About this trial
This is a randomized controlled trial with an intervention of Center M compared to treatment as usual. Center M consists of weekly digital one-hour group sessions led by a trained therapist aligned with mindfulness based cognitive therapy. Changes in perinatal depression symptoms will be compared between groups.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Currently pregnant at ≥ 12 weeks of gestation age (GA)
≤ 34 weeks GA at time of Center M intervention initiation
Receiving prenatal care through the Center for Women's Health at Oregon Health & Science University
Able to fluently understand, speak and read English
Disqualifiers
Current or past enrollment in a formal mindfulness-based intervention group
Score in the "severe" range on the Edinburgh Postnatal Depression Scale (EPDS) (≥ 20) or Patient History Questionnaire (PHQ-9) (≥ 20)
Trial design
Parallel
Treatments tested in this trial
Center M
BehavioralIn addition to standard prenatal care, participants will participate in Center M sessions, which are weekly one-hour digital group sessions led by a therapist. Each group will include 3-6 participants. The Center M session structure aligns with mindfulness-based cognitive therapy by including mental well-being, core mindfulness and cognitive behavioral therapy skills, in-session practice of skills, and home practice skills. Center M content teaches skills that increase capability for effectively navigating general life stress and the unique stresses of pregnancy and parenting.
Treatment groups
Trial outcomes
Primary outcomes
Change in EPDS scores (baseline to 6 weeks)
Measured by the Edinburgh Postnatal Depression Scale (EPDS). EPDS is scored on a scale from 0 to 30 with higher scores representing more symptoms of depression.
Change in PHQ scores (baseline to 6 weeks)
Measured by the Patient Health Questionnaire (PHQ-9). PHQ-9 is scored on a scale from 0 to 27 with higher scores representing more symptoms of depression.
Secondary outcomes
Change in EPDS scores (baseline to 3 months)
Measured by the Edinburgh Postnatal Depression Scale (EPDS). EPDS is scored on a scale from 0 to 30 with higher scores representing more symptoms of depression.
Change in PHQ scores (baseline to 3 months)
Measured by the Patient Health Questionnaire (PHQ-9). PHQ-9 is scored on a scale from 0 to 27 with higher scores representing more symptoms of depression.
Change in Mindfulness
Measured by the Five Facet Mindfulness Questionnaire (FFMQ). Average total score can be between 1 and 5 with 5 representing the highest level of mindfulness.
Change in Emotional Regulation
Measured by the Emotional Regulation Questionnaire (ERQ). It consists of two subscales, reappraisal and suppression. For the reappraisal subscale, scores can be between 6 and 42 with higher scores representing a more positive outcome. For the suppression subscale, scores can be between 4 and 28 with a higher score representing a worse outcome.
Locations
Sponsors and contacts
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Oregon Health and Science University
Lead sponsor
John & Tami Marick Foundation
Collaborator
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