"Mamma Mia" for Perinatal Health and Wellness

Sponsor
Virginia Commonwealth University (Other)
Overall Status
Recruiting
CT.gov ID
NCT04300894
Collaborator
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (NIH)
2,000
1
3
55.5
36

Study Details

Study Description

Brief Summary

The purpose of this research study is to find out about ways to enhance well-being during pregnancy and the postpartum period (after the baby is born). The "Mamma Mia" program and/or guided support from study staff ("Mamma Mia Plus") may be helpful because the app provides skills and information related to many important topics during and after pregnancy. This study will allow us to learn more about whether and how the program is helpful to women.

Condition or Disease Intervention/Treatment Phase
  • Device: Mamma Mia
  • Other: Mamma Mia Plus
N/A

Detailed Description

This study will compare findings in women who do not use the program ("usual care group") versus women who use the program ("Mamma Mia group") versus women who use the program and receive regular contact from study staff ("Mamma Mia Plus"). The study will assess well-being, depression, stress, and anxiety as well as whether certain factors (for example, women's age, type of healthcare provider, amount of social support) are related to the effects of the program. For women randomized to use the program, the study will also collect information about the time spent using it and the modules completed.

Usual prenatal and postpartum care involves regular visits with participant's women's health care provider while pregnant and after the baby is born. In this study, participants will receive continue receiving usual care. In addition, participants will be randomly assigned (like the flip of a coin) to participate in one of the following groups:

  1. The "usual care group", or

  2. The "Mamma Mia group" (which is to use the "Mamma Mia" program regularly), or

  3. The "Mamma Mia Plus group" (which is to use the program regularly plus receive regular contact with study staff).

There is a 1 chance in 3 of being assigned to each of the three groups. participants have an equal chance of being assigned to any one of the groups.

Participants in the "usual care group" will be asked to do the following things:
  1. Complete survey questions at entrance into the study.

  2. Complete survey questions every few months (see schedule below).

Participants in the "Mamma Mia group" will be asked to do the following things:
  1. Complete survey questions at entrance into the study.

  2. Use the "Mamma Mia" program on a regular basis (on average: weekly for about 10 minutes) from entering study until six months postpartum; participants will receive an email reminder to complete modules when they should be completed.

  3. Complete survey questions every few months.

Participants in the "Mamma Mia Plus group" will be asked to do the following things:
  1. Complete survey questions at entrance into the study.

  2. Use the "Mamma Mia" program on a regular basis (on average: weekly for about 10 minutes) from entrance into the study until six months postpartum.

  3. Complete survey questions every few months.

  4. Participants will receive phone calls or emails or texts (depending upon participant preference) from study staff every few months.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
2000 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Investigator, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
"Mamma Mia" for Perinatal Health and Wellness
Actual Study Start Date :
Oct 15, 2020
Anticipated Primary Completion Date :
Jun 1, 2025
Anticipated Study Completion Date :
Jun 1, 2025

Arms and Interventions

Arm Intervention/Treatment
No Intervention: Usual care group

Usual prenatal and postpartum care involves regular visits with one's health care provider while pregnant and after the baby is born.

Experimental: Mamma Mia group

Usual prenatal/postpartum care plus use of the "Mamma Mia" program

Device: Mamma Mia
Users of the Mamma Mia program progress through the intervention in a sequence of modules. Every day that a module should be completed, you will receive a notification with a reminder to access the program. By clicking on the reminder, you can access that particular day's session content. Modules involve a variety of information and activities; for example, there are guided mindfulness practices, information on breastfeeding, instructional videos on how to interpret your baby's cries, and discussions on how to have effective discussions with your partner or healthcare provider about your needs.

Experimental: Mamma Mia Plus group

Usual prenatal/postpartum care plus use of the "Mamma Mia" program plus occasional contacts from study staff

Device: Mamma Mia
Users of the Mamma Mia program progress through the intervention in a sequence of modules. Every day that a module should be completed, you will receive a notification with a reminder to access the program. By clicking on the reminder, you can access that particular day's session content. Modules involve a variety of information and activities; for example, there are guided mindfulness practices, information on breastfeeding, instructional videos on how to interpret your baby's cries, and discussions on how to have effective discussions with your partner or healthcare provider about your needs.

Other: Mamma Mia Plus
Participants will use the Mamma Mia program, plus receive contact (phone calls or emails or texts) from study staff every few months.

Outcome Measures

Primary Outcome Measures

  1. Change in depression symptom severity [Baseline to 6 months postpartum, about 11 months]

    measured by the Edinburgh Postpartum Depression Scale

Secondary Outcome Measures

  1. Change in subjective well-being [Baseline to 6 months postpartum, about 11 months]

    Measured using Satisfaction with Life Scale

  2. Change in anxiety [Baseline to 6 months postpartum, about 11 months]

    Measured by the State-Trait Anxiety Scale

  3. Change in stress [Baseline to 6 months postpartum, about 11 months]

    Measured by the Perceived Stress Scale

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
Female
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • pregnant woman <25 weeks gestation;

  • age 18 or older;

  • speak, read, and understand English;

  • have the ability to access an internet/mobile-based program (via computer, tablet, or smartphone), and have a working phone number and a working email address.

Exclusion Criteria:

• none

Contacts and Locations

Locations

Site City State Country Postal Code
1 Virginia Commonwealth University Richmond Virginia United States 23298

Sponsors and Collaborators

  • Virginia Commonwealth University
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Investigators

  • Principal Investigator: Patricia A Kinser, PhD, Virginia Commonwealth University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Virginia Commonwealth University
ClinicalTrials.gov Identifier:
NCT04300894
Other Study ID Numbers:
  • HM20017197
  • 1R01HD100395
First Posted:
Mar 9, 2020
Last Update Posted:
Nov 8, 2021
Last Verified:
Nov 1, 2021
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
Yes
Product Manufactured in and Exported from the U.S.:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Nov 8, 2021