VID-KIDS Intervention Program for Postpartum Depression

Phase-Based Estimates
1
Effectiveness
1
Safety
Maternal Newborn Child and Youth Strategic Clinical Network, Calgary, Canada
+1 More
VID-KIDS Intervention Program - Behavioral
Eligibility
< 65
Female
Eligible conditions
Postpartum Depression

Study Summary

Adaptation and Pilot Testing of Web and Mobile Interface for the VID-KIDS Intervention

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Eligible Conditions

  • Depression, Postpartum
  • Postpartum Depression

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether VID-KIDS Intervention Program will improve 1 primary outcome in patients with Postpartum Depression. Measurement will happen over the course of through study completion, an average of 18 weeks.

Week 18
Nursing Child Assessment Satellite Training (NCAST) assessment scale will be used to evaluate Mother-Infant (M-I) interactions

Trial Safety

Safety Estimate

1 of 3

Trial Design

2 Treatment Groups

Control
Experimental: VID-KIDS Intervention Program Group

This trial requires 100 total participants across 2 different treatment groups

This trial involves 2 different treatments. VID-KIDS Intervention Program 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.

Experimental: VID-KIDS Intervention Program Group
Behavioral
Experimental: VID-KIDS Intervention Program Group 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.
ControlNo treatment in the control group

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: through study completion, an average of 18 weeks
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly through study completion, an average of 18 weeks for reporting.

Who is running the study

Principal Investigator
N. L.
Nicole Letourneau, Co-Principal Investigator
University of Calgary

Closest Location

Maternal Newborn Child and Youth Strategic Clinical Network - Calgary, Canada

Eligibility Criteria

This trial is for female patients aged 65 and younger. There is one eligibility criterion to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
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.

Patient Q&A Section

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

What is postpartum depression?

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Depression is the most common medical condition experienced by pregnant mothers after they have delivered their first baby. Postpartum depression is a condition that may occur during pregnancy, labor and after delivery. Postpartum depression is a major risk factor for poor maternal and infant mental health.\n

Unverified Answer

How many people get postpartum depression a year in the United States?

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The prevalence of postpartum depression is about 8%. Women have several possible risk factors: young, educated, a low-income family, and having twins or multiples. They should be counseled about the risks. Preventive efforts are needed to educate and help pregnant women about the risks of postpartum depression. Depression screening for women who are pregnant or who are in the postpartum period is important.

Unverified Answer

What are common treatments for postpartum depression?

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The first-line drugs of choice are paroxetine and venlafaxine, and other medication, such as escitalopram and lisuride, can be used as well. Psychotherapy is the first line treatment, focusing on the emotional component and emotional education. Postpartum, psychotherapy should take into account the maternal anxiety and the baby's cry, which could be dealt with with CBT.

Unverified Answer

What causes postpartum depression?

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The causes of postpartum depression and the risks of developing it are complex. Although the strongest risk factors occur during pregnancy, there is an increased risk after birth, especially in the first year, even after adjusting for factors thought to contribute to depression. In addition, postpartum depression may development in women who were previously depressed before the baby was born.

Unverified Answer

Can postpartum depression be cured?

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In terms of an effective treatment for postpartum depression, no intervention or pharmacotherapy is as effective as cognitive behavioral therapy. Cognitive behavioral training combined with antidepressant medications is the most effective combination treatment.

Unverified Answer

What are the signs of postpartum depression?

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In women with antenatal depression and postpartum depression, it has been suggested that depression has been asymptomatic, but the current investigation has found that symptomatic depression was observed in some women when measured as late as 12 months postpartum. However, the results of the current study do not show that postpartum depression is asymptomatic. This finding is not entirely consistent with the hypothesis that the cause of late onset postpartum depression is due to a subclinical illness that can only be diagnosed at some later stage of the postpartum period. A systematic review of this issue found the existing data insufficient to support or deny the proposition that postpartum depression has always been the consequence of subclinical depression.

Unverified Answer

What is the average age someone gets postpartum depression?

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Women who delivered babies have a higher risk of postpartum depression (12 percent and 35 percent respectively) compared to women who delivered babies once. The risk is even higher when both women gave birth once. These rates are comparable with those of women who delivered babies in Western countries. However, these results imply that there are substantial differences with the rates in some developing countries. To increase knowledge about the postpartum depression, further studies are needed.

Unverified Answer

How serious can postpartum depression be?

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The prevalence of major depression is relatively high (around 8%) in women who have delivered at least once. These women are at higher risk of serious postpartum depression.

Unverified Answer

Does vid-kids intervention program improve quality of life for those with postpartum depression?

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Results from a recent paper provides evidence that Vid-kids may be a useful tool for the treatment of postpartum depression and associated QoL impairment. It may also provide a unique opportunity to develop methods that will allow the treatment of postpartum depression to focus on the specific aspects of QoL that are most impaired.

Unverified Answer

What are the common side effects of vid-kids intervention program?

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There is no need for additional staff for vid-kids program compared to the usual care, and patients and their parents showed no difference regarding the satisfaction with treatment and level of knowledge and behavior regarding depression and coping skills.

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Have there been any new discoveries for treating postpartum depression?

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It is difficult to know the exact causes and causes of maternal postpartum depression because it is difficult to study it without a proper control group. There were no discoveries in treatments for postpartum depression.

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What does vid-kids intervention program usually treat?

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Results from a recent paper did not find any effect on the maternal behaviors that were assessed in this trial, but the results still need to be confirmed using a larger experimental design.

Unverified Answer
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