UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000054078
Receipt number R000061286
Scientific Title Development of Cognitive Behavioral Therapy based midwifery Care Program for Perinatal Depression and Anxiety in Preterm High-risk Pregnant Women.
Date of disclosure of the study information 2024/04/07
Last modified on 2024/04/06 12:58:28

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Basic information

Public title

Development of Cognitive Behavioral Therapy based midwifery Care Program for Perinatal Depression and Anxiety in Preterm High-risk Pregnant Women.

Acronym

Development of Cognitive Behavioral Therapy based midwifery Care Program for Perinatal Depression and Anxiety in Preterm High-risk Pregnant Women.

Scientific Title

Development of Cognitive Behavioral Therapy based midwifery Care Program for Perinatal Depression and Anxiety in Preterm High-risk Pregnant Women.

Scientific Title:Acronym

Development of Cognitive Behavioral Therapy based midwifery Care Program for Perinatal Depression and Anxiety in Preterm High-risk Pregnant Women.

Region

Japan


Condition

Condition

High-risk Pregnant Women Diagnosed with Threatened Premature Labor, Cervical Incompetency, Premature Rupture of the Membranes, Placenta Previa, Hypertensive Disorders of Pregnancy and Fetal Growth Restriction

Classification by specialty

Obstetrics and Gynecology Psychiatry Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

A program of midwifery care, based on cognitive behavioral therapy, has been developed to address depression and anxiety in preterm high-risk pregnant women. The program will be examined in a future RCT to determine its effectiveness. The study aims to pre-test the program and evaluate its content validity.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The change in STAI (State-Trait Anxiety Inventory) scores before and after the program intervention is calculated for each case.

Key secondary outcomes

Changes in the EPDS (Edinburgh Postnatal Depression Scale), PHQ-9 (Patient Health Questionnaire-9), GAD-7 (Generalized Anxiety Disorder-7), MIBS-J (Mother to Infant Bonding Scale-Japanese version) and EQ-5D-5L (EuroQol-5dimension-5level) before and after the program. Post-program impressions.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Prevention

Type of intervention

Behavior,custom

Interventions/Control_1

The program is based on standard midwifery care from admission to the one-month postpartum check-up. It consists of six 30-minute interventions, including a cognitive-behavioral therapy component.The initial session provides psychoeducation on perinatal depression and anxiety and promotes self-understanding. This includes raising awareness of one's thinking habits and identifying whether one has fallen into a vicious cycle of thinking, using the cognitive-behavioral model. The second session aims to capture cognitions that are strongly associated with emotions, such as anxiety about preterm birth, in order to modify cognitive biases and prepare the mind for the possibility of preterm birth. The third intervention aims to transform the cognitive experience of premature birth into a positive one. This is based on the fact that the treatment resulted in the continuation of the pregnancy. The fourth session suggests integrating NICU visits and childcare behaviors into daily life as enjoyable activities. The objective of the fifth session is to facilitate behavioral change by collaboratively addressing post-discharge difficulties and problems through problem-solving techniques. The sixth session reflects on the cognitive-behavioral therapy techniques used thus far and shares what can be applied to childcare after the one-month check-up.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

This study includes only singleton pregnancies. Upon admission, the pregnant woman must be between 24 and 35 weeks' gestation. Additionally, fetal well-being has been confirmed.Symptoms have been stabilized with post-hospitalization treatment and the pregnancy is expected to continue for at least one week after admission.

Key exclusion criteria

Pregnant women with psychiatric complications, multiple gestations, fetal diseases, or who are unable to communicate in Japanese.

Target sample size

3


Research contact person

Name of lead principal investigator

1st name Chie
Middle name
Last name Tanii

Organization

Tokyo Women's Medical University Yachiyo Medical Center

Division name

Nursing Department

Zip code

276-8524

Address

477-96 Owada Shinden, Yachiyo City, Chiba Prefecture

TEL

047-450-6000

Email

tanii.chie@twmu.ac.jp


Public contact

Name of contact person

1st name Chie
Middle name
Last name Tanii

Organization

Tokyo Women's Medical University Yachiyo Medical Center

Division name

Nursing Department

Zip code

276-8524

Address

477-96 Owada Shinden, Yachiyo City, Chiba Prefecture

TEL

047-450-6000

Homepage URL


Email

tanii.chie@twmu.ac.jp


Sponsor or person

Institute

Tokyo Women's Medical University

Institute

Department

Personal name



Funding Source

Organization

Chiba University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tokyo Women's Medical University

Address

8-1, Kawatachou,Shinjuku-ku,Tokyo

Tel

03-3353-8111

Email

tanii.chie@twmu.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 04 Month 07 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2024 Year 04 Month 05 Day

Date of IRB

2024 Year 02 Month 26 Day

Anticipated trial start date

2024 Year 04 Month 08 Day

Last follow-up date

2024 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 04 Month 06 Day

Last modified on

2024 Year 04 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000061286


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name