Development, Feasibility and Acceptability of Fathers and Babies (FAB): A Pilot Study
Study Details
Study Description
Brief Summary
During this project the investigators will develop and pilot test a companion intervention for fathers (Fathers and Babies-FAB), to supplement the Mothers and Babies Course (MB) that provides stress and mood management tools for home visiting clients. Focus groups with prior study participants, their male partners, and home visiting staff will be used to develop the FAB curriculum and protocol. FAB text messages aim to improve the mental health of the male partner and help him support his partner's mental health. Feasibility, acceptability, and outcome measures will be supplemented with assessments of fathers' mental health and partners' relationships. Participant assessments will be conducted at baseline, 3 and 6 months in this uncontrolled pilot study. The public health significance and innovation of this project is substantial. If the investigators are able to integrate MB-TXT and MB-DAD into home visiting programs and generate improved mental health outcomes for home visiting clients and their partners, the investigators will be prepared to replicate this intervention across home visiting programs nationally at a time when home visitation as a service delivery model for families with infants and young children is rapidly proliferating through federal funding.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Enhancements to Mothers and Babies are warranted to address the mental health of both parents, via the home visitation service delivery model where many of the most at-risk families enter into provider-client relationships during their child's infancy and early childhood.
Previous postpartum depression preventive interventions-including MB-have neglected to intervene with partners of pregnant women, despite the growing recognition that paternal depression also exerts influence on children's social-emotional development and occurs in a similar time-frame. Thus, in an otherwise successful intervention, these limitations-mixed success in improving hypothesized intervention mechanisms and limited engagement of fathers-may mitigate intervention efficacy. Paternal depression is hypothesized to mediate the relationship between MB modules and maternal mental health outcomes.
This study addresses this limitation. The investigators will collaborate with 10-12 home visiting (HV) programs serving primarily low-income families. The investigators will recruit 24 mother-father dyads for an uncontrolled pilot in which mothers will receive MB-TXT and fathers will receive FAB, a pilot curriculum developed using existing materials and data collected via qualitative research with home visiting clients, their partners, and home visiting staff.
Aim 1. To develop and determine the feasibility and acceptability of a) conducting the MB-DAD intervention protocol and b) assessing paternal and dyadic outcomes across two home visiting programs. Focus groups with prior trial participants, their male partners, and home visiting staff will generate information on a) intervention content, b) frequency of contact, and c) relationship to MB materials received by their partner.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: FAB Pilot Study (Father/Male Participants) Fathers (male partners) received Fathers and Babies (FAB). FAB is a 12-session intervention with content that mirrors content found in MB, but was father-centric. The initial FAB session was delivered in person or by phone by the home visitor working with the mother, and lasted 30 min on average. Subsequent sessions were delivered, in-person, via text message with embedded links to online content, or a mix of both in-person and text messages, depending on the preference and availability of the father. Fathers received three to six text messages per FAB session. |
Behavioral: Fathers and Babies (FAB)
The initial FAB session was delivered in person or by phone by the home visitor working with the mother, and lasted 30 min on average. Subsequent sessions were delivered, in-person, via text message with embedded links to online content, or a mix of both in-person and text messages, depending on the preference and availability of the father. Fathers received three to six text messages per FAB session.
|
Experimental: MB 1-on-1 Plus TEXT (Mother/Female Participants) Home visiting clients received the Mothers and Babies with -Text Messages intervention in person during regular scheduled home visits (i.e., MB 1-on-1 plus MB-TXT) while her partner received Fathers and Babies in parallel. MB 1-on-1 is 12-sessions and is a postpartum depression preventive intervention. MB includes an introductory module followed by three cognitive-behavioral therapy modules: (1) pleasant activities, (2) thoughts, and (3) contact with others. After each in person session home visiting clients receive three messages to reinforce skill practice and remind them about their personal projects. |
Behavioral: MB 1-on-1 plus TXT
Home visiting clients received the Mothers and Babies with -Text Messages intervention in person during regular scheduled home visits (i.e., MB 1-on-1 plus MB-TXT). After each in person session home visiting clients receive three messages to reinforce skill practice and remind them about their personal projects.
|
Outcome Measures
Primary Outcome Measures
- Change in Depressive Symptoms [Baseline and Post Intervention at 3 and 6 months]
Beck Depression Inventory-II (BDI-II) (Beck et al., 1988). The BDI-II was used to assess severity of depressive symptoms consistent with DSM-IV symptom criteria. The BDI-II is a 21-item survey, each item asks respondents to indicate on a scale ranging from 0 to 3 the extent to which they endorse different symptoms of depression over the past two weeks with higher scores indicating greater depression severity, with the highest score of 63. 0-10-considered normal 11-16 Mild mood disturbance 17-20 Borderline clinical depression 21-30 Moderate depression 31-40 Severe depression Over 40 Extreme depression.
- Change in Anxiety [Baseline and Post Intervention at 3 and 6 months]
Generalized Anxiety Disorder 7-item Scale (GAD-7) (Spitzer et al., 2006). The GAD-7 is a 7-item survey, each item asks respondents to indicate on a 4-point scale the extent to which they endorse different symptoms of anxiety over the past two weeks with higher scores indicating greater anxiety symptoms. The highest score is 21. Score 0-4: Minimal Anxiety Score 5-9: Mild Anxiety Score 10-14: Moderate Anxiety Score greater than 15: Severe Anxiety
- Change in Perceived Stress [Baseline and Post Intervention at 3 and 6 months]
Perceived Stress Scale 10-item Scale (PSS-10) (Cohen & Williamson, 1988). The PSS-10 is a 10-item survey that asks respondents to indicate on a 5-point scale the extent to which they appraised certain situations as stressful over the past month, with higher scores indicating greater perceived stress. Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress. 0-13 are considered low stress Scores ranging from 14-26 are considered moderate stress Scores ranging from 27-40 are considered high perceived stress
Secondary Outcome Measures
- Change in Social Support Effectiveness [Baseline and Post Intervention at 3 and 6 months]
Social Support Effectiveness Questionnaire (SSE-Q) (Rini et al., 2011). The SSE-Q is a 25-item survey that asks respondents to indicate the extent to which their partners provided different types of support in the past three months. The SSE-Q consists of subscales on task support, informational support, emotional support, and negative effects of support. For this study, we calculated a total social support score that summed these four subscales (range 0-80). High scores indicate more effective support. Full scale scores can range from 0 to 80, and each subscale can range from 0 to 20.
- Instrumental Social Support Support Survey (Cyranowski et al., 2013). [Baseline and Post Intervention at 3 and 6 months]
The measure consists of 8 questions and asks respondents to indicate on a 5-point scale the extent to which they have received different types of instrumental support in the last month. Higher scores indicate greater support. We report on the count and percentage of individuals with high instrumental support at each time point.
- Emotional Support Support (Cyranowski et al., 2013) [Baseline and Post Intervention at 3 and 6 months]
NIH Toolbox Emotional Support Support Survey. The survey consists of 8 questions and asks respondents to indicate on a 5-point scale the extent to which they have received different types of emotional support in the last month. Higher scores indicate greater support. We report on the count and percentage of individuals with high emotional support at each time point.
Eligibility Criteria
Criteria
Inclusion Criteria:
English-speaking women >18 years old enrolled in home visiting programs who are in their 1st or 2nd or 3rd Trimester will be eligible for enrollment
Male partners of English-speaking women >18 years old enrolled in home visiting programs who are in their 1st or 2nd or 3rd Trimester will be eligible for enrollment
Note: Both parents/partners are required to participate in this study, not just one or the other.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Northwestern University | Chicago | Illinois | United States | 60611 |
Sponsors and Collaborators
- Northwestern University
- National Institute on Minority Health and Health Disparities (NIMHD)
Investigators
- Principal Investigator: Darius Tandon, PhD, Northwestern University
Study Documents (Full-Text)
More Information
Publications
- Abrams LS, Dornig K, Curran L. Barriers to service use for postpartum depression symptoms among low-income ethnic minority mothers in the United States. Qual Health Res. 2009 Apr;19(4):535-51. doi: 10.1177/1049732309332794.
- Ainsworth M, Blehar M, Waters E. Wall. s.(1978). Patterns of attachment: A psychological study of the strange situation
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders:: DSM-5. ManMag; 2003
- Ammerman RT, Putnam FW, Altaye M, Chen L, Holleb LJ, Stevens J, Short JA, Van Ginkel JB. Changes in depressive symptoms in first time mothers in home visitation. Child Abuse Negl. 2009 Mar;33(3):127-38. doi: 10.1016/j.chiabu.2008.09.005. Epub 2009 Mar 27.
- Ammerman RT, Putnam FW, Bosse NR, Teeters AR, Van Ginkel JB. Maternal Depression in Home Visitation: A Systematic Review. Aggress Violent Behav. 2010 May;15(3):191-200.
- Anderson M. Technology device ownership: 2015. 2015; http://www.pewinternet.org/2015/10/29/technology-device-ownership-2015/. Accessed February 2, 2016.
- Avellar S, Paulsell D, Sama-Miller E, Grosso PD, Akers L, Kleinman R. Home visiting evidence of effectiveness review: Executive summary. Mathematica Policy Research;2013
- Barlow J, Smailagic N, Huband N, Roloff V, Bennett C. Group-based parent training programmes for improving parental psychosocial health. Cochrane Database Syst Rev. 2014 May 17;(5):CD002020. doi: 10.1002/14651858.CD002020.pub4. Review.
- Beebe B, Jaffe J, Buck K, Chen H, Cohen P, Blatt S, Kaminer T, Feldstein S, Andrews H. Six-week postpartum maternal self-criticism and dependency and 4-month mother-infant self- and interactive contingencies. Dev Psychol. 2007 Nov;43(6):1360-76.
- Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR. Prevalence of depression during pregnancy: systematic review. Obstet Gynecol. 2004 Apr;103(4):698-709. Review. Erratum in: Obstet Gynecol. 2004 Jun;103(6):1344.
- Bennett IM, Marcus SC, Palmer SC, Coyne JC. Pregnancy-related discontinuation of antidepressants and depression care visits among Medicaid recipients. Psychiatr Serv. 2010 Apr;61(4):386-91. doi: 10.1176/ps.2010.61.4.386.
- Bowlby J. Attachment and loss. Vol 3: Basic books; 1980
- Bronte-Tinkew J, Moore KA, Matthews G, Carrano J. Symptoms of major depression in a sample of fathers of infants sociodemographic correlates and links to father involvement. Journal of family Issues. 2007;28(1):61-99.
- Broom MA, Ladley AS, Rhyne EA, Halloran DR. Feasibility and Perception of Using Text Messages as an Adjunct Therapy for Low-Income, Minority Mothers With Postpartum Depression. JMIR Ment Health. 2015 Mar 16;2(1):e4. doi: 10.2196/mental.4074. eCollection 2015 Jan-Mar.
- Campbell SB, Cohn JF, Flanagan C, Popper S, Meyers T. Course and correlates of postpartum depression during the transition to parenthood. Development and psychopathology. 1992;4(01):29-47
- Catanzaro SJ, Greenwood G. Expectancies for negative mood regulation, coping, and dysphoria among college students. Journal of Counseling Psychology. 1994;41(1):34.
- Catanzaro SJ, Mearns J. Measuring generalized expectancies for negative mood regulation: initial scale development and implications. J Pers Assess. 1990 Summer;54(3-4):546-63.
- Chazan-Cohen R, Ayoub C, Pan BA, Roggman L, Raikes H, Mckelvey L, Whiteside-Mansell L, Hart A. It takes time: Impacts of Early Head Start that lead to reductions in maternal depression two years later. Infant Ment Health J. 2007 Mar;28(2):151-170. doi: 10.1002/imhj.20127.
- Chronicity of maternal depressive symptoms, maternal sensitivity, and child functioning at 36 months. NICHD Early Child Care Research Network. Dev Psychol. 1999 Sep;35(5):1297-310.
- Cormick G, Kim NA, Rodgers A, Gibbons L, Buekens PM, Belizán JM, Althabe F. Interest of pregnant women in the use of SMS (short message service) text messages for the improvement of perinatal and postnatal care. Reprod Health. 2012 Aug 6;9:9.
- Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987 Jun;150:782-6.
- Crane DR, Middleton KC, Bean RA. Establishing criterion scores for the Kansas marital satisfaction scale and the revised dyadic adjustment scale. American Journal of Family Therapy. 2000;28(1):53-60.
- Cuijpers P, de Graaf R, van Dorsselaer S. Minor depression: risk profiles, functional disability, health care use and risk of developing major depression. J Affect Disord. 2004 Apr;79(1-3):71-9.
- Davé S, Sherr L, Senior R, Nazareth I. Associations between paternal depression and behaviour problems in children of 4-6 years. Eur Child Adolesc Psychiatry. 2008 Aug;17(5):306-15. doi: 10.1007/s00787-007-0672-6. Epub 2008 Mar 25.
- Davis RN, Davis MM, Freed GL, Clark SJ. Fathers' depression related to positive and negative parenting behaviors with 1-year-old children. Pediatrics. 2011 Apr;127(4):612-8. doi: 10.1542/peds.2010-1779. Epub 2011 Mar 14.
- Dennis CL, Chung-Lee L. Postpartum depression help-seeking barriers and maternal treatment preferences: a qualitative systematic review. Birth. 2006 Dec;33(4):323-31. Review.
- Dennis CL, Dowswell T. Interventions (other than pharmacological, psychosocial or psychological) for treating antenatal depression. Cochrane Database Syst Rev. 2013 Jul 31;(7):CD006795. doi: 10.1002/14651858.CD006795.pub3. Review.
- Dennis CL, Dowswell T. Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database Syst Rev. 2013 Feb 28;(2):CD001134. doi: 10.1002/14651858.CD001134.pub3. Review.
- Dolbier CL, Rush TE, Sahadeo LS, Shaffer ML, Thorp J; Community Child Health Network Investigators. Relationships of race and socioeconomic status to postpartum depressive symptoms in rural African American and non-Hispanic white women. Matern Child Health J. 2013 Sep;17(7):1277-87. doi: 10.1007/s10995-012-1123-7.
- Evans J, Heron J, Francomb H, Oke S, Golding J. Cohort study of depressed mood during pregnancy and after childbirth. BMJ. 2001 Aug 4;323(7307):257-60.
- Fjeldsoe BS, Marshall AL, Miller YD. Behavior change interventions delivered by mobile telephone short-message service. Am J Prev Med. 2009 Feb;36(2):165-73. doi: 10.1016/j.amepre.2008.09.040. Review.
- Fletcher RJ, Feeman E, Garfield C, Vimpani G. The effects of early paternal depression on children's development. Med J Aust. 2011 Dec 19;195(11-12):685-9.
- Foster CJ, Garber J, Durlak JA. Current and past maternal depression, maternal interaction behaviors, and children's externalizing and internalizing symptoms. J Abnorm Child Psychol. 2008 May;36(4):527-37. Epub 2007 Dec 11.
- Fresco DM, Moore MT, van Dulmen MH, Segal ZV, Ma SH, Teasdale JD, Williams JM. Initial psychometric properties of the experiences questionnaire: validation of a self-report measure of decentering. Behav Ther. 2007 Sep;38(3):234-46. Epub 2007 Apr 24.
- Garfield CF, Duncan G, Rutsohn J, McDade TW, Adam EK, Coley RL, Chase-Lansdale PL. A longitudinal study of paternal mental health during transition to fatherhood as young adults. Pediatrics. 2014 May;133(5):836-43. doi: 10.1542/peds.2013-3262. Epub 2014 Apr 14.
- Garfield CF, Isacco A. Fathers and the well-child visit. Pediatrics. 2006 Apr;117(4):e637-45.
- Garfield CF, Isacco III AJ. Urban fathers' involvement in their child's health and healthcare. Psychology of Men & Masculinity. 2012;13(1):32.
- Garfield CF, Lee Y, Kim HN. Paternal and maternal concerns for their very low-birth-weight infants transitioning from the NICU to home. J Perinat Neonatal Nurs. 2014 Oct-Dec;28(4):305-12. doi: 10.1097/JPN.0000000000000021.
- Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, Brody S, Miller WC. Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evid Rep Technol Assess (Summ). 2005 Feb;(119):1-8. Review.
- Giallo R, Cooklin A, Nicholson JM. Risk factors associated with trajectories of mothers' depressive symptoms across the early parenting period: an Australian population-based longitudinal study. Arch Womens Ment Health. 2014 Apr;17(2):115-25. doi: 10.1007/s00737-014-0411-1. Epub 2014 Jan 15.
- Gutierrez-Galve L, Stein A, Hanington L, Heron J, Ramchandani P. Paternal depression in the postnatal period and child development: mediators and moderators. Pediatrics. 2015 Feb;135(2):e339-47. doi: 10.1542/peds.2014-2411. Epub 2015 Jan 5.
- Holzman C, Eyster J, Tiedje LB, Roman LA, Seagull E, Rahbar MH. A life course perspective on depressive symptoms in mid-pregnancy. Matern Child Health J. 2006 Mar;10(2):127-38. Epub 2006 Jan 7.
- Horwitz SM, Briggs-Gowan MJ, Storfer-Isser A, Carter AS. Prevalence, correlates, and persistence of maternal depression. J Womens Health (Larchmt). 2007 Jun;16(5):678-91.
- Howell EA, Mora PA, Horowitz CR, Leventhal H. Racial and ethnic differences in factors associated with early postpartum depressive symptoms. Obstet Gynecol. 2005 Jun;105(6):1442-50.
- Kannisto KA, Koivunen MH, Välimäki MA. Use of mobile phone text message reminders in health care services: a narrative literature review. J Med Internet Res. 2014 Oct 17;16(10):e222. doi: 10.2196/jmir.3442. Review.
- Kanter JW, Mulick PS, Busch AM, Berlin KS, Martell CR. The Behavioral Activation for Depression Scale (BADS): psychometric properties and factor structure. Journal of Psychopathology and Behavioral Assessment. 2007;29(3):191-202.
- Kanter JW, Rusch LC, Busch AM, Sedivy SK. Validation of the Behavioral Activation for Depression Scale (BADS) in a community sample with elevated depressive symptoms. Journal of Psychopathology and Behavioral Assessment. 2009;31(1):36-42.
- Kim HN, Garfield C, Lee YS. Paternal and Maternal Information and Communication Technology Usage as Their Very Low Birth Weight Infants Transition Home From the NICU. International Journal of Human-Computer Interaction. 2015;31(1):44-54.
- Kim JJ, La Porte LM, Corcoran M, Magasi S, Batza J, Silver RK. Barriers to mental health treatment among obstetric patients at risk for depression. Am J Obstet Gynecol. 2010 Mar;202(3):312.e1-5. doi: 10.1016/j.ajog.2010.01.004.
- Le HN, Perry DF, Stuart EA. Randomized controlled trial of a preventive intervention for perinatal depression in high-risk Latinas. J Consult Clin Psychol. 2011 Apr;79(2):135-41. doi: 10.1037/a0022492.
- Lewinsohn P, Muñoz R, Youngren M, Zeiss A. Control Your Depression. Reducing Depression through Learning Self-Control Techniques, Relaxation Training, Pleasant Activities, Social Skills, Constructed Thinking, Planning Ahead and More. New York: Simon & Schuster Inc; 1986
- Lindahl V, Pearson JL, Colpe L. Prevalence of suicidality during pregnancy and the postpartum. Arch Womens Ment Health. 2005 Jun;8(2):77-87. Epub 2005 May 11. Review.
- Logsdon MC, Wisner K, Sit D, Luther JF, Wisniewski SR. Depression treatment and maternal functioning. Depress Anxiety. 2011 Nov;28(11):1020-6. doi: 10.1002/da.20892. Epub 2011 Sep 2.
- Lovejoy MC, Graczyk PA, O'Hare E, Neuman G. Maternal depression and parenting behavior: a meta-analytic review. Clin Psychol Rev. 2000 Aug;20(5):561-92.
- Madden M. Technology use by different income groups. 2013; http://www.pewinternet.org/2013/05/29/technology-use-by-different-income-groups/. Accessed February 2, 2016.
- Mance GA, Mendelson T, Byrd B, Jones J, Tandon D. Utilizing community-based participatory research to adapt a mental health intervention for African American emerging adults. Prog Community Health Partnersh. 2010 Summer;4(2):131-40. doi: 10.1353/cpr.0.0112.
- Mayberry LJ, Horowitz JA, Declercq E. Depression symptom prevalence and demographic risk factors among U.S. women during the first 2 years postpartum. J Obstet Gynecol Neonatal Nurs. 2007 Nov-Dec;36(6):542-9.
- McFarlane E, Burrell L, Duggan A, Tandon D. Outcomes of a Randomized Trial of a Cognitive Behavioral Enhancement to Address Maternal Distress in Home Visited Mothers. Matern Child Health J. 2017 Mar;21(3):475-484. doi: 10.1007/s10995-016-2125-7.
- Meijer JL, Beijers C, van Pampus MG, Verbeek T, Stolk RP, Milgrom J, Bockting CL, Burger H. Predictive accuracy of Edinburgh postnatal depression scale assessment during pregnancy for the risk of developing postpartum depressive symptoms: a prospective cohort study. BJOG. 2014 Dec;121(13):1604-10. doi: 10.1111/1471-0528.12759. Epub 2014 Apr 7.
- Mendelson T, Leis JA, Perry DF, Stuart EA, Tandon SD. Impact of a preventive intervention for perinatal depression on mood regulation, social support, and coping. Arch Womens Ment Health. 2013 Jun;16(3):211-8. doi: 10.1007/s00737-013-0332-4. Epub 2013 Mar 2.
- Mora PA, Bennett IM, Elo IT, Mathew L, Coyne JC, Culhane JF. Distinct trajectories of perinatal depressive symptomatology: evidence from growth mixture modeling. Am J Epidemiol. 2009 Jan 1;169(1):24-32. doi: 10.1093/aje/kwn283. Epub 2008 Nov 10.
- Moses-Kolko EL, Roth EK. Antepartum and postpartum depression: healthy mom, healthy baby. J Am Med Womens Assoc (1972). 2004 Summer;59(3):181-91. Review.
- Muñoz RF, Le H-N, Ippen CG, et al. Prevention of postpartum depression in low-income women: Development of the Mamás y Bebés/Mothers and Babies course. Cognitive and Behavioral Practice. 2007;14(1):70-83
- Murray L, Cooper PJ, Wilson A, Romaniuk H. Controlled trial of the short- and long-term effect of psychological treatment of post-partum depression: 2. Impact on the mother-child relationship and child outcome. Br J Psychiatry. 2003 May;182:420-7.
- National Research Council (US) and Institute of Medicine (US) Committee on the Prevention of Mental Disorders and Substance Abuse Among Children, Youth, and Young Adults: Research Advances and Promising Interventions; O'Connell ME, Boat T, Warner KE, editors. Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. Washington (DC): National Academies Press (US); 2009.
- O'Hara M. Postpartum depression: identification and measurement in a cross-cultural context. Perinatal psychiatry: Use and misuse of the Edinburgh Postnatal Depression Scale. London: Gaskell. 1994:145-168.
- O'Hara MW. Postpartum depression: what we know. J Clin Psychol. 2009 Dec;65(12):1258-69. doi: 10.1002/jclp.20644.
- O'Mahen HA, Flynn HA. Preferences and perceived barriers to treatment for depression during the perinatal period. J Womens Health (Larchmt). 2008 Oct;17(8):1301-9. doi: 10.1089/jwh.2007.0631.
- Paulson JF, Bazemore SD. Prenatal and postpartum depression in fathers and its association with maternal depression: a meta-analysis. JAMA. 2010 May 19;303(19):1961-9. doi: 10.1001/jama.2010.605.
- Paulson JF, Keefe HA, Leiferman JA. Early parental depression and child language development. J Child Psychol Psychiatry. 2009 Mar;50(3):254-62. doi: 10.1111/j.1469-7610.2008.01973.x. Epub 2008 Oct 23.
- Poorman E, Gazmararian J, Parker RM, Yang B, Elon L. Use of text messaging for maternal and infant health: a systematic review of the literature. Matern Child Health J. 2015 May;19(5):969-89. doi: 10.1007/s10995-014-1595-8. Review.
- Prevent Child Abuse America. Healthy Families America Critical Elements. 2001; http://www.healthyfamiliesamerica.org/downloads/critical_elements_rationale.pdf. Accessed January 15, 2016.
- Procidano ME, Heller K. Measures of perceived social support from friends and from family: three validation studies. Am J Community Psychol. 1983 Feb;11(1):1-24.
- Ramchandani PG, Stein A, O'Connor TG, Heron J, Murray L, Evans J. Depression in men in the postnatal period and later child psychopathology: a population cohort study. J Am Acad Child Adolesc Psychiatry. 2008 Apr;47(4):390-398. doi: 10.1097/CHI.0b013e31816429c2. Review.
- Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry. 2004 Jul-Aug;26(4):289-95. Review.
- Rush AJ, Trivedi MH, Ibrahim HM, Carmody TJ, Arnow B, Klein DN, Markowitz JC, Ninan PT, Kornstein S, Manber R, Thase ME, Kocsis JH, Keller MB. The 16-Item Quick Inventory of Depressive Symptomatology (QIDS), clinician rating (QIDS-C), and self-report (QIDS-SR): a psychometric evaluation in patients with chronic major depression. Biol Psychiatry. 2003 Sep 1;54(5):573-83. Erratum in: Biol Psychiatry. 2003 Sep 1;54(5):585.
- Schmit S, Schott L, Pavetti L, Matthews H. Effective, Evidence-Based Home Visiting Programs in Every State at Risk if Congress Does Not Extend Funding. 2015; http://www.cbpp.org/research/effective-evidence-based-home-visiting-programs-in-every-state-at-risk-if-congress-does-not. Accessed February 10, 2016.
- Segre LS, O'Hara MW, Arndt S, Stuart S. The prevalence of postpartum depression: the relative significance of three social status indices. Soc Psychiatry Psychiatr Epidemiol. 2007 Apr;42(4):316-21. Epub 2007 Feb 13.
- Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32(6):705-14.
- Siu AL; US Preventive Services Task Force (USPSTF), Bibbins-Domingo K, Grossman DC, Baumann LC, Davidson KW, Ebell M, García FA, Gillman M, Herzstein J, Kemper AR, Krist AH, Kurth AE, Owens DK, Phillips WR, Phipps MG, Pignone MP. Screening for Depression in Adults: US Preventive Services Task Force Recommendation Statement. JAMA. 2016 Jan 26;315(4):380-7. doi: 10.1001/jama.2015.18392.
- Smith MV, Shao L, Howell H, Wang H, Poschman K, Yonkers KA. Success of mental health referral among pregnant and postpartum women with psychiatric distress. Gen Hosp Psychiatry. 2009 Mar-Apr;31(2):155-62. doi: 10.1016/j.genhosppsych.2008.10.002. Epub 2008 Dec 3.
- Snow K, Thalji L, Derecho A, et al. Early Childhood Longitudinal Study, Birth Cohort (ECLS-B), Preschool Year Data File User's Manual (2005-06)(NCES 2008-024). Washington, DC: National Center for Education Statistics, Institute of Education Sciences, US Department of Education. 2007:1-190.
- Soltani H, Furness PJ, Arden MA, McSeveny K, Garland C, Sustar H, Dearden A. Women's and Midwives' Perspectives on the Design of a Text Messaging Support for Maternal Obesity Services: An Exploratory Study. J Obes. 2012;2012:835464. doi: 10.1155/2012/835464. Epub 2012 Jul 26.
- Tandon SD, Leis JA, Mendelson T, Perry DF, Kemp K. Six-month outcomes from a randomized controlled trial to prevent perinatal depression in low-income home visiting clients. Matern Child Health J. 2014 May;18(4):873-81. doi: 10.1007/s10995-013-1313-y.
- Tandon SD, Mercer CD, Saylor EL, Duggan AK. Paraprofessional home visitors' perspectives on addressing poor mental health, substance abuse, and domestic violence: A qualitative study. Early Childhood Research Quarterly. 2008;23(3):419-428
- Tandon SD, Parillo KM, Jenkins C, Duggan AK. Formative evaluation of home visitors' role in addressing poor mental health, domestic violence, and substance abuse among low-income pregnant and parenting women. Matern Child Health J. 2005 Sep;9(3):273-83.
- Tandon SD, Parillo KM, Keefer M. Hispanic women's perceptions of patient-centeredness during prenatal care: a mixed-method study. Birth. 2005 Dec;32(4):312-7.
- Tandon SD, Perry DF, Mendelson T, Kemp K, Leis JA. Preventing perinatal depression in low-income home visiting clients: a randomized controlled trial. J Consult Clin Psychol. 2011 Oct;79(5):707-12. doi: 10.1037/a0024895.
- Teri L, Lewinsohn P. Modification of the Pleasant and Unpleasant Events Schedules for use with the elderly. J Consult Clin Psychol. 1982 Jun;50(3):444-5.
- Trivedi MH, Rush AJ, Ibrahim HM, Carmody TJ, Biggs MM, Suppes T, Crismon ML, Shores-Wilson K, Toprac MG, Dennehy EB, Witte B, Kashner TM. The Inventory of Depressive Symptomatology, Clinician Rating (IDS-C) and Self-Report (IDS-SR), and the Quick Inventory of Depressive Symptomatology, Clinician Rating (QIDS-C) and Self-Report (QIDS-SR) in public sector patients with mood disorders: a psychometric evaluation. Psychol Med. 2004 Jan;34(1):73-82.
- U.S. Department of Health and Human Services, Administration for Children and Families, Office of Planning and Evaluation. Depression in the Lives of Early Head Start Families: Research to Practice Brief. 2006; http://www.acf.hhs.gov/programs/opre/resource/depression-in-the-lives-of-early-head-start-families-research-to-practice. Accessed January 15, 2014. Accessed January 15, 2016
- U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. A Comprehensive Approach for Community-Based Programs to Address Intimate Partner Violence and Perinatal Depression. 2013; http://mchb.hrsa.gov/pregnancyandbeyond/depression/partnerviolence/partnerviolenceandperinataldepression.pdf.Accessed February 10 2016.
- U.S. Department of Health and Human Services, Maternal and Child Health Bureau. Women's Health USA 2013. http://mchb.hrsa.gov/whusa13/health-services-utilization/pdf/mhcu.pdf. Accessed October 1.
- Vázquez FL, Muñoz RF, Blanco V, López M. Validation of Muñoz's Mood Screener in a nonclinical Spanish population. European Journal of Psychological Assessment. 2008;24(1):57-64.
- Verreault N, Da Costa D, Marchand A, Ireland K, Dritsa M, Khalifé S. Rates and risk factors associated with depressive symptoms during pregnancy and with postpartum onset. J Psychosom Obstet Gynaecol. 2014 Sep;35(3):84-91. doi: 10.3109/0167482X.2014.947953.
- Wagner HR, Burns BJ, Broadhead WE, Yarnall KS, Sigmon A, Gaynes BN. Minor depression in family practice: functional morbidity, co-morbidity, service utilization and outcomes. Psychol Med. 2000 Nov;30(6):1377-90.
- Waring ME, Moore Simas TA, Xiao RS, Lombardini LM, Allison JJ, Rosal MC, Pagoto SL. Pregnant women's interest in a website or mobile application for healthy gestational weight gain. Sex Reprod Healthc. 2014 Dec;5(4):182-4. doi: 10.1016/j.srhc.2014.05.002. Epub 2014 May 14.
- Weinberg MK, Tronick EZ, Beeghly M, Olson KL, Kernan H, Riley JM. Subsyndromal depressive symptoms and major depression in postpartum women. Am J Orthopsychiatry. 2001 Jan;71(1):87-97.
- Wisner KL, Perel JM, Peindl KS, Hanusa BH. Timing of depression recurrence in the first year after birth. J Affect Disord. 2004 Mar;78(3):249-52.
- STU00203918-B
- 1R21MD011320-01
Study Results
Participant Flow
Recruitment Details | We used a single group longitudinal pre-post design to evaluate study outcomes. Nine HV programs served as project partners and referral sites. These HV programs had been previously trained on MB and had prior experience delivering MB to perinatal women. HV programs participated in a training webinar with study investigators to review FAB implementation, study design and participant recruitment. We received 37 father-mother dyad referrals, of whom 30 (81%) were enrolled. |
---|---|
Pre-assignment Detail |
Arm/Group Title | FAB Pilot Study (Father Participants) | MB 1-on-1 Plus TEXT (Mother Participants) |
---|---|---|
Arm/Group Description | Dyads including the home visiting client (Mom) and her partner (Father) will receive separate interventions. The inventions are complimentary and were implemented in parallel. Fathers received Fathers and Babies (FAB Intervention) while his partner (Mom) will receive MB 1-on-1 plus MB-TXT. | Dyads including the HV client (Mom) and her partner (Father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. HV clients (Mothers) received the Mothers and Babies with -Text Messages intervention (i.e., MB 1-on-1 plus MB-TXT) while her partner (Father) received FAB. |
Period Title: Overall Study | ||
STARTED | 30 | 30 |
COMPLETED | 17 | 23 |
NOT COMPLETED | 13 | 7 |
Baseline Characteristics
Arm/Group Title | FAB Pilot Study (Father Participants) | MB 1-on-1 Plus TEXT (Mother Participants) | Total |
---|---|---|---|
Arm/Group Description | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. | Total of all reporting groups |
Overall Participants | 30 | 30 | 60 |
Age (Count of Participants) | |||
<=18 years |
0
0%
|
0
0%
|
0
0%
|
Between 18 and 65 years |
30
100%
|
30
100%
|
60
100%
|
>=65 years |
0
0%
|
0
0%
|
0
0%
|
Age (years) [Mean (Standard Deviation) ] | |||
Mean (Standard Deviation) [years] |
27.7
(6.0)
|
26.5
(5.5)
|
27.1
(5.6)
|
Sex: Female, Male (Count of Participants) | |||
Female |
0
0%
|
30
100%
|
30
50%
|
Male |
30
100%
|
0
0%
|
30
50%
|
Race/Ethnicity, Customized (Count of Participants) | |||
Black/African American |
11
36.7%
|
10
33.3%
|
21
35%
|
Hispanic/Latino |
9
30%
|
9
30%
|
18
30%
|
White/Caucasian |
8
26.7%
|
8
26.7%
|
16
26.7%
|
Other |
2
6.7%
|
3
10%
|
5
8.3%
|
Region of Enrollment (Count of Participants) | |||
United States |
30
100%
|
30
100%
|
60
100%
|
Educational Attainment (Count of Participants) | |||
< High school degree |
3
10%
|
3
10%
|
6
10%
|
High school degree/GED |
12
40%
|
6
20%
|
18
30%
|
Some college or beyond |
15
50%
|
21
70%
|
36
60%
|
Relationship Status (Count of Participants) | |||
Married |
8
26.7%
|
8
26.7%
|
16
26.7%
|
Engaged |
5
16.7%
|
5
16.7%
|
10
16.7%
|
Single |
10
33.3%
|
10
33.3%
|
20
33.3%
|
Living with partner, not married/engaged |
7
23.3%
|
7
23.3%
|
14
23.3%
|
Employment Status (N, %) (Count of Participants) | |||
Not currently working |
0
0%
|
18
60%
|
18
30%
|
Working part-time |
5
16.7%
|
7
23.3%
|
12
20%
|
Working full-time |
25
83.3%
|
5
16.7%
|
30
50%
|
Prenatal enrollees (Count of Participants) | |||
Count of Participants [Participants] |
6
20%
|
6
20%
|
12
20%
|
Postnatal enrollees (Count of Participants) | |||
Count of Participants [Participants] |
24
80%
|
24
80%
|
48
80%
|
Outcome Measures
Title | Change in Depressive Symptoms |
---|---|
Description | Beck Depression Inventory-II (BDI-II) (Beck et al., 1988). The BDI-II was used to assess severity of depressive symptoms consistent with DSM-IV symptom criteria. The BDI-II is a 21-item survey, each item asks respondents to indicate on a scale ranging from 0 to 3 the extent to which they endorse different symptoms of depression over the past two weeks with higher scores indicating greater depression severity, with the highest score of 63. 0-10-considered normal 11-16 Mild mood disturbance 17-20 Borderline clinical depression 21-30 Moderate depression 31-40 Severe depression Over 40 Extreme depression. |
Time Frame | Baseline and Post Intervention at 3 and 6 months |
Outcome Measure Data
Analysis Population Description |
---|
Analysis included participants who completed assessments at all time points associated with an analysis. |
Arm/Group Title | FAB Pilot Study (Father Participants) | MB 1-on-1 Plus TEXT (Mother Participants) |
---|---|---|
Arm/Group Description | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. |
Measure Participants | 30 | 30 |
Baseline |
6.5
(6.6)
|
9.7
(8.1)
|
3 Months |
4.5
(4.6)
|
8.4
(9.5)
|
6 Months |
3.6
(5.1)
|
8.3
(8.4)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | FAB Pilot Study (Father Participants), MB 1-on-1 Plus TEXT (Mother Participants) |
---|---|---|
Comments | We used a single group longitudinal pre-post design to evaluate study outcomes | |
Type of Statistical Test | Other | |
Comments | To assess paternal and maternal outcomes on the BDI-II we conducted a series of paired t-tests with Bonferroni correction for multiple comparisons. T-tests compared baseline scores on each outcome to 3-month follow-up scores, with separate t-tests conducted to examine changes between baseline and 6-month follow-up. We used a Cohen's d statistic to indicate effect sizes for our BDI-II. | |
Statistical Test of Hypothesis | p-Value | <0.05 |
Comments | ||
Method | Paired T-test | |
Comments |
Title | Change in Anxiety |
---|---|
Description | Generalized Anxiety Disorder 7-item Scale (GAD-7) (Spitzer et al., 2006). The GAD-7 is a 7-item survey, each item asks respondents to indicate on a 4-point scale the extent to which they endorse different symptoms of anxiety over the past two weeks with higher scores indicating greater anxiety symptoms. The highest score is 21. Score 0-4: Minimal Anxiety Score 5-9: Mild Anxiety Score 10-14: Moderate Anxiety Score greater than 15: Severe Anxiety |
Time Frame | Baseline and Post Intervention at 3 and 6 months |
Outcome Measure Data
Analysis Population Description |
---|
Analysis was limited to individuals for whom we had complete data at the time points used for analysis. |
Arm/Group Title | FAB Pilot Study (Father Participants) | MB 1-on-1 Plus TEXT (Mother Participants) |
---|---|---|
Arm/Group Description | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. |
Measure Participants | 30 | 30 |
Baseline |
4.1
(4.5)
|
6.8
(5.5)
|
3 Months |
3.2
(3.4)
|
6.2
(51)
|
6 Months |
2.8
(3.2)
|
6.3
(4.8)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | FAB Pilot Study (Father Participants), MB 1-on-1 Plus TEXT (Mother Participants) |
---|---|---|
Comments | We used a single group longitudinal pre-post design to evaluate study outcomes | |
Type of Statistical Test | Other | |
Comments | To assess paternal and maternal outcomes on the GAD-7, we conducted a series of paired t-tests with Bonferroni correction for multiple comparisons. T-tests compared baseline scores on each outcome to 3-month follow-up scores, with separate t-tests conducted to examine changes between baseline and 6-month follow-up. We used a Cohen's d statistic to indicate effect sizes for our outcomes. | |
Statistical Test of Hypothesis | p-Value | >0.05 |
Comments | ||
Method | Paired T-test | |
Comments |
Title | Change in Perceived Stress |
---|---|
Description | Perceived Stress Scale 10-item Scale (PSS-10) (Cohen & Williamson, 1988). The PSS-10 is a 10-item survey that asks respondents to indicate on a 5-point scale the extent to which they appraised certain situations as stressful over the past month, with higher scores indicating greater perceived stress. Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress. 0-13 are considered low stress Scores ranging from 14-26 are considered moderate stress Scores ranging from 27-40 are considered high perceived stress |
Time Frame | Baseline and Post Intervention at 3 and 6 months |
Outcome Measure Data
Analysis Population Description |
---|
Analysis was limited to individuals for whom we had complete data at the time points used for analysis. |
Arm/Group Title | FAB Pilot Study (Father Participants) | MB 1-on-1 Plus TEXT (Mother Participants) |
---|---|---|
Arm/Group Description | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. |
Measure Participants | 30 | 30 |
Baseline |
14.9
(7.6)
|
20.4
(9.1)
|
3-Month |
12.6
(7.1)
|
16.9
(7.4)
|
6-Month |
10.9
(9.1)
|
16.8
(6.8)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | FAB Pilot Study (Father Participants) |
---|---|---|
Comments | We used a single group longitudinal pre-post design to evaluate study outcomes | |
Type of Statistical Test | Other | |
Comments | To assess paternal and maternal outcomes on the PSS-10, we conducted a series of paired t-tests with Bonferroni correction for multiple comparisons. T-tests compared baseline scores on each outcome to 3-month follow-up scores, with separate t-tests conducted to examine changes between baseline and 6-month follow-up. We used a Cohen's d statistic to indicate effect sizes for our PSS-10 outcomes. | |
Statistical Test of Hypothesis | p-Value | <0.05 |
Comments | ||
Method | Paired T-test | |
Comments |
Statistical Analysis 2
Statistical Analysis Overview | Comparison Group Selection | MB 1-on-1 Plus TEXT (Mother Participants) |
---|---|---|
Comments | We used a single group longitudinal pre-post design to evaluate study outcomes | |
Type of Statistical Test | Other | |
Comments | To assess paternal and maternal outcomes on the PSS-10 we conducted a series of paired t-tests with Bonferroni correction for multiple comparisons. T-tests compared baseline scores on each outcome to 3-month follow-up scores, with separate t-tests conducted to examine changes between baseline and 6-month follow-up. We used a Cohen's d statistic to indicate effect sizes for our PSS-10 outcomes. | |
Statistical Test of Hypothesis | p-Value | <0.05 |
Comments | ||
Method | Paired T-test | |
Comments |
Title | Change in Social Support Effectiveness |
---|---|
Description | Social Support Effectiveness Questionnaire (SSE-Q) (Rini et al., 2011). The SSE-Q is a 25-item survey that asks respondents to indicate the extent to which their partners provided different types of support in the past three months. The SSE-Q consists of subscales on task support, informational support, emotional support, and negative effects of support. For this study, we calculated a total social support score that summed these four subscales (range 0-80). High scores indicate more effective support. Full scale scores can range from 0 to 80, and each subscale can range from 0 to 20. |
Time Frame | Baseline and Post Intervention at 3 and 6 months |
Outcome Measure Data
Analysis Population Description |
---|
Analysis was limited to individuals for whom we had complete data at the time points used for analysis. |
Arm/Group Title | FAB Pilot Study (Father Participants) | MB 1-on-1 Plus TEXT (Mother Participants) |
---|---|---|
Arm/Group Description | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. |
Measure Participants | 30 | 30 |
Baseline |
60.9
(14.3)
|
48.9
(11.6)
|
3-Month |
57.8
(12.6)
|
51.4
(14.5)
|
6-Month |
59.3
(13.7)
|
52.2
(12.2)
|
Statistical Analysis 1
Statistical Analysis Overview | Comparison Group Selection | FAB Pilot Study (Father Participants), MB 1-on-1 Plus TEXT (Mother Participants) |
---|---|---|
Comments | We used a single group longitudinal pre-post design to evaluate study outcomes | |
Type of Statistical Test | Other | |
Comments | ||
Statistical Test of Hypothesis | p-Value | >0.05 |
Comments | ||
Method | t-test, 2 sided | |
Comments |
Title | Instrumental Social Support Support Survey (Cyranowski et al., 2013). |
---|---|
Description | The measure consists of 8 questions and asks respondents to indicate on a 5-point scale the extent to which they have received different types of instrumental support in the last month. Higher scores indicate greater support. We report on the count and percentage of individuals with high instrumental support at each time point. |
Time Frame | Baseline and Post Intervention at 3 and 6 months |
Outcome Measure Data
Analysis Population Description |
---|
Analysis was limited to individuals for whom we had complete data at the time points used for analysis. |
Arm/Group Title | FAB Pilot Study (Father Participants) | MB 1-on-1 Plus TEXT (Mother Participants) |
---|---|---|
Arm/Group Description | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. |
Measure Participants | 30 | 30 |
Baseline |
9
30%
|
4
13.3%
|
3-Month |
6
20%
|
8
26.7%
|
6-Month |
9
30%
|
9
30%
|
Title | Emotional Support Support (Cyranowski et al., 2013) |
---|---|
Description | NIH Toolbox Emotional Support Support Survey. The survey consists of 8 questions and asks respondents to indicate on a 5-point scale the extent to which they have received different types of emotional support in the last month. Higher scores indicate greater support. We report on the count and percentage of individuals with high emotional support at each time point. |
Time Frame | Baseline and Post Intervention at 3 and 6 months |
Outcome Measure Data
Analysis Population Description |
---|
NIH Toolbox Instrumental Support Support Survey. Each survey consists of 8 questions and asks respondents to indicate on a 5-point scale the extent to which they have received different types of instrumental and emotional support in the last month. Higher scores indicate greater support. Reported on percentage of participants with high levels of instrumental support at all time points. |
Arm/Group Title | FAB Pilot Study (Father Participants) | MB 1-on-1 Plus TEXT (Mother Participants) |
---|---|---|
Arm/Group Description | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. |
Measure Participants | 30 | 30 |
Baseline |
9
30%
|
7
23.3%
|
3-Month |
6
20%
|
9
30%
|
6-Month |
8
26.7%
|
5
16.7%
|
Adverse Events
Time Frame | 9 months | |||
---|---|---|---|---|
Adverse Event Reporting Description | There were no adverse events during this project. | |||
Arm/Group Title | FAB Pilot Study (Father Participants) | MB 1-on-1 Plus TEXT (Mother Participants) | ||
Arm/Group Description | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. | Dyads including a HV client (mother) and her partner (father) will receive separate interventions. The inventions are complimentary and will be implemented in parallel. | ||
All Cause Mortality |
||||
FAB Pilot Study (Father Participants) | MB 1-on-1 Plus TEXT (Mother Participants) | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/30 (0%) | 0/30 (0%) | ||
Serious Adverse Events |
||||
FAB Pilot Study (Father Participants) | MB 1-on-1 Plus TEXT (Mother Participants) | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/30 (0%) | 0/30 (0%) | ||
Other (Not Including Serious) Adverse Events |
||||
FAB Pilot Study (Father Participants) | MB 1-on-1 Plus TEXT (Mother Participants) | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/30 (0%) | 0/30 (0%) |
Limitations/Caveats
More Information
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Results Point of Contact
Name/Title | Dr. Darius Tandon |
---|---|
Organization | Northwestern University, CCH |
Phone | +1 312 503 3398 |
dtandon@northwestern.edu |
- STU00203918-B
- 1R21MD011320-01