to notice and respond to their babies' signals, fostering healthy interactions. Participants reported that the program changed their self-perception and relationships with their children. This suggests that VID-KIDS can positively affect both mother-baby interactions and PPD symptoms. ^{1 2 3 4 6}

Who Is on the Research Team?

Nicole L Letourneau, RN, PhD

Principal Investigator

University of Calgary

Are You a Good Fit for This Trial?

This trial is for mothers with postpartum depression, indicated by a score greater than 12 on the Edinburgh Postnatal Depression Scale, and who have infants aged 2-6 months. Mothers taking antidepressants or undergoing other PPD treatments can join, but not those receiving certain other parenting services.

Inclusion Criteria

Recruitment will be conducted through Calgary Public Health's immunization program. Public Health RNs routinely screen mothers for PPD during infants' vaccination clinic appointments using the Edinburgh Postnatal Depression Scale (EPDS) at 2, 4, and 6 months of age. EPDS scores>12 are indicative of probable major depression with postpartum onset and make a mother eligible for our study. Approximately 500 mothers per year (40/month) screen >12 on the EPDS. The investigators have agreed to support a part-time Calgary Public Health staff person to review screening records and contact potential participants to determine if they are willing to be contacted by a the VID-KIDS Project Manager for further information about the study. If mothers agree, then the VID-KIDS Project Manager will contact the mother to explain the study, further assess eligibility, and if appropriate conduct the informed consent procedure.

I scored over 12 on the EPDS and my baby is 2-6 months old.

Exclusion Criteria

None as long as they meet Inclusion Criteria

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Initial assessment of mothers and infants before intervention begins

1 week

Treatment

Mothers receive 3 video-feedback sessions during home visits at 3-week intervals

9 weeks

3 visits (in-person)

Post-test Assessment

Assessment immediately following the 9-week treatment/standard care interval

1 week

Follow-up

Participants are monitored for changes in mother-infant interactions and infant cortisol patterns

8 weeks

What Are the Treatments Tested in This Trial?

Interventions

• VID-KIDS Intervention Program

Trial Overview The VID-KIDS program aims to improve interactions between depressed mothers and their infants. It uses nurse-guided video feedback to enhance mother-infant exchanges which are crucial for healthy child development and may reduce stress hormone effects in infants.

How Is the Trial Designed?

Group I: VID-KIDS Intervention Program Group Experimental Treatment 1 Intervention

RN review photos of infant engagement/disengagement cues. NCAST Teaching Activity, mothers asked to perform task advanced for infant's level, recorded. 1st-View, no feedback, mothers reveal infant cues. RN records infant/mother's response, later discussion. 2nd, RN and mother co-view interaction with time for replay/review parts of sensitivity and responsiveness. RN feedback: praising desired maternal behaviours; information on infant cues; maternal response to infant distress; and use of cognitive growth fostering language. 3rd, all concepts discussed in past views, use positive reinforcement to affirm aspects of sensitivity, useful feedback for areas of growth. Post-Debrief, RN and mother discuss interests of the mother. Mothers encouraged to note infants' engagement/disengagement cues.

Group II: Control Group Active Control 1 Intervention

Mothers will receive standard care such as referral to psychotherapy (intervention mothers will have the same access) over the same length of time.

Who Is Running the Clinical Trial?

University of Calgary

Lead Sponsor

Trials

827

Recruited

902,000+

Alberta Health services

Collaborator

Trials

168

Recruited

658,000+

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11939816/

“VID-KIDS” Video-Feedback Interaction Guidance for ... The intervention group demonstrated statistically significantly higher scores in sensitivity to cues, social–emotional growth fostering, cognitive growth ...

2. clinicaltrials.gov clinicaltrials.gov/study/NCT03052374

Video-Feedback Interaction Guidance for Improving ... Objective: examine effect of the intervention, VID-KIDS ("video-feedback intervention to promote improved interactions between mothers and their kids"), on: 1) ...

3. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC11020710/

Listening to the Voices of Mothers Who Participated in a Video ... VID-KIDS promoted healing from PPD as mothers experienced a transformation in how they perceived themselves and their relationships with their ...

4. clinicaltrials.gov clinicaltrials.gov/study/NCT03052374?term=AREA%5BConditionSearch%5D(%22Postpartum%20Depression%22)%20AND%20AREA%5BInterventionSearch%5D(%22Imidacloprid%22)&rank=2

Study Details | Video-Feedback Interaction Guidance for ... An unfavorable change in the health of a participant, including abnormal laboratory findings, that happens during a clinical study or within a certain amount of ...

5. journals.sagepub.com journals.sagepub.com/doi/abs/10.1177/0844562119892769

Promising Results From a Video-Feedback Interaction ... This pilot study tested a video-feedback interaction guidance intervention designed to improve maternal–infant interaction, depressive symptoms, ...

6. formative.jmir.org formative.jmir.org/2023/1/e51824

Video-Delivered Family Therapy for Perinatal Women With ... The results showed that REST is safe for perinatal women with moderate to severe depressive symptoms, and none discontinued due to worsened ...