Anxiety, Development, Child, Parent-Child Relations, Parenting Satisfaction, Postnatal Depression, Self Efficacy
Conditions
Brief summary
The Supportive Parenting App is a theory-based perinatal educational intervention for couples administered through a mobile application. The intervention comprise of knowledge-based content, informational videos and audio, discussion forum, peer volunteer chat group, and a frequently asked questions (FAQ) expert advice section. The aims of the study are to: 1. develop theory-based supportive parenting App (SPA) intervention for both first-time and experienced parents across perinatal period 2. examine its effectiveness on parental outcomes: including maternal depression at 12 months postpartum (primary outcome), paternal depression, parental anxiety, parenting self-efficacy, help - seeking behavior (social support), parental bonding and parenting satisfaction (secondary outcomes); and new-born outcomes: physical, social and emotional developments (secondary outcomes) 3. evaluate SPA's cost-effectiveness as compared to standard perinatal care across major restructured hospitals, and 4. examine the perceptions of parents in receiving this intervention. When compared with those in the control group receiving standard care: 1. parents receiving SPA intervention will have better- emotional well-being (reduced depression and anxiety);parenting self-efficacy; social support; bonding and satisfaction. 2. new-borns of parents receiving SPA will have better physical, social and emotional development 3. It will be more cost-effective to provide SPA than the standard care
Interventions
OTHERSupportive Parenting Application
The Supportive Parenting Application is a theory-based perinatal educational intervention for couples administered through a mobile application. The mobile app consist of knowledge-based content, informational videos and audio, discussion forum, chat groups with peer volunteers, and an experts advice section
Sponsors
National University of Singapore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
21 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* able to read and speak English * have low-risk singleton pregnancy with more than 24 weeks of gestation (age of viability) * have smartphone with internet access
Exclusion criteria
* have physical or mental disorders which would interfere with their ability to participate in the study * have high-risk pregnancy including placenta-previa major, pre-eclampsia, pregnancy induced hypertension etc. * have complicated assisted delivery such as vacuum or forceps with 4th degree perineal tear of the mother; and /or * give birth to a newborn at still-birth or a newborn with congenital anomalies and/or medical complications including pathological jaundice, that required special care in hospital.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maternal postpartum depression | 1 month postpartum | Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Paternal depression | 1 month postpartum | Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome |
| Parental Anxiety | 1 month postpartum | State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes. |
| Parenting self-efficacy | 1 month postpartum | Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy |
| Infant physical, social, and emotional development | 6 months postpartum | Bayley-IV scale Minimum raw score of 0 and maximum score of 258 for 129 items. Higher score indicate better outcome |
| Parent-Infant bonding | 1 month postpartum | Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding |
| Parenting satisfaction | 1 month postpartum | What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction. |
| Perceived social support | 1 month postpartum | Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support. |
Countries
Singapore
Outcome results
None listed