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Mental Health E-screening in Pregnant and Postpartum Women

U

University of Calgary

Status

Completed

Conditions

Depression
Anxiety

Treatments

Other: E-screening

Study type

Interventional

Funder types

Other

Identifiers

NCT01899534
00039130

Details and patient eligibility

About

To compare e-screening versus usual screening on: 1) women's and healthcare providers' views on feasibility and acceptability; 2) rates of detection of prenatal and postpartum depression and anxiety; 3) perceived risk and benefit of disclosure; 4) cost-effectiveness; 5) psychometric properties. We also aim to identify factors associated with feasibility of e-screening.Compared to usual screening:1) e-screening is as feasible; 2) e-screening yields similar rates of prenatal and postpartum depression and anxiety; 3) the mean score for risk of disclosure is significantly lower and benefit of disclosure is significantly higher in the e-screening group; 4) e-screening is as or more cost effective in detecting prenatal and postpartum depression and anxiety; 5) features of e-screening are significantly associated with feasibility and acceptability, whereas demographic factors are not; and 6) reliability and validity indices of ALPHA and EPDS are strongly correlated for both administration modes.

Full description

Given that it is critical to conduct screening within a system that links referral and treatment, our IMPACT pilot trial is evaluating integrated screening and care (see Summary of Progress) versus usual prenatal care. The proposed trial engages 2 unique clinics with experienced staff who conduct routine screening (with referrals and treatment in place) to evaluate different modalities of screening. Since widespread screening is unlikely to be successfully implemented if it entails additional human resources, this trial assesses the potential for a sustainable, e-health alternative.

Enrollment

566 patients

Sex

Female

Ages

16+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Pregnant and postpartum women will be eligible for this study if they:

    1. receive care at the recruitment sites ;
    2. can read/write English; and
    3. are willing to complete e-screening

Exclusion criteria

  1. do not receive care at the recruitment site;
  2. cannot read/write English;
  3. are not willing to complete e-screening

Trial design

Primary purpose

Screening

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

566 participants in 2 patient groups

Paper-based screening
No Intervention group
Description:
Paper-based screening. Women will complete a mental health screening tool on paper (usual care).
E-screening
Experimental group
Description:
Women will complete mental health screening on a tablet
Treatment:
Other: E-screening

Trial contacts and locations

3

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Data sourced from clinicaltrials.gov

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