Mom: Managing Our Mood, Part of The Family Help Program (MOM)

IWK Health Centre

Status and phase

Completed

Phase 2

Conditions

Postpartum Depression

Treatments

Behavioral: Distance Treatment for postpartum depression

Study type

Interventional

Funder types

Other

Identifiers

NCT00795652

3556

Details and patient eligibility

About

The purpose of the MOM: Managing Our Mood Program (part of Family Help) is to evaluate the effectiveness of the Family Help distance intervention compared to usual or standard care typically provided to women with mild to moderate postpartum depression symptomology. This is a single-center trial based at the IWK Health Center. The primary outcome is change in postpartum depression diagnosis.

Full description

The Family Help- MOM: Managing Our Mood Program is to deliver, primary care mental health services to mothers in the comfort and privacy of their own home. The purpose of this randomized control trial is to test the effectiveness of the Managing Our Mood (MOM) postpartum depression distance treatment program. This study is a single-centre trial based at the IWK Health Centre, similar to other Family Help Modules.

The goal of this study is to determine the effectiveness of the MOM cognitive-behavioural intervention as an alternative treatment for women suffering from postpartum depression. The intervention is delivered at a distance, using educational materials (handbooks, video-tapes/DVDs, and telephone consultation with a trained paraprofessional coach. Family Help coaches deliver consistent care based on written protocols, with on-going evaluation by a professional team. MOM is not designed to replace specialist care of complex multi-problem mothers.

Eligible participants will be randomly assigned to either active MOM treatment or to the Best Efforts control condition. Those participants assigned to Best Efforts receive printed information about postpartum depression that describes the illness, how it is caused and various treatment options; they are assigned a Coach who books their assessments and is available to answer any questions; they are encouraged to maintain contact and regular care with their family physician or public health nurse for both themselves and their baby. At the end of the 12-month follow-up (one year from randomization), these women will be offered the opportunity to take part in the MOM treatment if they are still depressed.

Enrollment

62 patients

Sex

Female

Ages

19+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Completed diagnostic measure (SCID), reviewed and signed off by a psychologist
Participant must meet DSM-IV criteria for postpartum depression
Significant depressive symptoms that have been present for at least 2 weeks
Participant must be within 1-12 months postpartum
Participant must have ready private access to a telephone
Participant must be between 19-45 years old
Participant has provided verbal telephone consent
Participants must speak, read and write in English
If they are taking medication they must be stabilized (have been on the medication for at least four weeks).

Exclusion criteria

Any condition that in the judgment of the psychologist may interfere with effective delivery of the treatment program (ie, Severe symptomology, challenging diagnostic dilemmas, families who are unmotivated or are in complete chaos)
Current reports of specific suicidal intentions
Actively suicidal; suicidal attempts in the previous 6 months
Participants who are not willing to commit to the demands of treatment
Participants who have had psychological treatment in the past 6 months for similar problems.
Participants who have a history of psychotic disorders
Participants who are cognitively impaired
Participants who are involved with child protection services
Participants who have significant substance dependency