Clinical trial NCT01967394: Social Media, Teen Moms and PPD
Official title: Social Media, Teen Moms, and Postpartum Depression
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Postpartum Depression
Keywords: Health Care Quality
Access
Evaluation
Lead sponsor: University of Louisville
Sponsor class: OTHER
Collaborators: name: National Institute of Nursing Research (NINR)
First posted: 2013-10-22
Enrollment: 287
Sex: FEMALE
Minimum age (years): 13
Maximum age (years): 21
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP

Brief summary: Approximately 400,000 live births occur to adolescents in the United States annually. Of the 50% of adolescent mothers who experience depressive symptoms, less than 25% comply with referrals for depression evaluation and treatment due to lack of knowledge of depression symptoms (literacy), negative attitude towards mental health treatment, perception that individuals with depression are stigmatized (subjective norms), lack of understanding of health resources that are available to her and under her control (perceived control), and lack of time. Social media is a promising vehicle to reach and educate adolescent mothers since most adolescent mothers use social media for communication and to search for health information. Based upon the Theory of Planned Behavior, the investigators will target 11 counties in Kentucky with a social media ad campaign that will result in adolescent mothers (n=140) from those counties enrolling in an internet based intervention related to postpartum depression. The previously tested intervention includes vignettes from other adolescent mothers, questions and answers, resources, and an option to enroll in text message service. Before the intervention, after the intervention, and two weeks later the adolescent mothers will complete established questionnaires to determine if the intervention improved attitude and subjective norms towards depression and depression treatment, perceived control and intention related to seeking depression treatment, and the number of adolescent mothers with symptoms of depression who receive depression treatment. Data will be compared to scores on the same instruments from adolescent mothers (n=140) from the control group (18 other counties in Kentucky) that have not been targeted with the social media ad campaign or participated in the intervention. Data from the adolescent mothers in the control group will be collected in partnership with community agencies. The overall purpose of this trial is to test a cost effective and feasible method for reducing the cognitive and emotional barriers to accessing depression treatment in adolescent mothers. The specific aims are to (1) measure the extent to which a social media ad campaign is effective as a recruitment strategy; (2) test the effectiveness of an internet based social marketing intervention on both intention to seek treatment and rates of depression treatment, and (3) examine the dose effect of the intervention.


Eligibility criteria: Inclusion Criteria:

Adolescent mothers, 13-21 years of age, who delivered a live child within the last 12 months, and has their baby residing with them. For the adolescent mothers enrolled in the Internet-based social marketing intervention, they must reside in Kentucky counties of Fayette, Jefferson, Bullitt, Henry, Oldham, Shelby, Spencer, Trimble, Christian, Warren or Barren. The adolescent mothers enrolled in the control group must reside in Kentucky counties of Campbell, Casey, Daviess, Boone, Nelson, Russell, Carroll, Kenton, Hardin, Hancock, Henderson, McClean, Meade, Ohio, Union, Webster, Meade or Marion

Exclusion Criteria:

Primary outcomes:
measure: Effectiveness of Social Marketing Intervention
timeFrame: 2 years
Secondary outcomes:
measure: Number of teens seeking depression treatment
timeFrame: 2 years
Other outcomes:
measure: Intention of a adolescent to seek depression treatment
timeFrame: 2 years
Locations:
city: Carrollton
country: United States
facility: Three Rivers
state: Kentucky
city: Covington
country: United States
facility: Hands Program of Kenton County (Young Families of Children, Inc)
state: Kentucky
city: Elizabethtown
country: United States
facility: Lincoln Trail Health Department
state: Kentucky
city: Lexington
country: United States
facility: St. Joseph Hospital
state: Kentucky
city: Louisville
country: United States
facility: University of Louisville Hospital
state: Kentucky
city: Newport
country: United States
facility: Hands Program of Boone and Campbell Counties (Every Child Succeeds)
state: Kentucky
city: Owensboro
country: United States
facility: Three Rivers Health Department
state: Kentucky
city: Somerset
country: United States
facility: Lake Cumberland Health Department
state: Kentucky
Study officials:
affiliation: University of Louisville
name: Mimia C Logsdon, PhD
role: PRINCIPAL_INVESTIGATOR
References: