The Pregnancy and Postpartum Mental Health Optimization Virtual Intervention Network

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorWomen's College Hospital

About this trial

Depression, anxiety, and related disorders such as post-traumatic stress and obsessive compulsive disorder affect about 20% of pregnant and postpartum people. When not treated properly, these issues negatively impact not only affected people, but also their children's health and development. Only 1 in 5 receive adequate treatment, so identifying new system-wide approaches to reliably deliver recommended care to perinatal mental health patients all is a crucial health care priority. The Pregnancy and Postpartum Mental health Optimization Virtual Intervention Network (MOVIN) is a scalable perinatal mental health platform building on the evidence-based Collaborative care delivery model. MOVIN's online platform allows patients to connect with a care coordinator to co-develop personalized treatment recommendations, in collaboration with their primary care clinician and a perinatal psychiatrist when needed; progress is tracked to re-evaluate.

Eligibility criteria

Qualifiers

Adult (age 18 years or older)

Pregnant or postpartum and living with their infant 0-6 months old. This includes all individuals who identify as women, as well as those of female sex who do not identify as women (e.g., non-binary, trans) who are the primary parent for their infant. This includes via natural birth, adoption, or surrogacy.

EPDS score >10 at eligibility screening.

Disqualifiers

Active alcohol or substance use disorder, mania or psychotic disorder (as these conditions are better managed in direct specialty care).

Active suicide plan or intent (as emergent hospital-based care is likely required),

Plan to move out of Ontario during the study.

Unable to complete relevant study procedures and measures online. For the few participants without access to devices/home internet, we will budget for tablets/data plans.

Trial design

Treatments tested in this trial

  • Enhanced Usual Care
  • MOVIN Care Platform
  • Enhanced Usual Care

Treatment groups

570 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Women's College Hospital

Lead sponsor

Sunnybrook Health Sciences Centre

Collaborator

Mount Sinai Hospital, Canada

Collaborator

The Ottawa Hospital

Collaborator

St. Joseph's Healthcare Hamilton

Collaborator