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CompletedNCT04706442Updated Apr 12, 2022

Effectiveness of 'Supportive Parenting App' on Parental and Newborn Outcomes

An interventional study of Supportive Parenting Application in Postnatal Depression, Self Efficacy and Parent-Child Relations, sponsored by National University of Singapore. Completed at 1 site in Singapore. Open to participants aged 21 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-04-12.

Sponsored by National University of Singapore · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled Mar 2020, registered Jan 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
398
Allocation
Randomized
Ages
21 Years to 65 Years
Sex
All
01

Study summary

The Supportive Parenting App is a theory-based perinatal educational intervention for couples administered through a mobile application. The intervention comprise of knowledge-based content, informational videos and audio, discussion forum, peer volunteer chat group, and a frequently asked questions (FAQ) expert advice section.

The aims of the study are to:

  1. develop theory-based supportive parenting App (SPA) intervention for both first-time and experienced parents across perinatal period
  2. examine its effectiveness on parental outcomes: including maternal depression at 12 months postpartum (primary outcome), paternal depression, parental anxiety, parenting self-efficacy, help - seeking behavior (social support), parental bonding and parenting satisfaction (secondary outcomes); and new-born outcomes: physical, social and emotional developments (secondary outcomes)
  3. evaluate SPA's cost-effectiveness as compared to standard perinatal care across major restructured hospitals, and
  4. examine the perceptions of parents in receiving this intervention.

When compared with those in the control group receiving standard care:

  1. parents receiving SPA intervention will have better- emotional well-being (reduced depression and anxiety);parenting self-efficacy; social support; bonding and satisfaction.
  2. new-borns of parents receiving SPA will have better physical, social and emotional development
  3. It will be more cost-effective to provide SPA than the standard care
02

Conditions studied

  • Postnatal Depression
  • Self Efficacy
  • Parent-Child Relations
  • Development, Child
  • Anxiety
  • Parenting Satisfaction
03

In context

Depression, Postpartum

528 studies on the registry are indexed under Depression, Postpartum; 124 are open to participants now.

This study's enrollment of 398 is above the median of 105 across 425 interventional studies indexed under Depression, Postpartum.

Browse Depression, Postpartum studies →

Lead sponsor

National University of Singapore is the lead sponsor of 206 studies on the registry; 52 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
21 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • able to read and speak English
  • have low-risk singleton pregnancy with more than 24 weeks of gestation (age of viability)
  • have smartphone with internet access

Exclusion criteria

Exclusion Criteria:

  • have physical or mental disorders which would interfere with their ability to participate in the study
  • have high-risk pregnancy including placenta-previa major, pre-eclampsia, pregnancy induced hypertension etc.
  • have complicated assisted delivery such as vacuum or forceps with 4th degree perineal tear of the mother; and /or
  • give birth to a newborn at still-birth or a newborn with congenital anomalies and/or medical complications including pathological jaundice, that required special care in hospital.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
398 participants (actual)

Study arms

  • Experimental
    Standard hospital care with follow up + Supportive Parenting App

    Receive standard hospital care and follow up, and access to the Supportive Parenting App from pregnancy to 6 months postpartum

    Other: Supportive Parenting Application

  • No intervention
    Standard hospital care with follow up

    Receive standard hospital care with follow up

Interventions

  • OtherSupportive Parenting Application

    The Supportive Parenting Application is a theory-based perinatal educational intervention for couples administered through a mobile application. The mobile app consist of knowledge-based content, informational videos and audio, discussion forum, chat groups with peer volunteers, and an experts advice section

06

What researchers measure

Primary outcomes

  1. Maternal postpartum depression

    Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome

    Time frame: 1 month postpartum

  2. Maternal postpartum depression

    Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome

    Time frame: 2 month postpartum

  3. Maternal postpartum depression

    Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome

    Time frame: 4 months postpartum

  4. Maternal postpartum depression

    Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome

    Time frame: 6 months postpartum

  5. Maternal postpartum depression

    Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome

    Time frame: 9 months postpartum

  6. Maternal postpartum depression

    Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome

    Time frame: 12 months postpartum

Secondary outcomes

  1. Infant physical, social, and emotional development

    Bayley-IV scale Minimum raw score of 0 and maximum score of 258 for 129 items. Higher score indicate better outcome

    Time frame: 6 months postpartum

  2. Infant physical, social, and emotional development

    Bayley-IV scale Minimum score of 0 and maximum score of 258 for 129 items. Higher score indicate better outcome

    Time frame: 12 months postpartum

  3. Infant physical, social, and emotional development

    Ages and Stages Questionnaire - 3 (ASQ-3) 21 items; minimum score of 0 and maximum score of 210, with higher score indicating better outcomes

    Time frame: 2 months postpartum

  4. Infant physical, social, and emotional development

    Ages and Stages Questionnaire - 3 (ASQ-3) 21 items; minimum score of 0 and maximum score of 210, with higher score indicating better outcomes

    Time frame: 4 months postpartum

  5. Infant physical, social, and emotional development

    Ages and Stages Questionnaire - 3 (ASQ-3) 21 items; minimum score of 0 and maximum score of 210, with higher score indicating better outcomes

    Time frame: 6 months postpartum

  6. Infant physical, social, and emotional development

    Ages and Stages Questionnaire - 3 (ASQ-3) 21 items; minimum score of 0 and maximum score of 210, with higher score indicating better outcomes

    Time frame: 9 months postpartum

  7. Infant physical, social, and emotional development

    Ages and Stages Questionnaire - 3 (ASQ-3) 21 items; minimum score of 0 and maximum score of 210, with higher score indicating better outcomes

    Time frame: 12 months postpartum

  8. Paternal depression

    Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome

    Time frame: 1 month postpartum

  9. Paternal depression

    Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome

    Time frame: 2 month postpartum

  10. Paternal depression

    Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome

    Time frame: 4 month postpartum

  11. Paternal depression

    Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome

    Time frame: 6 month postpartum

  12. Paternal depression

    Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome

    Time frame: 9 month postpartum

  13. Paternal depression

    Edinburgh Postnatal Depression Scale (EPDS) Minimum score is 0, maximum score is 30, with higher score indicating worse outcome

    Time frame: 12 month postpartum

  14. Parental Anxiety

    State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes.

    Time frame: 1 month postpartum

  15. Parental Anxiety

    State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes.

    Time frame: 2 month postpartum

  16. Parental Anxiety

    State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes.

    Time frame: 4 month postpartum

  17. Parental Anxiety

    State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes.

    Time frame: 6 month postpartum

  18. Parental Anxiety

    State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes.

    Time frame: 9 month postpartum

  19. Parental Anxiety

    State-Trait Anxiety Scale (STAI) minimum score of 20 and maximum score of 80, with higher scores indicating worse outcomes.

    Time frame: 12 month postpartum

  20. Parenting self-efficacy

    Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy

    Time frame: 1 month postpartum

  21. Parenting self-efficacy

    Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy

    Time frame: 2 month postpartum

  22. Parenting self-efficacy

    Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy

    Time frame: 4 month postpartum

  23. Parenting self-efficacy

    Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy

    Time frame: 6 month postpartum

  24. Parenting self-efficacy

    Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy

    Time frame: 9 month postpartum

  25. Parenting self-efficacy

    Parenting Efficacy Scale (PES) Scores range from 10 to 40 with higher scores indicating higher parenting efficacy

    Time frame: 12 month postpartum

  26. Perceived social support

    Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support.

    Time frame: 1 month postpartum

  27. Perceived social support

    Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support.

    Time frame: 2 month postpartum

  28. Perceived social support

    Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support.

    Time frame: 4 month postpartum

  29. Perceived social support

    Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support.

    Time frame: 6 month postpartum

  30. Perceived social support

    Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support.

    Time frame: 9 month postpartum

  31. Perceived social support

    Perceived Social Support for Parenting (PSSP) scale minimum score of 10 and maximum score of 40. Higher score indicate higher perceived support.

    Time frame: 12 month postpartum

  32. Parent-Infant bonding

    Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding

    Time frame: 1 month postpartum

  33. Parent-Infant bonding

    Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding

    Time frame: 2 month postpartum

  34. Parent-Infant bonding

    Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding

    Time frame: 4 month postpartum

  35. Parent-Infant bonding

    Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding

    Time frame: 6 month postpartum

  36. Parent-Infant bonding

    Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding

    Time frame: 9 month postpartum

  37. Parent-Infant bonding

    Parent-to-Infant Bonding Scale scores range from 0 to 24, with higher scores indicating worse bonding

    Time frame: 12 month postpartum

  38. Parenting satisfaction

    What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction.

    Time frame: 1 month postpartum

  39. Parenting satisfaction

    What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction.

    Time frame: 2 month postpartum

  40. Parenting satisfaction

    What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction.

    Time frame: 4 month postpartum

  41. Parenting satisfaction

    What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction.

    Time frame: 6 month postpartum

  42. Parenting satisfaction

    What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction.

    Time frame: 9 month postpartum

  43. Parenting satisfaction

    What Being the Parent of a New Baby is Like Questionnaire (WPBL) 11-items, scores range from 0 to 99 with higher scores indicating better parenting satisfaction.

    Time frame: 12 month postpartum

07

Study locations

1 site
  • Alice Lee Centre for Nursing Studies
    Singapore, 117597, Singapore
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 12, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04706442
Lead sponsor
National University of Singapore
Responsible party
Shefaly Shorey (Assistant Professor, National University of Singapore) — Principal investigator
First posted
Jan 12, 2021
Start date
Mar 1, 2020
Primary completion
Mar 22, 2022
Completion
Mar 22, 2022
Last update
Apr 12, 2022

Study contacts

Shefaly Shorey, PhD
principal investigator · National University of Singapore

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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