This trial is active, not recruiting.

Conditions postpartum depression, parenting
Treatments social media intervention, traditional in-person intervention
Sponsor Children's Hospital of Philadelphia
Collaborator The Oscar G. & Elsa S. Mayer Family Foundation
Start date January 2015
End date December 2017
Trial size 40 participants
Trial identifier NCT02355067, IRB 14-011491


This study is intended to compare the acceptability and feasibility and explore outcomes related to two different formats of a parenting program for mothers with postpartum depressive symptoms. One version will be a traditional, in-person group format, while the other will be a social media group format. The investigators will also explore the differences in outcomes of both formats, looking at depressive symptoms, parenting sense of competency, and parenting interactions with children.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking open label
Primary purpose supportive care
Social Media Intervention for women with postpartum depression (PPD) symptoms
social media intervention
These women will participate in the intervention through the online Facebook group.
(Active Comparator)
Traditional In-Person Intervention for Women with postpartum depression (PPD)
traditional in-person intervention
These women will participate in the intervention through a traditional weekly meeting of a group in-person.

Primary Outcomes

Feasibility (Percentage of participants who attend each group session or check in online weekly)
time frame: 12 weeks
Acceptability (Percentage of participants who report they agree or strongly agree with statements concerning program effects-Satisfaction Questionnaire)
time frame: 12 weeks

Secondary Outcomes

Beck Depression Inventory (BDI-II)
time frame: 12 weeks
Parenting Sense of Competency (PSOC) scale
time frame: 12 weeks
Parenting Interactions with Children: Checklist of Observations Linked to Outcomes (PICCOLO)
time frame: 12 weeks
Therapeutic Factors Inventory - 8
time frame: 12 weeks

Eligibility Criteria

Female participants at least 15 years old.

Inclusion Criteria: 1. Females 2. 15 years of age or older at the start of the study 3. English speaking 4. Access to the internet via a computer or a smartphone 5. Mother of a child 1-3 months old 6. Edinburgh Postnatal Depression Scale (EPDS) score of 9 or higher 7. Informed consent and HIPAA authorization. Exclusion Criteria: 1) Have significant suicidal symptoms. Significant suicide risk is defined as current suicidal intent and a plan for suicidal behavior.

Additional Information

Official title Social Media Intervention to Teach Parenting for Women With Postpartum Depression
Principal investigator James P Guevara, MD, MPH
Description Postpartum depressive symptoms are common among women following the birth of a child and can adversely impact a mother's ability to care for her child. Evidence-based parent coaching programs have been developed to guide mothers with caring for their infants but do not address the effects of depression on parenting, can be expensive to administer, and are not available in a format that facilitates participation by women with depressive symptoms. We have adapted a previously validated parent coaching intervention, the Parents Interacting with Infants (PIWI) program, for use with depressed parents by inclusion of educational material based on Beardslee's cognitive psycho-educational family model. The program spans 8 weeks, each week focusing on a specific topic. The topics covered are: psychoeducation regarding depression and behavioral activation for coping with high levels of stress, sleep, play, laughter, feeding, temperament, safety, and reading with infants. We will conduct a pilot randomized controlled trial comparing two versions of the parent coaching program: social media and traditional in-person group formats. We've modified the PIWI program to address barriers to participation through social media format using secret Facebook user groups. We will assess the feasibility and acceptability of the social media program compared to a traditional group format by examining the proportion of subjects who attend group sessions or "like" Facebook sessions. Women who consent to participate in the study will be assigned by randomization to one format or the other in blocks of 20. Women will complete measures of feasibility and acceptability and measures of depressive symptoms (Beck Depression Inventory-II [BDI-II - Appendix 2] Scale) and parenting competence (Parenting Sense of Competency [PSOC - Appendix 3] scales) prior to (time 0) and after the intervention (time 8-12 weeks post enrollment). In addition, mothers and infants in phase III will be videotaped during a 16-minute free play using a standardized measure of parenting interaction (PICCOLO) following completion of the intervention. The measures will provide important information on the effects of parent coaching formats on a new mother's depressive symptoms, her sense of parenting confidence, and her parenting interactions with her infant.
Trial information was received from ClinicalTrials.gov and was last updated in January 2017.
Information provided to ClinicalTrials.gov by Children's Hospital of Philadelphia.