Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID06175104

HeartGPS: A Longitudinal Randomized Trial Examining a Prenatal Psychological Intervention for Parents and Their Babies With Single Ventricle Congenital Heart Disease

Led by Children's Hospital Medical Center, Cincinnati · Updated on 2025-07-20

50

Participants Needed

4

Research Sites

52 weeks

Total Duration

On this page

Sponsors

C

Children's Hospital Medical Center, Cincinnati

Lead Sponsor

C

Children's Hospital Los Angeles

Collaborating Sponsor

AI-Summary

What this Trial Is About

Babies diagnosed prenatally with single ventricle congenital heart disease (SVCHD) often face challenges due to prenatal stress experienced by their parents. This research evaluates a psychological intervention called HeartGPS designed to support parents who receive this diagnosis during pregnancy. The study aims to understand whether adding HeartGPS to usual fetal cardiac care helps reduce parental anxiety, depression, and traumatic stress, while also examining effects on fetal and infant brain development, parent-infant bonding, and infant neurodevelopment. The trial is a longitudinal randomized controlled study involving multiple sites and enrolling mothers expecting babies with SVCHD. The HeartGPS intervention includes eight sessions with a trained psychologist, delivered either in-person or via telehealth, combined with tailored educational materials and a personalized care plan to promote mental health and parent-child bonding. Participants are randomly assigned to receive either usual fetal cardiac care alone or usual care plus the HeartGPS program. The intervention spans the prenatal period and early postpartum, focusing on emotional support and strategies for coping and communication. Participants will undergo assessments before and after the intervention, including maternal psychological evaluations at baseline, around 36 weeks gestation, and during the first year postpartum. Fetal and infant brain imaging using MRI will occur near 36 weeks gestation and around 28 days after birth. Biological samples from parents and infants will also be collected. Researchers will measure maternal anxiety, depression, and traumatic stress as primary outcomes, alongside infant neurobehavior, neurodevelopment, and mother-infant interaction. The study monitors participants for up to 12 months after birth to assess long-term effects.

CONDITIONS

Brief Title

HeartGPS: A Study Exploring the Effects of a Psychological Intervention for Parents and Their Babies After Prenatal Cardiac Diagnosis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Pregnant person carrying a fetus diagnosed with single ventricle congenital heart disease (CHD)
  • Diagnosis made between 16 and 30 weeks gestation
  • Singleton pregnancy
  • Planning to continue with the pregnancy
  • Able to participate and complete study assessments in English
Not Eligible

You will not qualify if you...

  • Fetus with a comorbid condition expected to adversely impact neurodevelopment (e.g., DiGeorge Syndrome)
  • Fetal or maternal medical condition deemed contraindicated by physician
  • Parent with untreated major psychiatric condition or substance use disorder interfering with safe participation
  • Parent with moderate to severe intellectual disability
  • Parent younger than 18 years
  • Surrogate for pregnancy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit (in-person or virtual)

Outpatient Treatment

Duration - 8 weeks during pregnancy and early postpartum

Participants receive the HeartGPS psychological intervention during pregnancy and the early postpartum period. The intervention includes sessions with a psychologist, educational resources, and a personalized care plan to support parent and infant mental health and wellbeing.

Weekly sessions with a psychologist (in-person or via telehealth)

Monitoring

Duration - From baseline (pre-randomization) through infant age 12 months

Participants undergo maternal and infant assessments including neuroimaging and collection of biological samples to evaluate psychological distress and infant neurodevelopment.

5 assessment visits approximately at baseline, 36 weeks gestation, infant age 28 days, 6 months, and 12 months

Trial Site Locations

Total: 4 locations

1

Children's Hospital Los Angeles

Los Angeles, California, United States, 90027

Not Yet Recruiting

2

Children's Hospital Medical Center, Cincinnati

Cincinnati, Ohio, United States, 45229

Actively Recruiting

3

Sydney Children's Hospital

Randwick, New South Wales, Australia, 2031

Not Yet Recruiting

4

The Children's Hospital at Westmead

Westmead, New South Wales, Australia, 2145

Not Yet Recruiting

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Research Team

N

Nadine A. Kasparian, PhD

J

James F. Cnota, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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