Actively Recruiting

Phase Not Applicable
FEMALE
ID04069091

Implementation of Prevention and Intervention of Maternal Perinatal Depression to Strengthen Maternal and Child Health

Led by Katri Räikkönen · Updated on 2025-09-30

1000

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

Sponsors

K

Katri Räikkönen

Lead Sponsor

H

Helsinki University Central Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying maternal perinatal depression, the most common complication during pregnancy, which affects both mothers and their children's early development. This trial aims to improve maternal and child health by screening, treating, and preventing perinatal depression using a culturally adapted low-intensity online cognitive behavioral therapy (CBT) program called 'Enjoy your Bump'. The study initially planned as a cluster-randomized trial now uses a single-arm design due to recruitment challenges, enrolling pregnant women from multiple antenatal clinics in various Finnish regions. Participants receive standard antenatal care alongside the 'Enjoy your Bump' online self-help intervention that uses CBT techniques such as empathic communication, problem-solving, behavioral activation, and addressing negative thoughts and low confidence. The intervention is tailored to the Finnish cultural and healthcare context. Women undergo this program during pregnancy, focusing on improving depressive symptoms and supporting mental health. Throughout the study, women are assessed for depressive symptoms immediately after the intervention at 26-28 weeks of gestation. Child developmental milestones are evaluated at three months of corrected age after birth. The trial monitors outcomes related to symptom severity, child development, and the influence of biological, psychological, and social factors. The study aims to recruit 500 women for the intervention and measures the impact on both mother and child over time.

CONDITIONS

Brief Title

Implementation of Prevention and Intervention of Maternal Perinatal Depression to Strengthen Maternal and Child Health

Who Can Participate

FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • EPDS screen result of 10 or more
  • Agreed to be invited for the intervention during the screening phase
  • Female gender
Not Eligible

You will not qualify if you...

  • Active suicidality
  • Presence of severe mental disorder
  • Concurrent use of psychotropic medication or psychosocial treatment for mental disorder

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Outpatient Treatment

Duration - Up to approximately 12 to 16 weeks until 26-28 gestational weeks

Participants in the CBT intervention arm participate in the 'Enjoy your Bump' online self-help intervention using cognitive behavioral therapy techniques alongside their standard antenatal care. Participants in the standard care arm continue with routine antenatal care without additional intervention.

Online self-help with standard antenatal care visits as scheduled

Follow-up

Duration - Approximately 3 months after childbirth

Participants are assessed for depressive symptoms immediately after the intervention and child developmental milestones at 3 months after childbirth.

1 to 2 visits depending on assessments

Trial Site Locations

Total: 1 location

1

University of Helsinki

Helsinki, Uusimaa, Finland, 00014

Actively Recruiting

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Research Team

K

Katri Räikkönen, PhD

J

Jaana Palukka, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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