MOVIN Care Platform for Postpartum Depression

(MOVIN Trial)

Overseen By Simone Vigod

Age: 18+

Sex: Female

Trial Phase: Academic

Sponsor: Women's College Hospital

Disqualifiers: Substance use, Psychotic disorder, Suicide plan, others

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

Compensation: Varies

Number of Visits: Unknown

Duration: 24 weeks

570 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new online platform, the MOVIN Care Platform, designed to help treat postpartum depression and anxiety. It provides personalized mental health care for new parents, with support from a care coordinator, primary care clinician, and perinatal psychiatrist as needed. One group will access basic online resources, while the other will use the full platform for more personalized care. This trial suits new parents in Ontario with a baby under six months old who are experiencing depression or anxiety. As an unphased trial, it offers new parents the opportunity to access innovative mental health support tailored to their needs.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

What prior data suggests that the MOVIN Care Platform is safe for postpartum mental health care?

Research shows that digital health tools can help manage mental health for pregnant and new mothers. The MOVIN Care Platform is one such tool, offering structured mental health support by connecting users with care coordinators and specialists when needed.

Regarding safety, studies on similar digital tools have generally found them well-received. No major side effects have been reported, as these tools focus on communication and coordination, not medication or surgery.

The MOVIN Care Platform aims to provide personalized mental health support. This type of care has succeeded in other areas, suggesting it is likely safe. However, discussing any concerns with a healthcare provider is always advisable.

Overall, evidence supports the safety of using digital platforms like MOVIN for managing mental health during pregnancy and after childbirth. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the MOVIN Care Platform for postpartum depression because it offers a virtual collaborative approach that integrates a stepped care model. Unlike traditional treatments that often rely on in-person therapy sessions or medications, MOVIN provides access to evidence-based virtual interventions, which can be more accessible and flexible for new mothers. This platform aims to streamline mental health support by using a care coordinator to personalize the treatment journey, potentially making it more effective and user-friendly than standard options. By leveraging online resources and tools, MOVIN can help bridge the gap in postpartum mental health care, offering timely support when it's most needed.

What evidence suggests that the MOVIN Care Platform is effective for postpartum depression?

Research has shown that digital health tools can effectively manage mental health for pregnant and new mothers. Studies have found that telemedicine significantly reduces symptoms of postpartum depression. In this trial, participants in the MOVIN arm will use the MOVIN Care Platform, which connects patients with a care coordinator to create personalized treatment plans. This team-based approach has successfully provided mental health support to more people. Early results suggest that these digital tools not only reduce symptoms but also make accessing care easier for many. ^{1 4 6 7 8}

Are You a Good Fit for This Trial?

This trial is for pregnant and postpartum individuals experiencing depression, anxiety, or related disorders. Participants should be those who may not have received adequate treatment for their mental health conditions.

Inclusion Criteria

EPDS score >10 at eligibility screening

I am pregnant or have a baby under 6 months old and am the primary caregiver.

I am 18 years old or older.

Exclusion Criteria

Active alcohol or substance use disorder, mania or psychotic disorder (as these conditions are better managed in direct specialty care)

Currently enrolled in a collaborative mental health care model.

Active suicide plan or intent (as emergent hospital-based care is likely required)

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive the MOVIN Care Platform intervention, which includes personalized treatment planning and virtual collaborative care

24 weeks

Virtual visits as needed

Follow-up

Participants are monitored for safety and effectiveness after treatment, with primary and secondary outcomes measured at 12 and 24 weeks post-randomization

24 weeks

What Are the Treatments Tested in This Trial?

Interventions

• MOVIN Care Platform

Trial Overview The MOVIN Care Platform is being tested against Enhanced Usual Care to see if it can better support perinatal mental health through a virtual network that includes personalized treatment plans and care coordination.

How Is the Trial Designed?

Group I: MOVIN Experimental Treatment 2 Interventions

Enhanced Usual Care plus MOVIN Care Platform. The MOVIN Care Platform is virtual collaborative care intervention with a stepped care approach in which a care coordinator directs participants to one or more evidence-based virtual interventions as appropriate.

Group II: Enhanced Usual Care Experimental Treatment 1 Intervention

Access to online resources and educational materials about general mental health, maternal mental health, depression and anxiety in the pregnancy and postpartum period, and an up-to-date listing of treatment services available in Ontario. These resources are maintained by the MOVIN study team.

Who Is Running the Clinical Trial?

Women's College Hospital

Lead Sponsor

Trials

108

Recruited

43,700+

The Ottawa Hospital

Collaborator

Trials

97

Recruited

64,000+

Mount Sinai Hospital, Canada

Collaborator

Trials

210

Recruited

70,700+

St. Joseph's Healthcare Hamilton

Collaborator

Trials

203

Recruited

26,900+

Sunnybrook Health Sciences Centre

Collaborator

Trials

693

Recruited

1,569,000+

Citations

1. samhsa.gov samhsa.gov/

Home | SAMHSA - Substance Abuse and Mental Health ... SAMHSA leads efforts to advance behavioral health across the U.S., offering resources for mental health, substance use, and community well-being.

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC10948940/

Improving the Management of Maternal Mental Health with ... Digital health platforms, such as Maven, may play an important role in managing maternal mental health conditions among pregnant and postpartum people at high ...

3. mental.jmir.org mental.jmir.org/2023/1/e39253/

The Efficacy of Be a Mom, a Web-Based Intervention to ... Background: Postpartum depression (PPD) is treatable and preventable, but most women do not seek professional help for their perinatal ...

4. explorationpub.com explorationpub.com/Journals/en/Article/100652

Applying the PRECEDE-PROCEED model to develop ... ... healthcare solutions. Keywords. Postpartum depression, digital healthcare platform, maternal-infant interaction, maternal functioning ...

5. sciencedirect.com sciencedirect.com/science/article/pii/S0266613820302783

The effectiveness of telemedicine interventions, delivered ... Telemedicine interventions significantly decrease postpartum depression symptoms. Women with no history of mental disorders are satisfied with postnatal ...

6. saferbirth.org saferbirth.org/psbs/perinatal-mental-health-conditions/

Perinatal Mental Health Conditions | AIM Perinatal mental health conditions refer to mood, anxiety, and anxiety-related disorders that occur during pregnancy or within one year of delivery.

7. clinicaltrials.gov clinicaltrials.gov/study/NCT07066631

The Pregnancy and Postpartum Mental Health ... Depression, anxiety, and related disorders such as post-traumatic stress and obsessive compulsive disorder affect about 20% of pregnant and postpartum ...

8. psnet.ahrq.gov psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health

Maternal Safety and Perinatal Mental Health | PSNet The care for pregnant individuals during pregnancy, childbirth, and the postpartum period involves strategies and practices that aim to prevent ...