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The Parentbot - a Digital healthcare Assistant (PDA) is a mobile application-based psychosocial parenting intervention with integrated chatbot features, intended for couples to use during the perinatal period. It provides parents with multimedia educational materials (text files, audio files and videos), discussion forum, guided mindfulness-based meditation videos, guided reflection and gratitude journals and a chatbot to answer their queries related to perinatal care in real-time.
This study aims to:
The hypotheses of this study are:
The PDA intervention group will have significantly higher scores for parenting self-efficacy, social support, parent-child bonding and parenting satisfaction, as well as lower scores for stress, depression and anxiety compared to the control group receiving standard care after the intervention at one-month postpartum (post-test 1) and three-months postpartum (post-test 2).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard hospital care with follow-up + PDA mobile application | Experimental | Receive standard hospital care and follow-up, and access to the Parentbot - a Digital healthcare Assistant (PDA) mobile application from pregnancy until one-month postpartum |
|
| Standard hospital care with follow-up | No Intervention | Receive standard hospital care with follow-up |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PDA mobile application | Behavioral | Parentbot - a Digital healthcare Assistant (PDA): A mobile application-based psychosocial parenting intervention with integrated chatbot features. It consists of multimedia educational materials (text files, audio files and videos), discussion forums, guided mindfulness-based meditation videos, guided reflection and gratitude journals and a chatbot. |
| Measure | Description | Time Frame |
|---|---|---|
| Parenting self-efficacy | 10-item Parenting Efficacy Scale (PES): Score ranges from 10-40, with higher scores indicating a higher level of perceived parenting self-efficacy | 1 month postpartum |
| Parenting self-efficacy | 10-item Parenting Efficacy Scale (PES): Score ranges from 10-40, with higher scores indicating a higher level of perceived parenting self-efficacy | 3 months postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| Stress | 10-item Perceived Stress Scale (PSS): Score ranges from 0-40, with higher scores indicating higher stress levels | 1 month postpartum |
| Stress | 10-item Perceived Stress Scale (PSS): Score ranges from 0-40, with higher scores indicating higher stress levels |
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Inclusion Criteria:
Heterosexual married couples who are first-time parents or experienced parents are included if they:
Exclusion Criteria:
Couples will be excluded if either parent has:
Single parents will also be excluded. If either the mother or father declines to participate in the study while their partner agrees, the couple will not be allowed to participate in the study.
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| Name | Affiliation | Role |
|---|---|---|
| Shefaly Shorey, PhD | National University of Singapore | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alice Lee Centre for Nursing Studies, National University of Singapore | Singapore | 117597 | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39305680 | Derived | Chua JYX, Choolani M, Chee CYI, Yi H, Chan YH, Lalor JG, Chong YS, Shorey S. The effectiveness of Parentbot - a digital healthcare assistant - on parenting outcomes: A randomized controlled trial. Int J Nurs Stud. 2024 Dec;160:104906. doi: 10.1016/j.ijnurstu.2024.104906. Epub 2024 Sep 13. |
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Two-group parallel-armed randomized controlled trial (RCT) with a pretest and repeated posttest experimental design
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| 3 months postpartum |
| Depression | 10-item Edinburgh Postnatal Depression Scale (EPDS) Scale: Score ranges from 0-30, with higher scores indicating more severe depressive symptoms | 1 month postpartum |
| Depression | 10-item Edinburgh Postnatal Depression Scale (EPDS) Scale: Score ranges from 0-30, with higher scores indicating more severe depressive symptoms | 3 months postpartum |
| Anxiety | 40-item State-Trait Anxiety Inventory (STAI): Score ranges from 40-160, with higher scores indicating more severe anxiety symptoms | 1 month postpartum |
| Anxiety | 40-item State-Trait Anxiety Inventory (STAI): Score ranges from 40-160, with higher scores indicating more severe anxiety symptoms | 3 months postpartum |
| Social support | 4-item Perceived Social Support for Parenting scale (PSSP): Score ranges from 0-16, with higher scores indicating higher level of perceived social support | 1 month postpartum |
| Social support | 4-item Perceived Social Support for Parenting scale (PSSP): Score ranges from 0-16, with higher scores indicating higher level of perceived social support | 3 months postpartum |
| Parent-child bonding | 8-item Parent-Infant Bonding Questionnaire (PIBQ): Score ranges from 0-24, with higher scores indicating poorer parent-child bonding | 1 month postpartum |
| Parent-child bonding | 8-item Parent-Infant Bonding Questionnaire (PIBQ): Score ranges from 0-24, with higher scores indicating poorer parent-child bonding | 3 months postpartum |
| Parenting satisfaction | 11-item evaluation subscale of the What Being the Parent of a Baby is Like scale (WBPL): Score ranges from 0-90, with higher scores indicating greater parenting satisfaction | 1 month postpartum |
| Parenting satisfaction | 11-item evaluation subscale of the What Being the Parent of a Baby is Like scale (WBPL): Score ranges from 0-90, with higher scores indicating greater parenting satisfaction | 3 months postpartum |
| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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