Art Therapy in High-risk Obstetric Patients

Study Overview
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Brief Summary
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This is a prospective study examining the potential impact art therapy has on postpartum depression and mother-baby bonding in women with high-risk pregnancies. Women who receive care at Washington Hospital Center's high-risk obstetrics clinic will be recruited for this study.

Official Title
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The Impact of Art Therapy on Maternal Depression and Mother-infant Bonding in High-risk Pregnancies

Conditions
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High Risk Pregnancy, Depression

Intervention / Treatment
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* Other: art therapy
* Other: nothing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants will have to be eighteen years of age or older, in the second trimester of pregnancy at time of recruitment, speak and read English as their primary language, have access to a reliable internet/wifi connection to participate in therapy sessions, and plan to deliver at Washington Hospital Center Exclusion Criteria: Women who do not meet those criteria will be excluded from recruitment

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Engage in six art therapy sessions | Other: art therapy<br>* six sessions of art therapy with licensed therapists<br>|
| Placebo Comparator: Control<br>Engage in usual activities | Other: nothing<br>* no intervention to this group<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| changes in Edinburgh Postnatal Depression Scale scores | raw score on scale | start, middle, and end of intervention period, time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum | 
| change in maternal-infant bonding scores | raw score on scale | start, middle, and end of intervention period, time of delivery, two weeks postpartum, six weeks postpartum, three months postpartum | 
| utilization of behavioral health/psychology/psychiatry services during pregnancy and postpartum | chart review to see if patients utilized services yes vs. no | 12-16 months | 
| use of psychiatry medications during and after pregnancy | chart review to see if patients utilized services yes vs. no | 12-16 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| obstetrical complications (postpartum hemorrhage, OASIS, ICU admission) | chart review | one month postpartum | 
| gestational age at time of delivery | chart review | one month postpartum | 
| mode of delivery | chart review | one month postpartum | 
| reason for delivery (iatrogenic vs spontaneous) | chart review | one month postpartum | 
| birth weight | chart review | one month postpartum | 
| APGAR scores | chart review | one month postpartum | 
| NICU admissions | chart review | one month postpartum | 
| delivery complications (shoulder dystocia, low birth weight) | chart review | one month postpartum |