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Social Media, Teen Moms and PPD

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01967394
Recruitment Status : Completed
First Posted : October 22, 2013
Last Update Posted : December 29, 2015
National Institute of Nursing Research (NINR)
Information provided by (Responsible Party):
Mimia Logsdon, University of Louisville

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.

Condition or disease Intervention/treatment Phase
Postpartum Depression Other: Use of internet based social marketing intervention Other: No use of social media Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 287 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Double (Participant, Outcomes Assessor)
Official Title: Social Media, Teen Moms, and Postpartum Depression
Study Start Date : June 2013
Actual Primary Completion Date : December 2015
Actual Study Completion Date : December 2015

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Intervention County
Use of internet based social marketing intervention
Other: Use of internet based social marketing intervention
Eleven counties in Kentucky will be targeted with ads on Google and Facebook that direct adolescent mothers to an Internet-based social marketing intervention. The ads will be implemented using Facebook's and Google's ad network. The ads are setup, configured, and adjusted online. Facebook has identified key words that are recommended for adolescent mothers: "16 and pregnant," "teen mom,' and names of television shows with subject matter specific to adolescent mothers. We will target the ads to correspond to a geographical area that specifies a distance from the largest city in each county, and we will specify county lines. Ads will only appear on the Internet in the counties that are targeted for the intervention.

Placebo Comparator: Control County
No use of social media
Other: No use of social media
No social media ads will be available in these counties.

Primary Outcome Measures :
  1. Effectiveness of Social Marketing Intervention [ Time Frame: 2 years ]
    How many teen mothers are enrolled in treatment programs for their depression per county? Is there a difference between counties?

Secondary Outcome Measures :
  1. Number of teens seeking depression treatment [ Time Frame: 2 years ]
    Do the teens in counties with the social media campaigns seek depression treatment more than those in the control counties.

Other Outcome Measures:
  1. Intention of a adolescent to seek depression treatment [ Time Frame: 2 years ]
    What is the association between intention to seek depression treatment and actual seeking of treatment, when controlling for baseline depression symptoms?

Information from the National Library of Medicine

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Ages Eligible for Study:   13 Years to 21 Years   (Child, Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

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:

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01967394

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United States, Kentucky
Three Rivers
Carrollton, Kentucky, United States, 41008
Hands Program of Kenton County (Young Families of Children, Inc)
Covington, Kentucky, United States, 41011
Lincoln Trail Health Department
Elizabethtown, Kentucky, United States, 42701
St. Joseph Hospital
Lexington, Kentucky, United States
University of Louisville Hospital
Louisville, Kentucky, United States
Hands Program of Boone and Campbell Counties (Every Child Succeeds)
Newport, Kentucky, United States, 41072-0325
Three Rivers Health Department
Owensboro, Kentucky, United States, 42303
Lake Cumberland Health Department
Somerset, Kentucky, United States, 42501
Sponsors and Collaborators
University of Louisville
National Institute of Nursing Research (NINR)
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Principal Investigator: Mimia C Logsdon, PhD University of Louisville

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Responsible Party: Mimia Logsdon, Professor, University of Louisville Identifier: NCT01967394     History of Changes
Other Study ID Numbers: 1R15NR013563-01A1 ( U.S. NIH Grant/Contract )
R15NR013563 ( U.S. NIH Grant/Contract )
First Posted: October 22, 2013    Key Record Dates
Last Update Posted: December 29, 2015
Last Verified: December 2015
Keywords provided by Mimia Logsdon, University of Louisville:
Health Care Quality
Additional relevant MeSH terms:
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Depression, Postpartum
Depressive Disorder
Behavioral Symptoms
Mood Disorders
Mental Disorders
Puerperal Disorders
Pregnancy Complications