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BMC Pregnancy and Childbirth

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Open Access 01-12-2014 | Study protocol

The (cost) effectiveness of an online intervention for pregnant women with affective symptoms: protocol of a randomised controlled trial

Authors: Hanna M Heller, Annemieke van Straten, Christianne JM de Groot, Adriaan Honig

Published in: BMC Pregnancy and Childbirth | Issue 1/2014

Abstract

Background

Women in pregnancy and postpartum have an increased vulnerability to develop an affective disorder. Affective disorders in pregnancy are associated with an increased risk of prematurity, dysmaturity (foetal weight below the 10^th percentile as determined by ultrasound) and the development of postpartum depressive disorder. Untreated affective disorders and their complications may also result in considerable costs. Recent meta-analyses showed that interventions during pregnancy are less effective than postpartum interventions probably because of high attrition due to the barriers pregnant women experience with attending sessions outside their homes. An internet-based self-help intervention may overcome these barriers as it can be followed at home, and also in one’s own time. Such internet interventions showed to be effective for decreasing affective symptoms in general.

This randomised clinical trial examines whether an internet-based self-help intervention is effective in the reduction of affective symptoms in pregnancy and postpartum and results in an improvement of the perinatal outcome. We will also determine the cost-effectiveness of the intervention.

Methods/design

We will investigate the effectiveness of a 6 week internet-based self-help problem solving treatment (PST) for affective symptoms in pregnancy. We aim to include 286 women with mild to severe affective symptoms who will be randomly assigned to the internet-based intervention or a waiting list control group. Primary outcome measures are affective symptoms and the perinatal outcome. Secondary outcome measures are quality of life, and economic costs. All assessments are based on self-report and will take place at baseline (T0), 10 weeks later (after completion of the intervention (T1), 4 weeks before the expected day of birth (T2), and 6 weeks after delivery (T3). The control group will be measured at the same moments in time. Analysis will be based on the intention-to-treat principle.

Discussion

If shown (cost) effective, internet-based PST will offer new possibilities to treat pregnant women for affective symptoms, to improve their perinatal outcome and to prevent the development of postpartum depressive disorders.

Trial registration

Nederlands Trial Register: NTR4321

Available only for authorised users

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The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2393/14/273/prepub

Title: The (cost) effectiveness of an online intervention for pregnant women with affective symptoms: protocol of a randomised controlled trial
Authors: Hanna M Heller
Annemieke van Straten
Christianne JM de Groot
Adriaan Honig
Publication date: 01-12-2014
Publisher: BioMed Central
Published in: BMC Pregnancy and Childbirth / Issue 1/2014
Electronic ISSN: 1471-2393
DOI: https://doi.org/10.1186/1471-2393-14-273

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The (cost) effectiveness of an online intervention for pregnant women with affective symptoms: protocol of a randomised controlled trial

Abstract

Background

Methods/design

Discussion

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods/design

Discussion

Trial registration

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