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ISRCTN16756340

Effects of an 8-week birth preparation intervention on women's mental well-being

Datenbasis: WHO (Import vom 01.11.2024)
Geändert: 10.07.2024, 01:00
Krankheitskategorie:

Health conditions (Datenquelle: WHO)

Fear of childbirth; mental health in pregnant women
Mental and Behavioural Disorders

Interventions (Datenquelle: WHO)

The intervention group undergoes an eight-week psychological birth preparation program, which is provided via an online application with the name MyDoula. The program contains daily morning mindfulness exercises, evening meditations and two units per week, each including psychoeducation and an exercise part (e.g. reflection exercises run via chatbot). The app use was self-guided.

Participants randomized to the control group receive Treatment as Usual (TAU)/no treatment.

Inclusion/Exclusion Criteria (Datenquelle: WHO)

Gender: Female
Inclusion criteria: Pregnant women between the 20.1 and 27.0 week of pregnancy
Exclusion criteria: 1. Aged 17 years old and younger
2. German is not at a native language level
3. Taking psychotropic drugs, having a psychological diagnosis or being counselled by a psychologist, psychotherapist or psychiatrist at the time of the study
4. Pregnant women that give birth before finalizing the 8 weeks-MyDoula-App-Program (e.g. due to premature birth)
5. When people didn?t agree to be informed about incidental findings, e.g. high scores in the Edinburgh Postnatal Depression Scale (EPDS) screening

Weitere Angaben zur Studie im WHO-Primärregister

https://www.isrctn.com/ISRCTN16756340

Weitere Angaben zur Studie aus der Datenbank der WHO (ICTRP)

https://trialsearch.who.int/Trial2.aspx?TrialID=ISRCTN16756340
Weitere Informationen zur Studie

Datum der Studienregistrierung

08.03.2023

Einschluss der ersten teilnehmenden Person

08.09.2021

Rekrutierungsstatus

Completed

Wissenschaftlicher Titel (Datenquelle: WHO)

Comparing the MyDoula app intervention with standard care for pregnant women regarding mental wellbeing: Randomized controlled trial

Studientyp (Datenquelle: WHO)

Interventional

Design der Studie (Datenquelle: WHO)

Pre/post longitudinal experimental design with group randomization (Prevention)

Phase (Datenquelle: WHO)

Not Applicable

Primäre Endpunkte (Datenquelle: WHO)

1. Negative birth expectations measured using the Wijma Delivery Expectations (W-DEQ) questionnaire at baseline and after 8 weeks
2. Support within the relationship measured using the ?Relationship Assessment Scale? questionnaire at baseline
3. Depression Scores are measured using the ?Edinburgh Depression Scale? questionnaire at baseline and 8 weeks later
4. Support within relationships measured using the ?Social support instrument? questionnaire at baseline
5. Mother-Child-Bonding measured using the ?Maternal antenatal attachment scale? questionnaire at baseline and 8 weeks later
6. Mental Wellbeing measured using the ?Mental Wellbeing Scale? questionnaire at baseline and 8 weeks later
7. Mindfulness measured using the ?Frankfurter Fragebogen Achtsamkeit (FFA)? questionnaire at baseline and 8 weeks later
8. Birth mindset measured using the ?Mindset and Birth? questionnaire at baseline

Sekundäre Endpunkte (Datenquelle: WHO)

1. Dyadic coping mechanisms of participants measured using two items of the dyadic coping inventory (DCI) at baseline
2. Quality of current relationship measured using the relationship assessment scale (RAS) at baseline
3. Social support measured using the social support instrument (ESSI) at baseline
4. Prenatal mother-child bonding measured using the Maternal antenatal attachment scale (MAAS) at baseline and 8 weeks after baseline
5. Mental wellbeing measured using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) at baseline and 8 weeks after baseline
6. Mindfulness measured using the Frankfurter Fragebogen Achtsamkeit (FFA) at baseline and 8 weeks after baseline
7. Birthyear, sex, gender, German spoken and understood as native language, graduation, professional qualification, employment, professional position, management position, salary, number of persons in household, persons under 14 in household, marital status, taking psychotropic drugs (exclusion criteria), having psychotherapy (exclusion criteria), having a psychological diagnosis (exclusion criteria), having biological children, type of previous birth(s), type of previous negative birth experiences, abortion, miscarriage, pregnancy week, single/multiple pregnancy, planned pregnancy, worries about high/size of baby, complications during pregnancy, diseases regarding the unborn child, medical risk during pregnancy, worries/fears, main care person, satisfaction with pregnancy care, planned caesarian section (CS) and reasons, trauma, carrying out mindfulness exercises regularly, regular use of other pregnancy apps, using a birth preparation course, use of health apps, using online/offline offers regarding mental health, using online/offline offers regarding mindfulness measured using a Likert scale questionnaire at baseline
8. Pregnancy week, worries about high/size of the unborn baby, complications during pregnancy, diseases regarding the unborn child, medical risk during pregnancy, worries/fears, and planned CS measured using a Likert scale questionnaire at 8 weeks after baseline
9. A possible stressful event during pregnancy measured using a Likert scale questionnaire at 8 weeks after baseline
10. Stress tracking measured daily using a Likert scale questionnaire from baseline until 8 weeks after baseline

Kontakt für Auskünfte (Datenquelle: WHO)

European Regional Development Fund

Ergebnisse der Studie (Datenquelle: WHO)

Zusammenfassung der Ergebnisse

noch keine Angaben verfügbar

Link zu den Ergebnissen im Primärregister

noch keine Angaben verfügbar

Angaben zur Verfügbarkeit von individuellen Teilnehmerdaten

Not expected to be made available
Planned publication in a high-impact peer-reviewed journal

Studiendurchführungsorte

Durchführungsländer (Datenquelle: WHO)

Austria, Germany, Switzerland

Kontakt für weitere Auskünfte zur Studie

Kontakt für wissenschaftliche Auskünfte (Datenquelle: WHO)

Carmen
Birner
Kiepenheuerallee 5
+49 151 12960013
carmen.birner@fh-potsdam.de

Weitere Studienidentifikationsnummern

Secondary ID (Datenquelle: WHO)

Nil known
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