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Building Regulation in Dual Generations 2022-2025

Child Development | Child Mental Disorder | Maternal Depression | Self-Regulation, Emotion

This randomized control trial aims to investigate whether a novel intervention, the "Building Regulation in Dual Generations (BRIDGE)" program, improves mental wellness and parenting practices among mothers of 3 to 5-year-old children who have elevated symptoms of depression. The main two questions this study aims to answer are:

* Does participation in the BRIDGE program reduce maternal depression symptoms?
* Does participation in the BRIDGE program improve children's mental health?

Researchers will compare the BRIDGE intervention to an established mental health intervention (i.e., Dialectical Behaviour Therapy skills group) and to a services-as-usual control group to see if participation in BRIDGE leads to greater improvements than either the general mental health treatment or community services as usual.

Participants will:

* Complete a set of questionnaires pre- and post-intervention, and at 6-month follow-up.
* Complete a virtual assessment with their child at pre- and post-intervention.
* Be randomized to BRIDGE, Dialectical Behavioural Therapy(DBT) skills group, or a services-as-usual control group.
* Participate in the 16-week BRIDGE or DBT Skills only group, if randomized to either of these groups. If they are randomized to services-as-usual they will receive a list of community resources they can access.
* Complete weekly symptom monitoring via questionnaires, if randomized to BRIDGE or DBT Skills
* Wear a Fitbit device during pre- and post-intervention, as well as throughout the 16-week intervention period.

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Participation Requirements

  • Sex:

    ALL
  • Eligible Ages:

    18 and up

Participation Criteria

Inclusion Criteria:

* Have at least one 3-5-year-old child.
* Residing in Manitoba or British Columbia, Canada.
* Report elevated symptoms of depression (PHQ-9 score ≥10) at the eligibility screener, pre-randomization.
* Self-identify as being comfortable understanding, speaking and reading English.
* Self-identify as having internet access.
* Report being available to attend telehealth groups.
* Report being willing to complete pre- and post-intervention questionnaires.

Exclusion Criteria:

* Mothers who report a suicide attempt in the past year or who have engaged in self-harm that required medical attention in the past 6 months will not be eligible to participate in the study, as the BRIDGE program is not intended to address these mental health needs.
* In addition, mothers who report a diagnosis of, or treatment for, Post-Traumatic Stress Disorder, Alcohol Use Disorder, Substance Use Disorder, or Psychotic Disorder in the last year will be followed up with a senior clinician to evaluate whether the BRIDGE program would be suitable for their needs. If the clinician (through consultation with clinical leads) indicates that the participant will be able to participate and engage in BRIDGE and/or DBT as the program is to be delivered, they will be considered eligible. Some participants may be encouraged to follow-up with group clinicians to ensure their mental health needs are being managed appropriately within or outside of the group.

Study Location

University of Manitoba - Department of Psychology
University of Manitoba - Department of Psychology
Winnipeg, Manitoba
Canada

Contact Study Team

Primary Contact

Leslie E Roos, PhD

[email protected]
2044747400
Backup Contact

Lara C Penner-Goeke, BA (Hons)

[email protected]
Study Sponsored By
University of Manitoba
Participants Required
More Information
Study ID: NCT05959538