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Pregnancy, Childbirth and PostpartumNCT03247491

Effectiveness of a Mindfulness and Compassion Intervention for Pregnant Women and Their Partners for the Prevention of Stress and Depression During Pregnancy and Breastfeeding

A study testing Mindfulness in people with Pregnancy, Childbirth and Postpartum, run by Javier Garcia Campayo at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of this study is to assess a mindfulness and compassion group intervention for pregnant women and their partners (8 weeks) for the prevention, reduction and treatment of stress, negative affect and depression in pregnancy and breastfeeding. Read more about this study

Who is it for?
Ages 18 to 45 years, women onlyHealthy volunteers can take part
Conditions the study is for
Pregnancy, Childbirth and Postpartum
What is being tested?
Mindfulness
Could I receive a placebo?
No, everyone receives an active treatment
How many people
122 participants
Where
1 siteSpain
Study dates
1 Oct 2017to 1 Dec 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Be at least 18 years old
  • Willingness to participate in the study and signing informed consent
  • Ability to understand and write Spanish.
  • Women will be in their 6 to 25 weeks of pregnancy.
  • All women eligible will be accepted with our without their partner.

Who cannot join

  • Any diagnose of disease that may affect central nervous system (brain pathology, traumatic brain injury, dementia, etc.),
  • Other psychiatric diagnoses or acute psychiatric illness (substance dependence or abuse, history of schizophrenia or other psychotic disorders, eating disorders, etc.),
  • Any medical, infectious or degenerative disease that may affect mood, presence of delusional ideas or hallucinations consistent or not with mood, and suicide risk
  • Currently taking psychopharmacological medication or under psychopharmacological treatment.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Universidad Nacional de Educacion a Distancia

    Valladolid, 47013

Other trials in Spain

About this study

Official title: Effectiveness of a Mindfulness and Compassion Group Intervention Applied to Pregnant Women and Their Partners to Decrease Stress, Negative Affect and Depression During Pregnancy and Breastfeeding. Controlled and Randomized Study

The aim of this study is to assess a mindfulness and compassion group intervention for pregnant women and their partners (8 weeks) for the prevention, reduction and treatment of stress, negative affect and depression in pregnancy and breastfeeding. This group intervention will also be compared with a Treatment as usual (TAU) group consisting in a childbirth education class taught by the Health Center midwife. The principal hypothesis is that the mindfulness and compassion intervention will be more effective than TAU.

Read the detailed description

The aim of this study is to assess a mindfulness and compassion group intervention for pregnant women and their partners (8 weeks) for the prevention, reduction and treatment of stress, negative affect and depression in pregnancy and breastfeeding.

There will be two groups:

  1. A face to face mindfulness and compassion intervention for pregnant women in their second trimester of pregnancy and their partners in group format (8 weeks) based in the Mindfulness Based Childbirth and Parenting program from Nancy Bardacke. This group will also receive in their third trimester of pregnancy the childbirth education classes taught by midwives (6-8 weeks) that every pregnant woman normally attends to in the National Health Care System in Spain (TAU).
  2. A control group that will receive only the childbirth education class by midwives (TAU) group consisting in a childbirth education class taught by the Health Center midwife at the third trimester of pregnancy.

Each group will be composed of 60 participants with a total sample of 120. The principal hypothesis is that the mindfulness and compassion intervention will be more effective than TAU in the decrease of stress, negative affect and depression and in the increase of positive affect during pregnancy and breastfeeding.

The differences between the intervention and control group will be analyzed. Finally, a qualitative study will be conducted.

Being tested
Mindfulness
Keywords
Mindfulness, Compassion, Depression during Pregnancy and Postpartum, Prevention, Stress

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MindfulnessBehavioural

    TAU + mindfulness applied face to face 8 sessions of 120 minutes/session Mindfulness and Compassion based intervention applied in groups of 12-15 people in traditional format. Written material and sound recordings will be offered as support elements. The estimated duration of the face to face program is two months.

Study groups in NCT03247491
Study groupRoleWhat they receive
ExperimentalExperimentalTAU + mindfulness applied face to face 8 sessions of 120 minutes/session Mindfulness and Compassion based intervention applied in groups of 12-15 people in traditional format. Written material and sound recordings will be offered as support elements. The estimated duration of the face to face program is two months.
Receives: Behavioral: Mindfulness
No interventionNo interventionUsual medical treatment (TAU) In this group the midwife will apply the usual treatment (childbirth education class in the third trimester of pregnancy).

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Edinburgh postnatal depression scale (EPDS)

    In the mindfulness and compassion based intervention group

    Measured: Baseline

  2. Edinburgh postnatal depression scale (EPDS)

    In the TAU control group

    Measured: Baseline

  3. Edinburgh postnatal depression scale (EPDS)

    Measured: Post-treatment 8 weeks from baseline in intervention group

  4. Edinburgh postnatal depression scale (EPDS)

    Measured: Post-treatment 8 weeks from baseline in TAU control group

  5. Edinburgh postnatal depression scale (EPDS)

    Measured: Post-partum 3 months follow up in 8 weeks intervention group

  6. Edinburgh postnatal depression scale (EPDS)

    Measured: Post-partum 3 months follow up in TAU control group

  7. Edinburgh postnatal depression scale (EPDS)

    Measured: Post-partum 6 months follow up in 8 weeks intervention group

  8. Edinburgh postnatal depression scale (EPDS)

    Measured: Post-partum 6 months follow up in TAU control group

Secondary outcomes (42)
  1. Sociodemographic data Gender, age, marital status, education, occupation, economical level

    In the mindfulness-based intervention applied face-to-face and TAU control group

    Measured: Baseline

  2. M.I.N.I. International Neuropsychiatric Interview

    only if needed

    Measured: baseline applied in TAU and in intervention group

  3. Client service receipt inventory (CSRI)

    In the mindfulness-based intervention applied face-to-face and TAU control group

    Measured: Baseline

  4. Client service receipt inventory (CSRI)

    Measured: Post-partum 6 months follow up in 8 weeks intervention group

  5. Client service receipt inventory (CSRI)

    Measured: Post-partum 6 months follow up in TAU control group

  6. Medical data regarding delivery and breastfeeding

    In the mindfulness-based intervention applied face-to-face and TAU control group

    Measured: 2 months after delivery

  7. Perceived Stress Scale (PSS)

    In the mindfulness and compassion based intervention group

    Measured: Baseline

  8. Perceived Stress Scale (PSS)

    In the TAU control group

    Measured: Baseline

  9. Perceived Stress Scale (PSS)

    Measured: Post-treatment 8 weeks from baseline in 8 weeks intervention group

  10. Perceived Stress Scale (PSS)

    Measured: Post-treatment 8 weeks from baseline in TAU control group

  11. Perceived Stress Scale (PSS)

    Measured: Post-partum 3 months follow up in 8 weeks intervention group

  12. Perceived Stress Scale (PSS)

    Measured: Post-partum 3 months follow up in TAU control group

  13. Perceived Stress Scale (PSS)

    Measured: Post-partum 6 months follow up in 8 weeks intervention group

  14. Perceived Stress Scale (PSS)

    Measured: Post-partum 6 weeks follow up in TAU control group

  15. Positive and negative affect (PANAS)

    In the mindfulness and compassion based intervention group

    Measured: Baseline

  16. Positive and negative affect (PANAS)

    In the TAU control group

    Measured: Baseline

  17. Positive and negative affect (PANAS)

    Measured: Post-treatment 8 weeks from baseline in 8 weeks intervention group

  18. Positive and negative affect (PANAS)

    Measured: Post-treatment 8 weeks from baseline in TAU control group

  19. Positive and negative affect (PANAS)

    Measured: Post-partum 3 months follow up in 8 weeks intervention group

  20. Positive and negative affect (PANAS)

    Measured: Post-partum 3 months follow up in TAU control group

  21. Positive and negative affect (PANAS)

    Measured: Post-partum 6 months follow up in 8 weeks intervention group

  22. Positive and negative affect (PANAS)

    Measured: Post-partum 6 months follow up in TAU control group

  23. Five Facets and factors of mindfulness (FFMQ)

    In the mindfulness and compassion based intervention group

    Measured: Baseline

  24. Five Facets and factors of mindfulness (FFMQ)

    In the TAU control group

    Measured: Baseline

  25. Five Facets and factors of mindfulness (FFMQ)

    Measured: Post-treatment 8 weeks from baseline in 8 weeks intervention group

  26. Five Facets and factors of mindfulness (FFMQ)

    Measured: Post-treatment 8 weeks from baseline in TAU control group

  27. Five Facets and factors of mindfulness (FFMQ)

    Measured: Post-partum 3 months follow up in 8 weeks intervention group

  28. Five Facets and factors of mindfulness (FFMQ)

    Measured: Post-partum 3 months follow up in TAU control group

  29. Five Facets and factors of mindfulness (FFMQ)

    Measured: Post-partum 6 months follow up in 8 weeks intervention group

  30. Five Facets and factors of mindfulness (FFMQ)

    Measured: Post-partum 6 months follow up in TAU control group

  31. Self Compassion Scale (SCS)

    In the mindfulness and compassion based intervention group

    Measured: Baseline

  32. Self Compassion Scale (SCS)

    In the TAU control group

    Measured: Baseline

  33. Self Compassion Scale (SCS)

    In the mindfulness and compassion based intervention group

    Measured: Post-treatment 8 weeks from baseline in 8 weeks intervention group

  34. Self Compassion Scale (SCS)

    Measured: Post-treatment 8 weeks from baseline in TAU control group

  35. Self Compassion Scale (SCS)

    Measured: Post-partum 3 months follow up in 8 weeks intervention group

  36. Self Compassion Scale (SCS)

    Measured: Post-partum 3 months follow up in TAU control group

  37. Self Compassion Scale (SCS)

    Measured: Post-partum 6 months follow up in 8 weeks intervention group

  38. Self Compassion Scale(SCS)

    Measured: Post-partum 6 months follow up in TAU control group

  39. Parental Evaluation Scale (EEP)

    Measured: Post-partum 3 months follow up in 8 weeks intervention group

  40. Parental Evaluation Scale (EEP)

    Measured: Post-partum 3 months follow up in TAU control group

  41. Parental Evaluation Scale (EEP)

    Measured: Post-partum 6 months follow up in 8 weeks intervention group

  42. Parental Evaluation Scale (EEP)

    Measured: Post-partum 6 months follow up in TAU control group

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Aug 2017
  2. Study start1 Oct 2017
  3. Primary completion2 Oct 2019
  4. Study completion1 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Factorial
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
122 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03247491
Sponsor's protocol ID
50/2014/04
Status last verified
Dec 2019
First submitted
9 Aug 2017
Last updated
3 Dec 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Duncan LG, Bardacke N. Mindfulness-Based Childbirth and Parenting Education: Promoting Family Mindfulness During the Perinatal Period. J Child Fam Stud. 2010 Apr;19(2):190-202. doi: 10.1007/s10826-009-9313-7. Epub 2009 Oct 10.

    PubMed 20339571
  • Duncan, L.G., Cohn, M.A., Chao, M.T., Cook, J.G., Riccobono, J., & Bardacke, N. (2014a) Mind in labor: Effects of mind/body training on childbirth appraisals and pain medication use during labor. The Journal of Alternative and Complementary Medicine, 20, A17-A17.

  • Duncan, L.G., Cohn, M.A., Cook, J.G., Hecht, F.M., & Bardacke, N. (2014b) The mind in labor: Employing mindfulness to alleviate fear and pain in childbirth. Poster presented at the 2nd biennial International Symposium for Contemplative Studies. Boston, MA.

  • Duncan LG, Shaddix C. Mindfulness-Based Childbirth and Parenting (MBCP): Innovation in Birth Preparation to Support Healthy, Happy Families. Int J Birth Parent Educ. 2015 Jan;2(2):30-33. No abstract available.

    PubMed 29051821
  • Duncan LG, Cohn MA, Chao MT, Cook JG, Riccobono J, Bardacke N. Benefits of preparing for childbirth with mindfulness training: a randomized controlled trial with active comparison. BMC Pregnancy Childbirth. 2017 May 12;17(1):140. doi: 10.1186/s12884-017-1319-3.

    PubMed 28499376
  • Sacristan-Martin O, Santed MA, Garcia-Campayo J, Duncan LG, Bardacke N, Fernandez-Alonso C, Garcia-Sacristan G, Garcia-Sacristan D, Barcelo-Soler A, Montero-Marin J. A mindfulness and compassion-based program applied to pregnant women and their partners to decrease depression symptoms during pregnancy and postpartum: study protocol for a randomized controlled trial. Trials. 2019 Nov 28;20(1):654. doi: 10.1186/s13063-019-3739-z.

    PubMed 31779683

Questions about this trial

What is this clinical trial studying?

A study testing Mindfulness in people with Pregnancy, Childbirth and Postpartum, run by Javier Garcia Campayo at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Edinburgh postnatal depression scale (EPDS) (time frame: Baseline). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03247491, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Dec 2019.

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