Effectiveness of 'Supportive Parenting App' on Parental and Newborn Outcomes
Study Details
Study Description
Brief Summary
The Supportive Parenting App is a theory-based perinatal educational intervention for couples administered through a mobile application. The intervention comprise of knowledge-based content, informational videos and audio, discussion forum, peer volunteer chat group, and a frequently asked questions (FAQ) expert advice section.
The aims of the study are to:
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develop theory-based supportive parenting App (SPA) intervention for both first-time and experienced parents across perinatal period
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examine its effectiveness on parental outcomes: including maternal depression at 12 months postpartum (primary outcome), paternal depression, parental anxiety, parenting self-efficacy, help - seeking behavior (social support), parental bonding and parenting satisfaction (secondary outcomes); and new-born outcomes: physical, social and emotional developments (secondary outcomes)
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evaluate SPA's cost-effectiveness as compared to standard perinatal care across major restructured hospitals, and
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examine the perceptions of parents in receiving this intervention.
When compared with those in the control group receiving standard care:
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parents receiving SPA intervention will have better- emotional well-being (reduced depression and anxiety);parenting self-efficacy; social support; bonding and satisfaction.
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new-borns of parents receiving SPA will have better physical, social and emotional development
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It will be more cost-effective to provide SPA than the standard care
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Standard hospital care with follow up + Supportive Parenting App Receive standard hospital care and follow up, and access to the Supportive Parenting App from pregnancy to 6 months postpartum |
Other: Supportive Parenting Application
The Supportive Parenting Application is a theory-based perinatal educational intervention for couples administered through a mobile application. The mobile app consist of knowledge-based content, informational videos and audio, discussion forum, chat groups with peer volunteers, and an experts advice section
|
| No Intervention: Standard hospital care with follow up Receive standard hospital care with follow up |
Outcome Measures
Primary Outcome Measures
- Maternal postpartum depression [1 month postpartum]
Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome
- Maternal postpartum depression [2 month postpartum]
Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome
- Maternal postpartum depression [4 months postpartum]
Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome
- Maternal postpartum depression [6 months postpartum]
Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome
- Maternal postpartum depression [9 months postpartum]
Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome
- Maternal postpartum depression [12 months postpartum]
Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome
Secondary Outcome Measures
- Infant physical, social, and emotional development [6 months postpartum]
Bayley-IV scale Minimum raw score of 0 and maximum score of 258 for 129 items. Higher score indicate better outcome
- Infant physical, social, and emotional development [12 months postpartum]
Bayley-IV scale Minimum score of 0 and maximum score of 258 for 129 items. Higher score indicate better outcome
- Infant physical, social, and emotional development [2 months postpartum]
Ages and Stages Questionnaire - 3 (ASQ-3) 21 items; minimum score of 0 and maximum score of 210, with higher score indicating better outcomes
- Infant physical, social, and emotional development [4 months postpartum]
Ages and Stages Questionnaire - 3 (ASQ-3) 21 items; minimum score of 0 and maximum score of 210, with higher score indicating better outcomes
- Infant physical, social, and emotional development [6 months postpartum]
Ages and Stages Questionnaire - 3 (ASQ-3) 21 items; minimum score of 0 and maximum score of 210, with higher score indicating better outcomes
- Infant physical, social, and emotional development [9 months postpartum]
Ages and Stages Questionnaire - 3 (ASQ-3) 21 items; minimum score of 0 and maximum score of 210, with higher score indicating better outcomes
- Infant physical, social, and emotional development [12 months postpartum]
Ages and Stages Questionnaire - 3 (ASQ-3) 21 items; minimum score of 0 and maximum score of 210, with higher score indicating better outcomes
- Paternal depression [1 month postpartum]
Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome
- Paternal depression [2 month postpartum]
Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome
- Paternal depression [4 month postpartum]
Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome
- Paternal depression [6 month postpartum]
Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome
- Paternal depression [9 month postpartum]
Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome
- Paternal depression [12 month postpartum]
Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome
- Parental Anxiety [1 month postpartum]
State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes.
- Parental Anxiety [2 month postpartum]
State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes.
- Parental Anxiety [4 month postpartum]
State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes.
- Parental Anxiety [6 month postpartum]
State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes.
- Parental Anxiety [9 month postpartum]
State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes.
- Parental Anxiety [12 month postpartum]
State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes.
- Parenting self-efficacy [1 month postpartum]
Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy
- Parenting self-efficacy [2 month postpartum]
Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy
- Parenting self-efficacy [4 month postpartum]
Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy
- Parenting self-efficacy [6 month postpartum]
Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy
- Parenting self-efficacy [9 month postpartum]
Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy
- Parenting self-efficacy [12 month postpartum]
Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy
- Perceived social support [1 month postpartum]
Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support.
- Perceived social support [2 month postpartum]
Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support.
- Perceived social support [4 month postpartum]
Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support.
- Perceived social support [6 month postpartum]
Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support.
- Perceived social support [9 month postpartum]
Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support.
- Perceived social support [12 month postpartum]
Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support.
- Parent-Infant bonding [1 month postpartum]
Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding
- Parent-Infant bonding [2 month postpartum]
Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding
- Parent-Infant bonding [4 month postpartum]
Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding
- Parent-Infant bonding [6 month postpartum]
Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding
- Parent-Infant bonding [9 month postpartum]
Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding
- Parent-Infant bonding [12 month postpartum]
Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding
- Parenting satisfaction [1 month postpartum]
What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction.
- Parenting satisfaction [2 month postpartum]
What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction.
- Parenting satisfaction [4 month postpartum]
What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction.
- Parenting satisfaction [6 month postpartum]
What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction.
- Parenting satisfaction [9 month postpartum]
What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction.
- Parenting satisfaction [12 month postpartum]
What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction.
Eligibility Criteria
Criteria
Inclusion Criteria:
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able to read and speak English
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have low-risk singleton pregnancy with more than 24 weeks of gestation (age of viability)
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have smartphone with internet access
Exclusion Criteria:
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have physical or mental disorders which would interfere with their ability to participate in the study
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have high-risk pregnancy including placenta-previa major, pre-eclampsia, pregnancy induced hypertension etc.
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have complicated assisted delivery such as vacuum or forceps with 4th degree perineal tear of the mother; and /or
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give birth to a newborn at still-birth or a newborn with congenital anomalies and/or medical complications including pathological jaundice, that required special care in hospital.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Alice Lee Centre for Nursing Studies | Singapore | Singapore | 117597 |
Sponsors and Collaborators
- National University, Singapore
Investigators
- Principal Investigator: Shefaly Shorey, PhD, National University, Singapore
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NHG DSRB 2019/00875