protocolSection identificationModule nctId: NCT06363019, orgStudyIdInfo id: 2023/00158, briefTitle: Supporting At-Risk Mothers Across Perinatal Period, acronym: SMART, statusModule overallStatus: RECRUITING, startDateStruct date: 2024-02-26, primaryCompletionDateStruct date: 2025-02-26, completionDateStruct date: 2026-07-06, studyFirstPostDateStruct date: 2024-04-12, lastUpdatePostDateStruct date: 2024-04-12, sponsorCollaboratorsModule leadSponsor name: National University of Singapore, class: OTHER, collaborators name: Ministry of Health, Singapore, descriptionModule briefSummary: The SMART app is a mobile application based psychosocial parenting intervention containing educational materials (articles, videos, audios, podcasts) on parenting, an integrated peer support chat function with experienced mothers and an integrated forum for interaction with other mother participants.The goal of this interventional study is to test the effectiveness of a mobile-app health based intervention, SMART, mothers in the perinatal period.The main questions this study aims to answer are:1. What is the effect of a mobile-based health intervention, SMART, on maternal outcomes?2. What is the effect of a mobile-based health intervention, SMART, on infant outcomes?3. What is the cost-effectiveness of using SMART as compared to standard routine care?Researchers will compare results with a control group that will undergo standard routine care., conditionsModule conditions: Perinatal Depression, conditions: Parents, conditions: Anxiety, conditions: Self Efficacy, conditions: Stress, conditions: Infant Development, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, interventionModelDescription: Two-group parallel-armed randomized controlled trial with a pretest and repeated post-test experimental design, primaryPurpose: SUPPORTIVE_CARE, maskingInfo masking: NONE, enrollmentInfo count: 200, type: ESTIMATED, armsInterventionsModule interventions name: Supporting at-risk Mothers Across perinatal period: a Randomized controlled Trial (SMART) mobile application, outcomesModule primaryOutcomes measure: Postnatal depression, secondaryOutcomes measure: Infant physical development, secondaryOutcomes measure: Infant cognitive development, secondaryOutcomes measure: Infant emotional development, secondaryOutcomes measure: Anxiety, secondaryOutcomes measure: Perceived stress, secondaryOutcomes measure: Perceived social support, secondaryOutcomes measure: Maternal-infant bonding, secondaryOutcomes measure: Parental satisfaction, secondaryOutcomes measure: Parental efficacy, secondaryOutcomes measure: Objective stress, secondaryOutcomes measure: Emotional availability, secondaryOutcomes measure: Health services and utilization, secondaryOutcomes measure: Infant Physical Development, secondaryOutcomes measure: Infant Social Development, secondaryOutcomes measure: Infant Social Development, secondaryOutcomes measure: Infant Social Development, secondaryOutcomes measure: Infant Emotional Development, eligibilityModule sex: FEMALE, minimumAge: 21 Years, maximumAge: 65 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Alice Lee Centre for Nursing Studies, National University of Singapore, status: RECRUITING, city: Singapore, zip: 117597, country: Singapore, contacts name: Shefaly Shorey, PhD, role: CONTACT, phone: 66011294, phoneExt: +(65), email: nurssh@nus.edu.sg, geoPoint lat: 1.28967, lon: 103.85007, locations facility: National University of Singapore, status: RECRUITING, city: Singapore, zip: 117597, country: Singapore, contacts name: Shefaly Shorey, role: CONTACT, phone: +6566011294, email: nurssh@nus.edu.sg, geoPoint lat: 1.28967, lon: 103.85007, hasResults: False