The Momba Mobile Application-based Community

Study Overview
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Brief Summary
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The investigators' mobile application-based community, termed Momba, will provide a bi-directional flow of information on maternal and infant mental health to traditionally underrepresented groups of mothers and their infants. The overall goal of this mobile application-based community of low-income postpartum women and infants is to increase the social support, social networks, and social capital of low-income mothers; thereby, leading to a positive change in the health behaviors, utilization of health services, and mental health status of both mothers and their infants.

Official Title
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The Momba Mobile Application-based Community

Conditions
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Mental Health Wellness 1

Intervention / Treatment
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* Behavioral: MOMBA web-based application


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women will be recruited in their third trimester of pregnancy from Yale-New Haven Hospital (YNHH) and followed for 8 months postpartum. Women are eligible if they are over the age of 18, in their third trimester of pregnancy, will deliver a baby at YNHH and receive prenatal care at the Women's Center. Meet criteria for minor or major depressive disorder. Exclusion Criteria: Mothers are not eligible to participate if they have previously given birth Are placing the baby for adoption Are planning to move in the next 18 months Are actively suicidal, psychotic or unable to provide informed consent

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Access to MOMBA web-based application<br>Study will provide the subject with a smartphone, pay the data plan, and facilitate access to the web-based application for purposes of researching the acceptability of the application, the operating and functioning of it, and its impact on maternal mental health. | Behavioral: MOMBA web-based application<br>* Web-based, interactive, social network application.<br>|
| No Intervention: Smartphone only<br>Study will provide the subject with a smartphone and pay the data plan. Weekly assessments are completed through internet survey links sent via text message. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Phone Retention | To determine the potential feasibility of providing smartphones to participants and delivering and intervention through the smartphone, phone retention was measured. Phone retention was defined as the ability of participants to retain the phone over the study period. Outcome measure used was how many participants did not need a replacement phone during the study period. | 15 months | 
| Test the Proper Operating and Functioning of the MOMBA Application | To Test the proper operating and functioning of the MOMBA application, the number of participants that received training was assessed. Intervention subjects were trained (together) on the operating and functions (including how to use the privacy settings) of the Momba application and the phone. The control subjects were trained (together) on how to complete the control questionnaires and how to use the phone. | Baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acceptability and Performance of Structured Questionnaires | To determine the acceptability and performance of structured questionnaires, the measurement is categorized into whether participants did or did not complete the 12 month follow-up interview. | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Depression, Stress, Social support, Social capital, Maternal